The Maine and Vermont three-decade studies of serious mental illness. I : Matched comparison of cross-sectional outcome. II : Longitudinal course comparisons.
This study compared long-term outcome of serious mental illness in two states using a matched design to assess psychiatric rehabilitation programmes ; Vermont subjects participated in a model psychiatric rehabilitation programme, while the Maine group received more traditional care.
Maine and Vermont subjects (n=269) were matched by age, sex, diagnosis, and chronicity.
Demographic, illness, and life history information were abstracted from hospital records by clinicians blind to outcome.
DSM-III criteria were applied retrospectively
Outcome was assessed by clinicians blind to history.
Vermont subjects alive at follow-up (n=180) were more productive (P<0.0009), had fewer symptoms (P<0.002), better community adjustment (P<0.001) and global functioning (P<0.0001) than Maine subjects (n=119).
Outcome differences may be due to Vermont's model programme and a policy of allowing an earlier opportunity for community life.
Mots-clés Pascal : Trouble psychiatrique, Aigu, Etude comparative, Programme thérapeutique, Traitement, Réadaptation sociale, Politique sanitaire, Santé mentale, Vermont, Etats Unis, Amérique du Nord, Amérique, Maine, Adaptation sociale, Comportement social, Etude longitudinale, Long terme, Psychiatrie communautaire, Homme
Mots-clés Pascal anglais : Mental disorder, Acute, Comparative study, Therapeutic schedule, Treatment, Social rehabilitation, Health policy, Mental health, Vermont, United States, North America, America, Maine, Social adjustment, Social behavior, Follow up study, Long term, Community psychiatry, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0528408
Code Inist : 002B18I04. Création : 01/03/1996.