title: The case for a flexible, long-term sheltered workshop for psychiatric patients.
abstract: In making his case for a flexible, long-term sheltered workshop, the author presents seven propositions that he supports with reviews of outcome studies in psychiatric treatment and rehabilitation. He submits that it is unrealistic to expect a lasting cure for many psychiatric patients; that despite rehospitilizations, many patients spend most of their lives in the community, where their vocational performance is poor; that total vocational rehabilitation is an unrealistic goal for many of the patients but that in our culture employment is essential to self-respect; and that hospital patients can and will work in hospital workshops and in community workshops after discharge. In addition, he describes a work-for-pay program affiliated with a psychiatric day hospital.
mesh_terms: D003631:Day Care, Medical; D004651:Employment; D006801:Humans; D008134:Long-Term Care; D001523:Mental Disorders / Q000534:rehabilitation*; D010359:Patient Readmission; D012050:Rehabilitation, Vocational; D012657:Self-Help Groups; D012759:Sheltered Workshops; D012917:Social Adjustment