Articlebronze2000

Long-stay patients discharged from psychiatric hospitals

161 citations0/0 files storedThe British Journal of Psychiatry

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Psychiatric care and mental health services Historical Psychiatry and Medical Practices Healthcare Decision-Making and Restraints

Abstract

BACKGROUND: There have been no large-scale prospective studies evaluating the transfer of care from psychiatric hospitals to district-based services. AIMS: We aimed to compare the quality of life of patients in two north London hospitals scheduled for closure with that in the community homes to which they were discharged. METHOD: The total long-stay population of Friern Hospital and several hundred long-stay patients in Claybury Hospital were assessed with a batch of eight schedules while in hospital. They were followed up after one year in the community and then at five years. RESULTS: Of the 670 discharged patients, 126 died before the five-year follow-up. Data were obtained on 523 (97%) of the survivors. There was no change in the patients' clinical state or in their problems of social behaviour. However, they gained domestic and community living skills. They also acquired friends and confidants. They were living in much freer conditions and the great majority wanted to remain in their current homes. CONCLUSIONS: Community care has enhanced the quality of life of this group of patients, involved in a well-planned and adequately resourced reprovision programme.

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References

1981Overview: deinstitutionalization of psychiatric patients, a critical review of outcome studies 1996Public Education for Community Care

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2006From the asylum to community care: learning from experience 2002Long-term outcome of long-stay psychiatric in-patients considered unsuitable to live in the community 2017Factors Associated with Length of Stay in Psychiatric Inpatient Services in London, UK 2004The effects of a transitional discharge model for psychiatric patients 2014Discharged from a mental health admission ward: is it safe to go home? A review on the negative outcomes of psychiatric hospitalization 2007Systematic Review of Case Management 2013From hospital to the community: The influence of deinstitutionalization on discharged long‐stay psychiatric patients 2016An international comparison of the deinstitutionalisation of mental health care: Development and findings of the Mental Health Services Deinstitutionalisation Measure (MENDit)

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