Rehabilitation of the institutionalized patient: description of a programme and follow-up of 60 patients.
The programme in an intensive rehabilitation unit in a large psychiatric hospital is described. Features include the use of non-medical staff as primary therapists, the use of a mini-bus to facilitate regular visits by patients to their home areas, the inclusion of the mini-bus driver on weekly staff conferences, the use of sociodrama, the re-organization of hospital money payments to patients, the promotion of relations with community-based facilities through occasional "teach-in" days, and a special liaison social worker providing intensive follow-up after discharge. Rehabilitation was prolonged (average stay about one year) and about half of those selected for rehabilitation from the long-stay wards were discharged. Follow-up showed that these patients benefited from discharge, in spite of a relatively high incidence of psychopathology and of social problems. Those transferred back to long-stay wards showed increased institutionalization.
D003156:Community Mental Health Services; D005500:Follow-Up Studies; D006778:Hospitals, Psychiatric; D006801:Humans; D012559:Schizophrenia / Q000534:rehabilitation*; D012960:Socioenvironmental Therapy