Beyond mental hospital sites

This study assesses the effects of relocation from hospital on the level of functioning, m orale and satisfaction of 188 long-stay patients discharged from the six major psychiatric hospitals in Northern Ireland during 1990-1992. There w as little change in clients' skills (eg. domestic and social skills) one and two years after discharge. The behaviour of form er patients was not adversely affected by life in the comm unity. They were less depressed than in hospital and were also more satisfied with their living environments. Overall, the findings, which are broadly in line with those reported elsewhere, indicate that the policy of relocating people outside hospital has been a lim ited success.J Ment Health Downloaded from informahealthcare.com by RMIT University on 03/15/15For personal use only.

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Leaving hospital: one and two-year outcomes of long-stay psychiatric patients discharged to the community

Donnelly

McGilloway

Mays

et al. 1996

Journal of Mental Health

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Old long-stay psychiatric in-patients in Ontario, Canada

Gerber

Lafave²

1998

Journal of Mental Health

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Assertive community treatment of severe mental illness: a Canadian experience

1996

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The study assessed one-year outcomes for 110 clients with serious mental illness who were randomly assigned to an assertive community rehabilitation program that provides psychiatric rehabilitation services in community settings or to hospital-based rehabilitation programs. Key elements of the community program include a multidisciplinary team on call 24 hours a day, in vivo treatment, and instruction and assistance in basic living skills. Data from client interviews after one year of service were used to assess clients' quality of life, satisfaction with services, and psychopathology. Clients in the assertive community rehabilitation program were more likely to be maintained in community settings and reported better quality of life than clients in the hospital-based programs.

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Beyond mental hospital sites

Abstract: Professor R. G. Priest and Dr K. A. Day have prepared a discussion document on the future of mental hospital sites on behalf of the Public Policy Committee (Psychiatric Bulletin, April 1990, 14, 245–248), and may be complimented for stating their views in such detail.

Cited by 5 publications

References 16 publications

Leaving hospital: one and two-year outcomes of long-stay psychiatric patients discharged to the community

Leaving hospital: one and two-year outcomes of long-stay psychiatric patients discharged to the community

Old long-stay psychiatric in-patients in Ontario, Canada

Assertive community treatment of severe mental illness: a Canadian experience

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