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. 1999 Jul 3;319(7201):13-6.
doi: 10.1136/bmj.319.7201.13.

Outcome of long stay psychiatric patients resettled in the community: prospective cohort study

N Trieman  1 , J Leff, G Glover
Affiliations

Outcome of long stay psychiatric patients resettled in the community: prospective cohort study

N Trieman et al. BMJ. .

Abstract

Objective: To examine the outcome of a population of long stay psychiatric patients resettled in the community.

Design: Prospective study with 5 year follow up.

Setting: Over 140 residential settings in north London.

Subjects: 670 long stay patients from two London hospitals (Friern and Claybury) discharged to the community from 1985 to 1993.

Main outcome measures: Continuity and quality of residential care, readmission to hospital, mortality, crime, and vagrancy.

Results: Of the 523 patients who survived the 5 year follow up period, 469 (89.6%) were living in the community by the end of follow up, 310 (59.2%) in their original community placement. A third (210) of all patients were readmitted at least once. Crime and homelessness presented few problems. Standardised mortality ratios for the group were comparable with those reported for similar populations.

Conclusions: 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.

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References

    1. Weller MP. Mental illness—who cares? Nature. 1989;339:249–252. - PubMed
    1. O’Driscoll C, Wills W, Leff J, Margolius O. The TAPS project 10: the long-stay populations of Friern and Claybury hospitals—the baseline survey. Br J Psychiatry. 1993;162(suppl 19):30–35. - PubMed
    1. Trieman N, Leff J. The difficult to place patients in a psychiatric hospital closure programme. The TAPS project 24. Psychol Med. 1996;26:765–774. - PubMed
    1. Trieman N, Leff J. The TAPS project 36: the most difficult to place long-stay psychiatric inpatients: outcomes one year after relocation. Br J Psychiatry. 1996;169:289–292. - PubMed
    1. O’Driscoll C, Leff J. The TAPS project 8: design of the research study on the long-stay patients. Br J Psychiatry. 1993;162(suppl 19):18–24. - PubMed

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