title: [Closure of large psychiatric hospitals in England: evaluation by the TAPS project--a review of the literature].
abstract: The TAPS study evaluates the closure of two Greater London mental hospitals. Beginning in 1985, one-year and five-year follow-up compared successive cohorts of long-stay patients discharged to the community (leavers) with groups of matched long-stay patients who stayed in hospital. Some psychopathological symptoms improved in discharged patients, some did not. Mortality, patient vagrancy and delinquent behaviour did not increase in leavers. Patient autonomy, social networks and patient satisfaction favoured out-patient provision of care as compared to continuing in-patient care.
authors.affiliation: Psychiatrische Universitätsklinik und Poliklinik, Würzburg.
authors.forename: T
authors.initials: T
authors.lastname: Becker
mesh_terms: D003156:Community Mental Health Services / Q000639:trends; D003688:Deinstitutionalization / Q000639:trends*; D005069:Evaluation Studies as Topic; D005500:Follow-Up Studies; D006271:Health Facility Closure / Q000639:trends*; D006778:Hospitals, Psychiatric / Q000639:trends*; D006786:Hospitals, Urban / Q000639:trends; D006801:Humans; D008131:London; D008134:Long-Term Care / Q000639:trends; D001523:Mental Disorders / Q000401:mortality / Q000534:rehabilitation*; D011446:Prospective Studies; D015996:Survival Rate
vernacular_title: Die Schliessung psychiatrischer Grosskrankenhäuser in England: Evaluation durch das TAPS-Projekt--Ein Literaturbericht.