Little is known about the first patients who left hospital before and during the official implementation of the hospital discharge policy in Northern Ireland.
This study describes patterns of residential provision for former long-stay patients (approximately two-thirds of whom had an ICD-9 diagnosis of schizophrenia) discharged from the six major psychiatric hospitals in Northern Ireland between 1987 and 1990 (n=321).
It also employs several instruments within a retrospective survey design to examine outcomes for a 35% sample of people (112/321) discharged between 1997 and 1990 and followed up in 1993.
Almost two-thirds (61%) had been discharged to independent living or low-staffed statutory settings.
None of the group was homeless, one person was in prison and three people had committed suicide during the first 2 years after discharge.
Almost one-third had to be re-admitted at some stage during the 6-year period and 13% had died.
Moderate'to'major problems'with most daily living skills were reported for less than 25% of people, while 15% or less had problem behaviour.
Approximately 90% or more were satisfied with most aspects of their new homes and most also reported feeling happier (77%), healthier (63%) and more independent (78%) since discharge.
However, social, recreational and occupational opportunities were limited. (...)
Mots-clés Pascal : Trouble psychiatrique, Evolution, Désinstitutionnalisation, Irlande du Nord, Royaume Uni, Europe, Etude longitudinale, Psychiatrie communautaire, Système santé, Homme
Mots-clés Pascal anglais : Mental disorder, Evolution, Desinstitutionalization, Northern Ireland, United Kingdom, Europe, Follow up study, Community psychiatry, Health system, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0021501
Code Inist : 002B18H05B. Création : 17/04/1998.