Abstract
There is an increasing momentum for the provision of care for people with chronic mental illness to be made in settings other than mental hospitals. One concern arising from this shift in emphasis is with those patients who may find it particularly difficult to live in the community.
Highlights
TIMPHAITLKIPIMNE,RAeTseSaC,rcohnsAulstsainsttanPt,syPcshyiacthroislto,gKy iDnge'psaMrtmilel nHt,osPpriteaslt,wMichanHsfoieslpditaRl;oad, Sutton-in-Ashfield NG17 4JL; and CAROLINESINCOCKT, op-Grade Clinical Psychologist, Psychology Department, Prestwich Hospital, Bury New Road, Manchester M25 7BL
This identified four different groups of patients: those who were actively resistant to resettlement and relocation; those who have been difficult to manage in the past, are floridly disturbed and have behav ioural excesses; those displaying positive behaviour disturbance problems, such as frequent verbal or physical aggression and sexually and socially un acceptable behaviour; and a group of highly depen dent and disturbed patients who have been in hospital for many years and have severe mental health problems
Our aim in this paper is to describe the client group and their progress in the first 12 months, and discuss the implications
Summary
TIMPHAITLKIPIMNE,RAeTseSaC,rcohnsAulstsainsttanPt,syPcshyiacthroislto,gKy iDnge'psaMrtmilel nHt,osPpriteaslt,wMichanHsfoieslpditaRl;oad, Sutton-in-Ashfield NG17 4JL; and CAROLINESINCOCKT, op-Grade Clinical Psychologist, Psychology Department, Prestwich Hospital, Bury New Road, Manchester M25 7BL. At Prestwich Hospital, a survey was carried out within the rehabilitation services of those patients who, for a variety of reasons, were unable to be resettled under the regional resettlement initiatives. This identified four different groups of patients: those who were actively resistant to resettlement and relocation; those who have been difficult to manage in the past, are floridly disturbed and have behav ioural excesses; those displaying positive behaviour disturbance problems, such as frequent verbal or physical aggression and sexually and socially un acceptable behaviour; and a group of highly depen dent and disturbed patients who have been in hospital for many years and have severe mental health problems. Our aim in this paper is to describe the client group and their progress in the first 12 months, and discuss the implications
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