title: The daily living programme. Preliminary comparison of community versus hospital-based treatment for the seriously mentally ill facing emergency admission.
abstract: Patients with a serious mental illness requiring admission were randomised to home care or standard hospital care. Over the initial 18 months, 60 patients entered each group and were studied for a mean of 10 months. Home care reduced hospital use by 80%, with patients being admitted for a mean of 14 days, compared with 72 days for the standard group, but this bed-saving made no difference in direct treatment costs. Home care offers individualised treatment, and many patients require continuing support with the emphasis on areas such as finances and housing.
authors.affiliation: Maudsley Hospital, Denmark Hill, London.
authors.forename: M
authors.initials: M
authors.lastname: Muijen
authors.forename: I M
authors.initials: IM
authors.lastname: Marks
authors.forename: J
authors.initials: J
authors.lastname: Connolly
authors.forename: B
authors.initials: B
authors.lastname: Audini
authors.forename: G
authors.initials: G
authors.lastname: McNamee
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000328:Adult; D001714:Bipolar Disorder / Q000523:psychology / Q000628:therapy*; D003131:Combined Modality Therapy; D003419:Crisis Intervention; D003631:Day Care, Medical; D003866:Depressive Disorder / Q000523:psychology / Q000628:therapy*; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006699:Home Care Services; D006701:Home Nursing / Q000523:psychology*; D006760:Hospitalization; D006801:Humans; D008297:Male; D010348:Patient Care Team; D012559:Schizophrenia / Q000628:therapy*; D012565:Schizophrenic Psychology