Creating Residential Alternatives for the Chronically Mentally Ill

Campanelli, Peter C.; Lieberman, Harvey J.; Trujillo, Manuel

doi:10.1176/ps.34.2.166

Cited by 3 publications

(3 citation statements)

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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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“…Although family members and clinicians are more likely to prefer more structured community placements (Grosser & Vine, 1991;Massey & Wu, 1992;Rogers, Danley, Anthony, Martin, & Walsh, 1994), such settings are less available than adult homes and may be more difficult to establish in rural areas due to lack of appropriate funding and personnel. Hpwever, broadening the range of residential alternatives for the seriously mentally ill from structured therapeutic settings to independent housing is needed throughout the mental health service system (Rogers et al, 1994;Pandiani, Edgar, & Pierce 1994;Carling, 1993;Massey & Wu, 1993;Campanelli, Lieberman, & Trujillo;.…”

Section: Rural Adult Homesmentioning

confidence: 99%

Health care reform and rural mental health: Severe mental illness

Kane

Ennis²

1996

Community Ment Health J

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Service needs of rural severely mentally ill and strengths of rural communities are addressed. Health care reform policy development at present appears to neglect the seriously mentally ill in general and rural services specifically. Examples of strategies to meet the needs for health care, psychiatric treatment, psychosocial rehabilitation and appropriate housing are described. The advantages and drawbacks of such efforts are considered.

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“…Some housing programs for mentally ill persons existed, and the concept of supportive community-based housing evolved with the acknowledgment that chronic patients were heterogeneous and functioned at different levels, thus requiring an array of housing options offering different levels of supervision (29). However, residential programs were in short supply and were not suitable for many of the young adult chronic patients whose behavior could be disruptive and who were loath to accept the loss of personal freedom.…”

Section: American Psychiatry From 1981 To 1985mentioning

confidence: 99%

The Young Adult Chronic Patient: A Look Back

Cournos¹,

Melle²

2000

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Creating Residential Alternatives for the Chronically Mentally Ill

Cited by 3 publications

References 0 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

Health care reform and rural mental health: Severe mental illness

The Young Adult Chronic Patient: A Look Back

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