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Long stay patients discharged from psychiatric hospitals: social and clinical outcomes after five years in the community; the TAPS Project 46
- Authors:
- LEFF Julian, TRIEMAN Noam
- Journal article citation:
- British Journal of Psychiatry, 176, March 2000, pp.217-223.
- Publisher:
- Cambridge University Press
There have been no large-scale prospective studies evaluating the transfer of care from psychiatric hospitals to district-based services. The researchers aimed to compare the quality of life of patients in two north London hospitals scheduled for closure with that in the community homes to which they were discharged. Findings suggest that community care has enhanced the quality of life of this group of patients, involved in a well-planned and adequately resourced reprovision.
Outcome of long stay psychiatric patients resettled in the community: prospective cohort study
- Authors:
- TRIEMAN Noam, LEFF Julian, GYLES Glover
- Journal article citation:
- British Medical Journal, 3.7.99, 1999, pp.13-16.
- Publisher:
- British Medical Association
This research examines the outcome of psychiatric patients resettled in the community in residential settings in north London over a 5 year period. The main outcome measures include continuity and quality of residential care, readmission to hospital, mortality, crime and vagrancy. Results found that nearly 90 percent of those surviving the period were living in the community after the follow up, with crime and homelessness presenting few problems. Concludes that 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.
The TAPS Project 41: home for life? residential stability five years after hospital discharge
- Author:
- TRIEMAN Noam
- Journal article citation:
- Community Mental Health Journal, 34(4), August 1998, pp.407-417.
- Publisher:
- Springer
Describes pathways followed by 567 long-stay patients who were resettled into the community, as part of a programme to close two psychiatric hospitals in London and replace them with community-based services. Sixty-one percent of the former patients remained in the original placement - mostly group homes - over the five-year follow-up. Ten patients could not be traced and have possibly become homeless. Only three 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. Concludes that community residencies established under the resettlement programme served as relatively stable homes for the majority of patients.