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The effect of psychiatric rehabilitation on the activity and participation level of clients with long-term psychiatric disabilities
- Authors:
- VAN WEL Tom, FELLING Albert, PERSOON Jean
- Journal article citation:
- Community Mental Health Journal, 39(6), December 2003, pp.535-546.
- Publisher:
- Springer
During the last decades of the 20th century, many psychiatric hospitals changed the living environments of their clients with long-term psychiatric disabilities. Investigates the effect of this environmental psychiatric rehabilitation and normalization process on the activity and participation level of such clients residing in one Dutch psychiatric hospital. The seven years of panel research demonstrated that more normal living environments have a positive effect on clients' activity and participation level. This is controlled for the fact that younger clients, and clients with a relative high activity and participation level were selected for these normal living environments.
From a ‘state mental Hospital' to new homes in the city: longitudinal research into the use of intramural facilities by long-stay care-dependent psychiatric clients in Amsterdam
- Authors:
- DUURKOOP Pim, VAN DYCK Richard
- Journal article citation:
- Community Mental Health Journal, 39(1), February 2003, pp.77-92.
- Publisher:
- Springer
In 1986, the traditional psychiatric hospital where 70% of Amsterdam's intramural treatment took place, was closed down. The progress of two groups of long-stay patients was followed for five years after their transferral to new small-scale facilities in Amsterdam. The ADL (activities of daily living) functioning of the most severely impaired clients improved and their psychiatric symptoms decreased, while no improvement was seen in the functioning of the more independent clients. This evaluation makes clear that the improvement of the severely disabled patients depends on the intensity of care given. The improvement in the new facilities is no guarantee for a further development into a less care-intensive environment. The more independent clients, however, could more easily be transferred to less care-intensive facilities.