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Residential facilities and day centres in mental health. Is there any difference?

Published online by Cambridge University Press:  18 May 2011

Barbara D'Avanzo ,
Eugenia Aliprandini ,
Massimiliano Beghi ,
Cesare Maria Cornaggia ,
Arcadio Erlicher ,
Maria Frova ,
Alessandra Mascarini ,
Paolo Miragoli  and
Augusto Righi
Barbara D'Avanzo*
Affiliation:
Unità di Epidemiologia Psichiatria Sociale, Istituto di Ricerche Farmacologiche Mario Negri, Milano
Eugenia Aliprandini
Affiliation:
Dipartimento di Salute Mentale, Azienda Ospedaliera San Carlo, Milano
Massimiliano Beghi
Affiliation:
Clinica Psichiatrica Università di Milano Bicocca, Azienda Ospedaliera San Gerardo, Monza
Cesare Maria Cornaggia
Affiliation:
Clinica Psichiatrica Università di Milano Bicocca, Azienda Ospedaliera San Gerardo, Monza
Arcadio Erlicher
Affiliation:
Dipartimento di Salute Mentale, Azienda Ospedaliera Ca' Granda Niguarda, Milano
Maria Frova
Affiliation:
Dipartimento di Salute Mentale, Azienda Ospedaliera Ca' Granda Niguarda, Milano
Alessandra Mascarini
Affiliation:
Clinica Psichiatrica Università di Milano Bicocca, Azienda Ospedaliera San Gerardo, Monza
Paolo Miragoli
Affiliation:
Dipartimento di Salute Mentale, Azienda Ospedaliera San Carlo, Milano
Augusto Righi
Affiliation:
Dipartimento di Salute Mentale, Azienda Ospedaliera Ca' Granda Niguarda, Milano
*
Address for correspondence: Dr. B. D'Avanzo, Unità di Epidemiologia Psichiatria Sociale, Istituto di Ricerche Farmacologiche Mario Negri, Via La Masa 19, 20156 Milano. Fax: +39-02-39014300 E-mail: [email protected]
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Summary

Aims – We wanted to investigate to what extent and in what characteristics the patients cared in the psychiatric residential facilities (RF) were similar to those in the day-centres (DC), and whether 6-month improvements in the two settings were comparable. Methods – We described 141 patients admitted to the RF and 180 in DC of three mental health service networks in Milan and near Milan. They were evaluated again after six months. Results – In both groups, we identified subgroups of more intensive treatment: 45% of those in residential treatment were in high intensity rehabilitation facilities, and those who followed a residential program of >12 hours/week were 53%. The mean duration of treatment in the residential treatment was 40 months (SD 55.7) and in DC 49.6 months (49.3). The two groups differed in the overall scores of the HoNOS, but differences emerged in the subscales relative to daily life activities and living conditions. Among those in RF, about half had a house, versus 99% among those in DC. After six months, clinically significant modifications were small in both groups. Conclusions – Residential patients had more needs than DC patients. It is possible that some of the residential patients might be treated with intensive DC program, but the absence of a home for the majority of residential facilities patients makes this unlikely.

Declaration of Interest: None.

Keywords

residential facilitiesday centresHoNOSrehabilitation
Type
Original Articles
Information
Epidemiology and Psychiatric Sciences , Volume 17 , Issue 1 , March 2008 , pp. 57 - 64
Copyright
Copyright © Cambridge University Press 2008

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