Predictors of self-sufficiency for the mentally ill in long-term care

Kruzich, Jean M.; Berg, William E.

doi:10.1007/bf00754735

Cited by 13 publications

(19 citation statements)

References 16 publications

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“…They showed better adjustment on the REHAB's social activity, speech skills, disturbed speech, community skills, and total general behaviour scales. This is consistent with previous studies that have found more social contacts to be related to better general adaptive functioning (Avison & Speechley, 1987;Kruzich & Berg, 1985).…”

Section: Discussionsupporting

confidence: 93%

“…Avison & Speechley, 1987;Segal 6k Kotler, 1993). The criteria for social contact, based on Kruzich and Berg's (1985) study, was the cumulative frequency of clients physical visits with family or relatives and friends who did not reside in their dwelling. Social involvement data was obtained from primary caregivers and where possible was verified through client self-report.…”

Section: Instrumentsmentioning

confidence: 99%

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Two Year Follow-up of Behavioural Functioning in Long-Stay Chronically Mentally Ill Clients Transferred to the Community

Vertongen

Deane

Beaumont³

1998

The Australian Journal of Rehabilitation Counselling

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The effects of transferring 28 long-stay chronically mentally ill patients from a psychiatric hospital to community placements was evaluated. The Rehabilitation Evaluation Hall and Baker (REHAB; Baker & Hall, 1983) scale was used to assess clients' adaptive and maladaptive behavioural functioning at 12, 18 and 24 month intervals following the hospital baseline. Social contacts and inpatient readmissions were also assessed. The results showed that clients' general adaptive functioning and maladaptive behaviour, on average, remained stable across the hospital baseline and two year follow-up period. Clients with frequent social contacts were found to have significantly better adjustment on a number of the REHAB subscales and those who exhibited more maladaptive behaviour were more likely to be readmitted to a psychiatric inpatient unit. Overall the results were encouraging with relatively low readmission rates, however, approximately 10% of clients showed significant difficulty adjusting in the community. The implications of the findings for chronically mentally ill people and suggestions for community programmes are discussed.

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Section: Discussionsupporting

confidence: 93%

Section: Instrumentsmentioning

confidence: 99%

Two Year Follow-up of Behavioural Functioning in Long-Stay Chronically Mentally Ill Clients Transferred to the Community

Vertongen

Deane

Beaumont³

1998

The Australian Journal of Rehabilitation Counselling

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“…Daily living skills will continue to be a focal point of treatment intervention for the chronic psychiatric patient. For the chronic mentally ill, the capacity to perform even the most basic daily living activities increases the level of self-sufficiency and, thereby, enhances a sense of positive self-regard (Kruzich & Berg, 1985). Consequently, workers in the mental health field need to be aware of those intervention strategies that are effective in teaching to their clients the importance acquiring or re-acquiring daily living skills as part of a service plan whose ultimate goal is successful "graduation" from the community residence to independent living.…”

Section: I2mentioning

confidence: 99%

Effects of positive and negative reinforcement on daily living skills in chronic psychiatric patients in community residences

Lippman

Motta

1993

J. Clin. Psychol.

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The effects of contingent positive and negative reinforcement on adaptive behavior and mood were examined in a sample of 36 chronic, psychiatric outpatients. Group 1 received contingent positive token reinforcement to improve daily living skills, group 2 received a negative reinforcement procedure based on removal of free‐tokens, and group 3 was a no‐treatment control. Subjects were assessed via a weekly daily living checklist and were pre‐ and posttested on the Profile of Mood States (POMS). Significant differences were found between the control and treatment groups on both total activities of daily living and among five individual targeted behaviors. Mood states did not differ among the groups, which indicates benign effects of negative reinforcement. The findings of this study are relevant to the treatment of the serious and persistently mentally ill.

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“…Another study that examined the same general types of factors found community integration related to the level of skills training provided by the staff, the degree of depersonalizing care practices of the staff toward the clients, and the size of the city (Kruzich, 1985). Further analyses showed that environmental factors that predicted community adjustment were management practices and the facility director's attitude toward social services (Kruzich & Berg, 1985). Lehman, Ward, and Linn (1982) examined the well-being of chronic mentally ill adults in various residential arrangements.…”

mentioning

confidence: 95%

Community Integration and Well‐Being: Toward the Goals of Community Care

Kennedy

1989

Journal of Social Issues

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This study examined the effects of social competence, social support, and their interaction in predicting the community integration and well-being of young chronically disabled, mentally ill adults. The 159 participants, all between the ages of 18 and 45, were residents of New York City's supervised and supportive community residences, and single room occupancy hotels with mental health services. Significant positive relationships were found between social competence and community integration, emotional support and well-being, and community integration and well-being. The interaction of emotional support and community integration was significant in its prediction of well-being. The interaction of social competence and community integration was significant in predicting well-being when emotional support was held constant. Implications for housing, research, and policy for community care are discussed.Community integration and well-being of chronically disabled, mentally impaired adults were goals of deinstitutionalization and community-based care. Deinstitutionalization assumed that communities are able and willing to provide the full range of necessary services, basic life supports, and social supports to adults discharged from psychiatric hospitals (Bachrach, 1979;Brown, 1975). Housing is one of those basic resources, and the lack of available housing is most obvious in the increasing number of homeless people, among whom are many chronically disabled, mentally impaired individuals. The lack of housing continues to obstruct the full realization of community-based care, and as a result

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Predictors of self-sufficiency for the mentally ill in long-term care

Cited by 13 publications

References 16 publications

Two Year Follow-up of Behavioural Functioning in Long-Stay Chronically Mentally Ill Clients Transferred to the Community

Two Year Follow-up of Behavioural Functioning in Long-Stay Chronically Mentally Ill Clients Transferred to the Community

Effects of positive and negative reinforcement on daily living skills in chronic psychiatric patients in community residences

Community Integration and Well‐Being: Toward the Goals of Community Care

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