British Journal of Clinical Psychology, 35(2), May 1996, pp.183-192.
Publisher:
Wiley
The focus of the debate over hospital versus community care for those with severe and enduring mental health problems has shifted somewhat towards ensuring the quality of care provided by services regardless of their location. One factor that is generally assumed to be an important indicator of quality of care is the opportunity for community contact that users of a residential service have. This is illustrated by its inclusion in most instruments designed to assess quality of care in psychiatric services. The present study set out to examine the amount of community contact made by residents of three units of a London psychiatric rehabilitation service. Level of community contact was indeed found to be unrelated to the location of these facilities on a hospital site or in the community. However, interesting differences did emerge across units in the type of community contact made by residents and in the identity of residents' companions on community trips.
The focus of the debate over hospital versus community care for those with severe and enduring mental health problems has shifted somewhat towards ensuring the quality of care provided by services regardless of their location. One factor that is generally assumed to be an important indicator of quality of care is the opportunity for community contact that users of a residential service have. This is illustrated by its inclusion in most instruments designed to assess quality of care in psychiatric services. The present study set out to examine the amount of community contact made by residents of three units of a London psychiatric rehabilitation service. Level of community contact was indeed found to be unrelated to the location of these facilities on a hospital site or in the community. However, interesting differences did emerge across units in the type of community contact made by residents and in the identity of residents' companions on community trips.
Subject terms:
hospitals, mental health, mental health problems, psychiatry, quality of life, residential care, schizophrenia, severe mental health problems, community care;
MELTZER Howard, et al, GREAT BRITAIN. Office of Population Censuses and Surveys
Publisher:
HMSO
Publication year:
1996
Pagination:
83p.,tables.
Place of publication:
London
Report of a survey looking at psychiatric morbidity amongst people with mental health problems who are in residential care, including: hospitals, nursing homes, residential care homes and other types of residential accommodation. Presents data on residents with: schizophrenia; delusional or schizoaffective disorders; affective psychoses; neurotic disorders in respect of their economic activity; difficulty with activities of daily living; social functioning; and use of alcohol, drugs and tobacco.
Report of a survey looking at psychiatric morbidity amongst people with mental health problems who are in residential care, including: hospitals, nursing homes, residential care homes and other types of residential accommodation. Presents data on residents with: schizophrenia; delusional or schizoaffective disorders; affective psychoses; neurotic disorders in respect of their economic activity; difficulty with activities of daily living; social functioning; and use of alcohol, drugs and tobacco.
Subject terms:
income, hostels, mental health problems, nursing homes, residential care, schizophrenia, severe mental health problems, statistical methods, alcohol misuse, drug misuse;
Content type:
government publication
Series name:
(Surveys of psychiatric morbidity in Great Britain; report 6)
Community Mental Health Journal, 37(4), August 2001, pp.313-322.
Publisher:
Springer
The purpose of this study was to characterise the clinical and psychosocial factors of residents living in psychiatric nursing homes, assess residents' levels of mental health service utilisation, and examine the factors that predict the utilisation of mental health services. Data were collected from 200 randomly selected residents with schizophrenia living in four intermediate care facilities. Fewer than 60% of residents received mental health services beyond medication and nearly one-half of the residents were readmitted to the hospital in the course of a year. Family contact and involvement in activities were associated with mental health service utilisation. Hospital readmission was predicted, not by substance use, but rather by not using substances. There is a growing need among service providers to better identify relevant factors that are important in treatment planning and service delivery. Attention to these issues may impact treatment provision and outcomes for persons with schizophrenia and their families.
The purpose of this study was to characterise the clinical and psychosocial factors of residents living in psychiatric nursing homes, assess residents' levels of mental health service utilisation, and examine the factors that predict the utilisation of mental health services. Data were collected from 200 randomly selected residents with schizophrenia living in four intermediate care facilities. Fewer than 60% of residents received mental health services beyond medication and nearly one-half of the residents were readmitted to the hospital in the course of a year. Family contact and involvement in activities were associated with mental health service utilisation. Hospital readmission was predicted, not by substance use, but rather by not using substances. There is a growing need among service providers to better identify relevant factors that are important in treatment planning and service delivery. Attention to these issues may impact treatment provision and outcomes for persons with schizophrenia and their families.
