OBJECTIVE: The study investigated whether long-stay patients would benefit from discharge into the community in Berlin, Germany. METHOD: In a prospective controlled study, all long-term hospitalised psychiatric patients from a defined catchment area were assessed using established standardised instruments. Quality of life, treatment satisfaction, needs and psychopathology were re-assessed in 63 non-discharged patients 1.5 years later, and in 65 resettled patients 1 year after discharge. RESULTS: Discharged patients were younger and had spent less time in psychiatric hospitalisation. Whilst patients who remained in hospital care did not show significant changes over time, discharged patients did. Changes in subjective quality of life and total number of needs - but not in psychopathology, unmet needs, and treatment satisfaction - were significantly more favourable in resettled patients as compared to the control group. CONCLUSION: The findings are in line with other studies and suggest that long-stay patients can benefit from discharge into the community, particularly with respect to their quality of life. Positive changes in the process of deinstitutionalisation seem not dependent on the specific national context, and also apply to younger patients who have not yet spent 10 or more years in psychiatric hospitals.
OBJECTIVE: The study investigated whether long-stay patients would benefit from discharge into the community in Berlin, Germany. METHOD: In a prospective controlled study, all long-term hospitalised psychiatricpatients from a defined catchment area were assessed using established standardised instruments. Quality of life, treatment satisfaction, needs and psychopathology were re-assessed in 63 non-discharged patients 1.5 years later, and in 65 resettled patients 1 year after discharge. RESULTS: Discharged patients were younger and had spent less time in psychiatric hospitalisation. Whilst patients who remained in hospital care did not show significant changes over time, discharged patients did. Changes in subjective quality of life and total number of needs - but not in psychopathology, unmet needs, and treatment satisfaction - were significantly more favourable in resettled patients as compared to the control group. CONCLUSION: The findings are in line with other studies and suggest that long-stay patients can benefit from discharge into the community, particularly with respect to their quality of life. Positive changes in the process of deinstitutionalisation seem not dependent on the specific national context, and also apply to younger patients who have not yet spent 10 or more years in psychiatric hospitals.
Authors: Stefan Priebe; Aleksandra Matanov; Neli Demi; Joka Blagovcanin Simic; Sandra Jovanovic; Milena Gajic; Elizabeta Radonic; Stojan Bajraktarov; Larisa Boderscova; Monika Konatar; Raluca Nica; Matthijs Muijen Journal: Community Ment Health J Date: 2011-05-27
Authors: G de Girolamo; V Candini; C Buizza; C Ferrari; M E Boero; G M Giobbio; N Goldschmidt; S Greppo; L Iozzino; P Maggi; A Melegari; P Pasqualetti; G Rossi Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2013-05-28 Impact factor: 4.328
Authors: Tibor Baska; Martina Basková; Henrieta Hudecková; Stefan Straka; Rastislav Mad'ar Journal: Cent Eur J Public Health Date: 2007-03 Impact factor: 1.163
Authors: Helen Killaspy; Louise Marston; Nicholas Green; Isobel Harrison; Melanie Lean; Frank Holloway; Tom Craig; Gerard Leavey; Maurice Arbuthnott; Leonardo Koeser; Paul McCrone; Rumana Z Omar; Michael King Journal: BMC Psychiatry Date: 2016-04-07 Impact factor: 3.630