The development of appropriate community care requires knowledge of the characteristics of the severely mentally ill.
All patients with a broad diagnosis of schizophrenia (n=528) were identified via key informants within an inner London health district ; Feighner and DSM-III-R criteria for schizophrenia were applied.
Clinical and social status, psychopathology (Manchester Scale) and problem behaviours (Social Behaviour Schedule) were assessed in a 4 : 5 representative sample.
Fifty-seven per cent had experienced at least one compulsory admission.
Forty-five per cent (excluding long-stay in-patients) had marked positive psychotic symptoms ; social isolation and lack of daytime activity was more common than among comparable populations elsewhere.
One hundred and eleven (25%) of the non-hospitalised patients were not in contact with specialist services.
Difficulties in establishing and maintaining a therapeutic alliance between patients and professionals present a challenge to services in inner London.
Many social and occupational needs were not being met by existing community provision.
Mots-clés Pascal : Schizophrénie, Psychose, Enquête, Epidémiologie, Royaume Uni, Europe, Milieu urbain, Utilisation, Service santé, Adaptation sociale, Symptomatologie, Santé mentale, Homme
Mots-clés Pascal anglais : Schizophrenia, Psychosis, Inquiry, Epidemiology, United Kingdom, Europe, Urban environment, Use, Health service, Social adjustment, Symptomatology, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0217481
Code Inist : 002B18C06A. Création : 199608.