Redevelopment of tertiary psychiatric services in British Columbia: A prospective study of clinical, social, and residential outcomes of former long-stay inpatients

To explore the efficacy of community rehabilitation for facilitating daily function among patients with mental illness

“…These findings are similar to previous studies on the transfer of long‐term hospitalization patients back to the community. Further, the scores in money management and transportation were significantly increased, while the results in leisure activity scores differed from those of the current study . This may result from the leisure activities that were regularly offered to the hospitalized patients in our study, such as watching movies or karaoke.…”

Exploring Gender Differences in the Utility of Strength-Based Risk Assessment Measures

“…Specifically, almost all of the patients sampled were involuntarily committed and had an average hospital stay of five and a half years, a median of just over three and half years, and a range of 1 month to 29 years. Further, it has been suggested that when a tertiary hospital closes, the highest functioning patients are moved first, with the patients who are most difficult to place and manage being transferred last (Petersen et al, 2013). Given that this facility had been downsizing for decades, this sample therefore most likely represents a unique cohort and some of the most psychiatrically ill individuals in the entire province and from this institution, and is not representative of a typical civil psychiatric sample, nor perhaps even an average tertiary psychiatric sample (Petersen et al, 2013).…”

Housing Orientations and Needs of Above-Average Length of Stay Hospitalized Psychiatric Patients

“…The resulting benchmarks were used by the Ministry of Health and Social Services in its 2005-2010 action plan (24) and again in its 2015-2020 plan (25), this time reducing by half its residential facilities benchmarks. On the other hand, these inpatients found in acute care wards differ in their lower incapacity, measured with the RPI, from long-stay inpatients of psychiatric hospitals who were successfully and mostly transferred to regional tertiary residential facilities or other supervised residential facilities (not their own apartments) in British Columbia in the last decade (14), or in Montreal two decades ago (18,26) or those assessed in nursing homes in a Quebec region with no psychiatric hospital (13). Overall, the convergence of evidence from these studies and comparison with the level of incapacity of our patient sample, points to the patient's choice being the most accurate assessment of residential services needs.…”

“…Each item is scored on a 5-point scale (from 1, no problem, to 5, severe problem). This version has already been translated and adopted in French and English (14). Cronbach's Alpha, computed from the select sample of 194 above-average-stay patients, was 0.94 for the total score and ranged from 0.86 (community preparation) to 0.75 (daily routine) for the subscales.…”

“…The Psychosocial Rehabilitation Toolkit (14,19) was adopted to collect sociodemographic data (age, sex, native language, and marital status), as well as education level, work history, residential history, and financial, legal, and diagnostic information (diagnosis and comorbidities).…”