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    Better off in the community? A 5-year follow up study of long-term psychiatric patients discharged into the community.

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    Authors
    McInerney, Shane J
    Finnerty, Susan
    Avalos, Gloria
    Walsh, Elizabeth
    Affiliation
    Galway Mental Health Services, Galway, Ireland. shane.mcinerney1@hse.ie
    Issue Date
    2010-04
    MeSH
    Activities of Daily Living
    Attitude to Health
    Community Mental Health Services
    Deinstitutionalization
    Female
    Follow-Up Studies
    Health Policy
    Hospitals, Psychiatric
    Humans
    Length of Stay
    Long-Term Care
    Male
    Mental Disorders
    Middle Aged
    Patient Discharge
    Quality of Life
    Questionnaires
    Self Care
    Social Adjustment
    Social Behavior
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    Citation
    Better off in the community? A 5-year follow up study of long-term psychiatric patients discharged into the community. 2010, 45 (4):469-73 Soc Psychiatry Psychiatr Epidemiol
    Journal
    Social psychiatry and psychiatric epidemiology
    URI
    http://hdl.handle.net/10147/129506
    DOI
    10.1007/s00127-009-0086-5
    PubMed ID
    19543843
    Additional Links
    http://www.springerlink.com/content/vr7025807k78730l/
    Abstract
    The quality of life of long-term psychiatric inpatients relocated to the community was investigated in this study. The aim was to investigate what changes, if any occurred, on standardised quality of life related instruments between discharge from hospital and at 1 year after discharge into the community. We were also interested to see if these changes continued 5 years after discharge into the community.
    87 long-stay psychiatric patients were enrolled in the study. Each patient was assessed on four standardised assessment instruments designed to assess their attitudes towards community living and level of functioning in the community.
    Patients reported being satisfied in their new community environment. They showed improvements in their level of self-care and social functioning after 1 year in the community. These improvements were not maintained in their fifth year in the community. In addition, there were no improvements in patient's domestic skills, community skills or activity and social relations levels. Weekly occupation levels increased after 5 years in the community and their level of interests in things increased over the first year but not after 5 years in the community.
    This study adds to the previous work carried out on patients discharged from large psychiatric hospitals into the community. Patients expressed a desire to continue to live in the community and while they showed improvements in self care and social functioning in the first year following discharge, these improvements were not sustained after 5 years in the community. Further training is needed for staff in the community residences so that patients can achieve their maximum potential.
    Item Type
    Article
    Language
    en
    ISSN
    1433-9285
    ae974a485f413a2113503eed53cd6c53
    10.1007/s00127-009-0086-5
    Scopus Count
    Collections
    Galway & Roscommon Mental Health Services

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