A Community Support System's Use of State Hospitalization: Is It Still Necessary?

Kaiser, J.; Townsend, Ernest J.

doi:10.1176/ps.32.9.625

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…Better-planned and further-developed services were promoted or initiated in the areas of needs assessment (201,202); aftercare specialty services (203)(204)(205)(206)(207); case management (16,18,208,209); residential care, including quarterway houses (210)(211)(212), three-quarter-way houses (213), board-and-care homes (214), and boarding homes (215); community mental health centers (216,217); continuity of care (218,219); asylum care (220) and autonomy (221); family care (222); and crisis care (223,224). There was a renewed focus on evaluation research, including prediction, outcome, and effectiveness studies, on such topics as adjustment to community living (225), hospital admission rates (226,227), effects of case management (228,229), quality of life (230), treatment compliance (231), and intensive residential treatment (232).…”

Section: Community Care and Treatmentmentioning

confidence: 99%

The Last Half-Century of Psychiatric Services as Reflected in Psychiatric Services

Geller¹

2000

132

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The last half-century of psychiatric services in the United States is examined through developments and trends reported in the 50 years of publication of Psychiatric Services. The journal, earlier named Mental Hospitals and then Hospital and Community Psychiatry, was launched by the American Psychiatric Association in January 1950 and marks its 50th anniversary this year. The author organizes his review of psychiatric services largely around the locus of care and treatment because the location of treatment--institution versus community--has been the battleground for the ideology of care and for the crystallization of policy and legal reform. He uses "dehospitalization" to describe the movement of patients out of state hospitals, rejecting the widely used term "deinstitutionalization" as inappropriate; one reason is that the term wrongly implies that many settings where patients ended up were not institutional. Also covered in detail, as reflected in the journal, are community care and treatment, economics, patient empowerment, and the interface issues of general hospitals, outpatient commitment, and psychosocial rehabilitation. The author notes that some concepts, such as outpatient commitment and patient empowerment, emerged earlier than now assumed, and that others, like psychosocial rehabilitation, recurred in slightly different forms over time. He concludes that even after 50 years of moving patients out of state hospitals and putting them somewhere else, mental health policymakers and practitioners remain too myopically focused on the locus of care and treatment instead of on the humaneness, effectiveness, and quality of care.

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Section: Community Care and Treatmentmentioning

confidence: 99%

The Last Half-Century of Psychiatric Services as Reflected in Psychiatric Services

Geller¹

2000

132

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Clinical and demographic characteristics of chronic inpatients: Implication for treatment and research

et al. 1988

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Clinical and demographic data were collected on 203 state mental hospital patients whose length of stay was greater than one year. They comprised 45% of the average adult census and 37% were less than 35 years old. Males were younger and females more educated and likely to have been married at one time. The majority have diagnoses of schizophrenia or organic mental disorders; a few have personality disorders. Patients were treated with drugs but risk/benefit parameters remain to be defined. Thirty-two percent of patients have had a violent episode during the past six months. The prevalence of neurological abnormalities supports the need for specialized neurological and neuropsychological consultation and medical consultation. Most patients require the level of care provided by a hospital, while 15% are ready for discharge but have no housing available. Intermediate care facilities could provide alternatives for some patients otherwise unable to leave the hospital. The implications raised by these findings are discussed.

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The Future of the State Mental Hospital

Bachrach¹

1986

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A Community Support System's Use of State Hospitalization: Is It Still Necessary?

Cited by 4 publications

References 8 publications

The Last Half-Century of Psychiatric Services as Reflected in Psychiatric Services

The Last Half-Century of Psychiatric Services as Reflected in Psychiatric Services

Clinical and demographic characteristics of chronic inpatients: Implication for treatment and research

The Future of the State Mental Hospital

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