The TAPS Project 41: homes for life? Residential stability five years after hospital discharge. Team for the Assessment of Psychiatric Services.
This paper describes pathways followed by 567 long-stay patients who were resettled into the community, as part of a program to close two psychiatric hospitals in London and replace them with community-based services. Sixty-one percent of the former patients remained in their original placement--mostly group homes--over the five-year follow-up. Transition from one house to another mostly took a direct course, with only 27 patients changing houses by way of long intermediate hospitalisation. Change of residence was at the same level of support, with only a slight trend towards less supervised facilities. Ten patients could not be traced and have possibly become homeless. Only 3 patients were in prison during the five-year follow-up. More than a third of the sample were readmitted at least once during that period. It is concluded that community residences established under the resettlement program served as relatively stable homes for the majority of patients.
TAPS Research Unit, London, U.K. n.trieman@fleet69.demon.co.uk
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Smith
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Kendal
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Leff
D000328:Adult; D000359:Aftercare / Q000639:trends; D000368:Aged; D000369:Aged, 80 and over; D003156:Community Mental Health Services / Q000639:trends; D003688:Deinstitutionalization / Q000639:trends; D004739:England; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008134:Long-Term Care / Q000639:trends*; D008297:Male; D008875:Middle Aged; D010351:Patient Discharge / Q000639:trends; D011618:Psychotic Disorders / Q000175:diagnosis / Q000523:psychology / Q000534:rehabilitation*; D012112:Residential Facilities / Q000639:trends*