The purpose of this study was to evaluate the policy of closing psychiatric hospitals and replacing their functions with community-based services.
All long-stay nondemented patients in two U.K. hospitals scheduled for closure were assessed with a series of schedules.
All patients in one hospital and a proportion of those in the other hospital were reassessed 1 year after discharge to community, facilities.
Of the 737 patients discharged from the two hospitals, 24 died before follow-up, two by suicide.
Follow-up was successful for 94.6% of the survivors.
Only seven patients were lost to follow-up and are presumed to have become homeless.
Only two patients went to prison, one briefly.
There was very little change in patients'psychiatric symptoms or social behavior problems.
The community homes provided a much less restrictive environment than the hospital wards.
Discharged patients were very appreciative of their increased freedom, and over 80% wished to stay in their community homes.
There was an increase in the proportion of patients with incontinence and immobility.
The patients'social lives were enriched by an increase in friends, and some made contact with neighbors and others in the community.
However, there was a decrease in contact with relatives following discharge. (...)
Mots-clés Pascal : Hôpital psychiatrique, Désinstitutionnalisation, Psychiatrie communautaire, Traitement communautaire, Evolution, Trouble psychiatrique, Etude longitudinale, Homme
Mots-clés Pascal anglais : Psychiatric hospital, Desinstitutionalization, Community psychiatry, Community treatment, Evolution, Mental disorder, Follow up study, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0457885
Code Inist : 002B18H05B. Création : 10/04/1997.