Abstract
The outcome of 19 long-stay patients discharged from a large psychiatric hospital to staffed group homes managed by a voluntary organisation were compared with 11 patients discharged to a hostel ward managed by an NHS Trust. The former were found to have a higher rate of police involvement, readmission and threatened eviction. The study highlights the need for an integrated range of different residential facilities and the necessity for close monitoring of long stay patients discharged to more independent community settings.
Highlights
The outcome of 19 long-stay patients discharged from a large psychiatric hospital to staffed group homes managed by a voluntary organisation were compared with 11 patients discharged to a hostel ward managed by an NHS Trust.The former were found to have a higher rate of police involvement, readmission and threatened eviction
The number of hostels and group homes has increased enormously to meet the needs of patients discharged through the closure of the large psychiatric hospitals
TAPS (Team for the Assessment of Psychiatric Services) has found that patients are less likely to be readmitted from staffed group homes than more traditional settings such as hostels, council flats or board and lodgings which may not have a specific mental health remit (Thomicroft et cd, 1992; Dayson, 1993)
Summary
The outcome of 19 long-stay patients discharged from a large psychiatric hospital to staffed group homes managed by a voluntary organisation were compared with 11 patients discharged to a hostel ward managed by an NHS Trust.The former were found to have a higher rate of police involvement, readmission and threatened eviction. With the development of community care, homes run by non-statutory organisations and social services are admitting severely disabled patients, many of whom suffer from a primary psychiatric disorder and from the secondary effects of long-term institutional care Not all such homes are run by trained staff. TAPS (Team for the Assessment of Psychiatric Services) has found that patients are less likely to be readmitted from staffed group homes than more traditional settings such as hostels, council flats or board and lodgings which may not have a specific mental health remit (Thomicroft et cd, 1992; Dayson, 1993) Our study explores this theme further by comparing simple outcome measures for longshtoasypitpaaltietnotsa tdriasdcihtiaorngaeld NfrHomS Tarulastrge'hopsstyeclhiwatarircd'. The patients were drawn from similar long-stay wards, they were not randomly allocated to the hostel ward or voluntary sector homes, but on the basis of ward of origin
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