The lifetime geographical mobility of a group of 67 patients suffering from schizophrenia was investigated and related to the ecological structure of the city of Nottingham, where they first presented between 1978 and 1980. The study aimed to investigate the processes leading to a threefold rate of schizophrenia in the most socioeconomically deprived area of the city compared to the area of least deprivation. Results suggest that this skewed distribution begins early in the lives of the patients and is well established at least five years before initial contact with the psychiatric services.
CORRESPONDENCE work is currently underway in the Sheffield pro gramme (e.g. Stiles et al, 1988). However, despite the imperfect precision noted by Dr Snaith, comparative evaluation of clinically realistic packages is also required, as a guide for researchers, trainers, and practitioners to the value ofinvesting furthereffort in the diverse methods currently available. (b) Patient characteristics. Naturally, it is desirable
This chapter describes, from the authors’ own experience and practice, the workings of a modern rehabilitation ward in an English hospital. It includes some of the authors’ guiding principles, and how some aspects of rehabilitation practice are necessarily different from those in an acute ward. The components, skills, and interventions provided by the team are considered, along with ways in which the care and treatment can be evaluated. A rehabilitation ward is part of a wide range and network of provision for people with severe mental illness and the authors believe that all mental health services in the UK should have rehabilitation provision as a core requirement at district level.
BOOK REVIEWS family. It is heartening that her initialdata suggests that, despitesomeadjustment problemsin afewfamiliesfor a few children,the impactofthese adoptionsispredomi nantly positive.Sheherselfaddsanappropriatenoteof caution. Although the researchis longitudinal, it has still examined only relatively short-term outcomes and weawaitwith interestlatermaterial. A final chapter discussesa preventative model highlightingthe importanceofexternal supportsin the post-placement period. This is basedon a theoretical conceptualisation of the phases of adjustment that the family mayexperience during this period. This is a most interestingand readablebook, par ticularly for thoseengaged eitherin researchor clinical practice relating to the adoption of children with disabilities.
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