BACKGROUND: Whereas the majority of long-stay in-patients have been successfully resettled in the community, there is a group of such patients who are too disturbed or disturbing to be managed in standard community homes. AIMS: To study the long-term outcome of a group of 72 long-stay psychiatric inpatients, regarded as unsuitable for community placement. METHOD: A prospective cohort study with follow-ups at 1 year and 5 years. RESULTS: The patients' mental state remained unchanged after 1 year and 5 years. The level of functioning and social behaviour showed minimal change after 1 year, but then improved over the next 4 years. The profile of problematic behaviours changed significantly over 5 years, with a reduction of 50% in their frequency. Physical aggression practically disappeared. The improvements in behaviour enabled 29 patients (40% of the study group) finally to be resettled in various care homes, gaining better access to community amenities and living more independently. CONCLUSIONS: A high proportion of patients with severe disabilities, designated as 'difficult to place' in the community, could benefit from slow-stream rehabilitation within specialised facilities, enabling them to move into ordinary community homes.
BACKGROUND: Whereas the majority of long-stay in-patients have been successfully resettled in the community, there is a group of such patients who are too disturbed or disturbing to be managed in standard community homes. AIMS: To study the long-term outcome of a group of 72 long-stay psychiatric inpatients, regarded as unsuitable for community placement. METHOD: A prospective cohort study with follow-ups at 1 year and 5 years. RESULTS: The patients' mental state remained unchanged after 1 year and 5 years. The level of functioning and social behaviour showed minimal change after 1 year, but then improved over the next 4 years. The profile of problematic behaviours changed significantly over 5 years, with a reduction of 50% in their frequency. Physical aggression practically disappeared. The improvements in behaviour enabled 29 patients (40% of the study group) finally to be resettled in various care homes, gaining better access to community amenities and living more independently. CONCLUSIONS: A high proportion of patients with severe disabilities, designated as 'difficult to place' in the community, could benefit from slow-stream rehabilitation within specialised facilities, enabling them to move into ordinary community homes.
Authors: S J McInerney; S Finnerty; E Walsh; L Spelman; N E Edgar; B Hallahan; C McDonald Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2018-04-28 Impact factor: 4.328
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: Helen Killaspy; Sarah White; Christine Wright; Tatiana L Taylor; Penny Turton; Matthias Schützwohl; Mirjam Schuster; Jorge A Cervilla; Paulette Brangier; Jiri Raboch; Lucie Kališová; Georgi Onchev; Spiridon Alexiev; Roberto Mezzina; Pina Ridente; Durk Wiersma; Ellen Visser; Andrzej Kiejna; Tomasz Adamowski; Dimitri Ploumpidis; Fragiskos Gonidakis; José Caldas-de-Almeida; Graça Cardoso; Michael B King Journal: BMC Psychiatry Date: 2011-03-01 Impact factor: 3.630
Authors: Tatiana L Taylor; Helen Killaspy; Christine Wright; Penny Turton; Sarah White; Thomas W Kallert; Mirjam Schuster; Jorge A Cervilla; Paulette Brangier; Jiri Raboch; Lucie Kalisová; Georgi Onchev; Hristo Dimitrov; Roberto Mezzina; Kinou Wolf; Durk Wiersma; Ellen Visser; Andrzej Kiejna; Patryk Piotrowski; Dimitri Ploumpidis; Fragiskos Gonidakis; José Caldas-de-Almeida; Graça Cardoso; Michael B King Journal: BMC Psychiatry Date: 2009-09-07 Impact factor: 3.630
Authors: Helen Killaspy; Michael King; Christine Wright; Sarah White; Paul McCrone; Thomas Kallert; Jorge Cervilla; Jiri Raboch; Georgi Onchev; Roberto Mezzina; Durk Wiersma; Andrzej Kiejna; Dimitris Ploumpidis; Jose Miguel Caldas de Almeida Journal: BMC Psychiatry Date: 2009-06-13 Impact factor: 3.630