Subject terms:
hospitals, intermediate care, mental health problems, mental health services, nursing homes, needs, hospital admission, research implementation, residential care, risk, schizophrenia, substance misuse;
A critique of the contemporary British psychiatric system. Includes contributions on: the history of psychiatry; social inequalities and mental health; racism and mental health; diagnosis; drugs; ECT; schizophrenia and families; psychiatric hospitals and patients' councils; hearing voices and the politics of oppression; user involvement in mental health service development; the service user and survivor movement; survivor controlled alternatives to psychiatric services; community care and the Wokingham MIND crisis house; promoting community resources; green approaches to occupational and income needs in preventing chronic dependency; the role of education in the lives of people with mental health difficulties; and the future of mental health services.
A critique of the contemporary British psychiatric system. Includes contributions on: the history of psychiatry; social inequalities and mental health; racism and mental health; diagnosis; drugs; ECT; schizophrenia and families; psychiatric hospitals and patients' councils; hearing voices and the politics of oppression; user involvement in mental health service development; the service user and survivor movement; survivor controlled alternatives to psychiatric services; community care and the Wokingham MIND crisis house; promoting community resources; green approaches to occupational and income needs in preventing chronic dependency; the role of education in the lives of people with mental health difficulties; and the future of mental health services.
Subject terms:
medication, mental health, mental health problems, mental health services, psychiatry, racism, residential care, schizophrenia, severe mental health problems, survivors, user participation, community care, diagnosis, education, families;
Examines the tradition of therapeutic communities, their principles and their context in order to provide an introduction to both theory and practice. Includes chapters on: Northfield, set up during WWII to treat soldiers suffering from psychoneurosis; the therapeutic community approach to social psychiatry; the Cassel heritage and psychoanalytic origins of today's work; extending the group matrix to therapeutic communities; nursing and the importance of the psychosocial environment; joining and leaving; boundaries; ethics and consent; grief and despair in the large group; reflections on a creative therapies group; hospital communities for people with Schizophrenia; community care; prison communities and therapy within a custodial setting; children and young people; therapeutic communities in Europe; and five universal qualities that are the quintessence of a therapeutic environment.
Examines the tradition of therapeutic communities, their principles and their context in order to provide an introduction to both theory and practice. Includes chapters on: Northfield, set up during WWII to treat soldiers suffering from psychoneurosis; the therapeutic community approach to social psychiatry; the Cassel heritage and psychoanalytic origins of today's work; extending the group matrix to therapeutic communities; nursing and the importance of the psychosocial environment; joining and leaving; boundaries; ethics and consent; grief and despair in the large group; reflections on a creative therapies group; hospital communities for people with Schizophrenia; community care; prison communities and therapy within a custodial setting; children and young people; therapeutic communities in Europe; and five universal qualities that are the quintessence of a therapeutic environment.
Subject terms:
mental health problems, nursing, psychiatry, prisoners, residential care, schizophrenia, severe mental health problems, therapeutic communities, young people, children, ethics, groups, groupwork;
mental health problems, older people, residential care, schizophrenia, severe mental health problems, treatment, therapy and treatment, alcohol misuse, anorexia nervosa, community care, depression, drug misuse, eating disorders;
hospitals, long term care, mental health problems, offenders, residential care, schizophrenia, severe mental health problems, social care provision, voluntary organisations, community care, day services, general practitioners;
homosexuality, learning disabilities, mental health problems, physical disabilities, probation, poverty, psychotherapy, rape, research methods, residential care, schizophrenia, severe mental health problems, single parent families, suicide, unemployment, violence, women, young offenders, youth work, adoption, alcohol misuse, bereavement, black and minority ethnic people, child abuse, child sexual abuse, custodial institutions, counselling, divorce, drug misuse, foster care, groupwork;