Reducing recidivism: medication versus psychosocial rehabilitation.

1. Noncompliance with psychotropic medications is a primary reason for recidivism to inpatient hospitalization. It is a great contributor to the "Revolving door syndrome." 2. Psychosocial rehabilitation clubhouses can decrease inpatient hospitalization in patients with chronic mental illness. Their supportive, vocational, and educational functions are worth the investment in terms of improving quality of life and functioning skills. 3. Patients on oral psychotropic medications were more compliant in this study than those on injectable neuroleptic regimens if they attended the clubhouse program. It is presumed that the clubhouse atmosphere "normalizes" the routine of taking psychotropic medications and enhances compliance.