Expressed Emotion in community care staff. A comparison of patient outcome in a nine month follow-up of two hostels.
Expressed Emotion was measured in the staff of two similar hostels for the long term mentally ill in an Inner London Borough (Hostel A and Hostel B). Patients in the two hostels showed similar levels of disturbance as measured by the PSE and symptom and behaviour profile scores. Staff from Hostel B displayed higher levels of EE, and were more critical, and these attitudes generalised easily into hostility and rejection. Those from Hostel A showed lower EE with warmth and positive attitudes towards clients. At 9 month follow up, Hostel A and B had similar levels of relapse requiring hospital admission. However Hostel B had a 64% discharge rate compared with 12.5% for Hostel A. These results are discussed with reference to the literature.
Ball
R A
RA
Queen Mary's University Hospital, London.
Moore
E
E
Kuipers
L
L
D000328:Adult; D002908:Chronic Disease; D003156:Community Mental Health Services; D004644:Emotions; D005260:Female; D006208:Halfway Houses; D006791:Hostility; D006801:Humans; D008131:London; D008134:Long-Term Care / Q000523:psychology; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D011369:Professional-Patient Relations; D012559:Schizophrenia / Q000534:rehabilitation*; D012565:Schizophrenic Psychology; D014705:Verbal Behavior