Outcome of long stay psychiatric patients resettled in the community: prospective cohort study.
OBJECTIVE
To examine the outcome of a population of long stay psychiatric patients resettled in the community.


METHODS
Prospective study with 5 year follow up.


METHODS
Over 140 residential settings in north London.


METHODS
670 long stay patients from two London hospitals (Friern and Claybury) discharged to the community from 1985 to 1993.


METHODS
Continuity and quality of residential care, readmission to hospital, mortality, crime, and vagrancy.


RESULTS
Of the 523 patients who survived the 5 year follow up period, 469 (89.6%) were living in the community by the end of follow up, 310 (59.2%) in their original community placement. A third (210) of all patients were readmitted at least once. Crime and homelessness presented few problems. Standardised mortality ratios for the group were comparable with those reported for similar populations.


CONCLUSIONS
When carefully planned and adequately resourced, community care for long stay psychiatric patients is beneficial to most individuals and has minimal detrimental effects on society.
Trieman
N
N
Department of Psychiatry and Behavioural Sciences, Royal Free and University College Medical School, London NW3 2PF. n.trieman@fleet69
Leff
J
J
Glover
G
G
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003156:Community Mental Health Services / Q000592:standards / Q000706:statistics & numerical data*; D019058:Community Networks; D003415:Crime; D003688:Deinstitutionalization; D005260:Female; D005500:Follow-Up Studies; D006703:Ill-Housed Persons; D006801:Humans; D008131:London / Q000453:epidemiology; D008297:Male; D001523:Mental Disorders / Q000401:mortality / Q000628:therapy*; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data; D011446:Prospective Studies; D016896:Treatment Outcome