LONG-TERM OUTCOME OF STATE-HOSPITAL PATIENTS DISCHARGED INTO STRUCTURED COMMUNITY RESIDENTIAL SETTINGS

被引:0
|
作者
OKIN, RL
BORUS, JF
BAER, L
JONES, AL
机构
[1] SAN FRANCISCO GEN HOSP,SAN FRANCISCO,CA 94110
[2] HARVARD UNIV,SCH MED,BOSTON,MA
[3] BRIGHAM & WOMENS HOSP,DEPT PSYCHIAT,BOSTON,MA
[4] MASSACHUSETTS GEN HOSP,DEPT PSYCHIAT,COMP UNIT,BOSTON,MA 02114
[5] RHODE ISL DEPT HLTH,PROVIDENCE,RI
关键词
D O I
暂无
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective: This longitudinal study examined various dimensions of the lives of patients with chronic mental illness immediately before and again several years after their discharge from a state hospital into well-staffed structured community residential settings. Methods: Fifty-three patients with chronic mental illness and long histories of hospitalization were evaluated shortly before their state hospital discharge using a comprehensive structured assessment of nine dimensions of functioning and symptomatology. A follow-up assessment was undertaken a mean of 7.5 years after discharge into four structured group home settings. Results: At follow-up, 57 percent of the patients continued to live in structured community residential settings, 28 percent had moved on to independent living, and 16 percent had returned to an institutional setting. Fifty-five percent needed hospital readmission, but the total sample spent only I I percent of the time after discharge in the hospital. At follow-up, patients showed significant improvements in cognitive and social functioning, and 94 percent expressed a preference for life in the community. Conclusions: Many patients discharged to structured community residential settings seem to prefer them to the state hospital, are able to graduate to independent settings, and show improvement in important dimensions of functioning after several years in the community. Other dimensions seem resistant to change despite the structure and support afforded by residential settings.
引用
收藏
页码:73 / 78
页数:6
相关论文
共 50 条
  • [31] LONG-TERM OUTCOME FOR PATIENTS AND CARERS FOLLOWING HOSPITAL ADMISSION FOR STROKE
    GREVESON, GC
    GRAY, CS
    FRENCH, JM
    JAMES, OFW
    AGE AND AGEING, 1991, 20 (05) : 337 - 344
  • [32] LONG-TERM OUTCOME FOR ALCOHOLIC PATIENTS TREATED IN A HOSPITAL BASED UNIT
    WALKER, ND
    NEW ZEALAND MEDICAL JOURNAL, 1987, 100 (831) : 554 - 557
  • [33] Hospital and long-term outcome of trauma patients with tracheostomy for respiratory failure
    Engoren, M
    Arslanian-Engoren, C
    AMERICAN SURGEON, 2005, 71 (02) : 123 - 127
  • [34] REHABILITATION OUTCOME OF LONG-TERM HOSPITAL PATIENTS LEFT BEHIND BY DEINSTITUTIONALIZATION
    FARKAS, MD
    ROGERS, ES
    THURER, S
    HOSPITAL AND COMMUNITY PSYCHIATRY, 1987, 38 (08): : 864 - 870
  • [35] LONG-TERM HOSPITAL TREATMENT OF BORDERLINE PATIENTS - A DESCRIPTIVE OUTCOME STUDY
    TUCKER, L
    BAUER, SF
    WAGNER, S
    HARLAM, D
    SHER, I
    AMERICAN JOURNAL OF PSYCHIATRY, 1987, 144 (11): : 1443 - 1448
  • [36] Do patient characteristics or factors at resuscitation influence long-term outcome in patients surviving to be discharged following in-hospital cardiac arrest?
    Skrifvars, M. B.
    Castren, M.
    Nurmi, J.
    Thoren, A. B.
    Aune, S.
    Herlitz, J.
    JOURNAL OF INTERNAL MEDICINE, 2007, 262 (04) : 488 - 495
  • [37] THE QUALITY-OF-LIFE OF CHRONIC-PATIENTS IN A STATE-HOSPITAL AND IN COMMUNITY RESIDENCES
    LEHMAN, AF
    POSSIDENTE, S
    HAWKER, F
    HOSPITAL AND COMMUNITY PSYCHIATRY, 1986, 37 (09): : 901 - 907
  • [38] Long-term outcome in anorexia nervosa in the community
    Mustelin, Linda
    Raevuori, Anu
    Bulik, Cynthia M.
    Rissanen, Aila
    Hoek, Hans W.
    Kaprio, Jaakko
    Keski-Rahkonen, Anna
    INTERNATIONAL JOURNAL OF EATING DISORDERS, 2015, 48 (07) : 851 - 859
  • [39] THE TASKS OF PSYCHIATRIC-NURSES IN LONG-TERM RESIDENTIAL SETTINGS IN THE NETHERLANDS
    MELCHIOR, M
    BERG, AVD
    GASSMAN, P
    ABUSAAD, HH
    HALFENS, R
    PHILIPSEN, H
    INTERNATIONAL JOURNAL OF NURSING STUDIES, 1995, 32 (04) : 398 - 412
  • [40] STRUCTURED TELEPHONE FOLLOW-UP OF PATIENTS DISCHARGED AFTER STROKE: A LONG-TERM QUALITY IMPROVEMENT PROGRAM
    Escobosa, D. M.
    Ruiz, A. D.
    Miranda, R. C.
    Vacari, A. M.
    Bizutti, C. C.
    Sogayar, A. M.
    Massaud, R. M.
    Silva, G. S.
    VALUE IN HEALTH, 2017, 20 (05) : A363 - A363