Hostname: page-component-78c5997874-dh8gc Total loading time: 0 Render date: 2024-11-17T18:10:35.986Z Has data issue: false hasContentIssue false

Residential care and social behaviour: a study of rehabilitation needs

Published online by Cambridge University Press:  09 July 2009

Ian R. H. Falloon*
Affiliation:
Department of Psychiatry, University of Southern California, Los Angeles, California, USA
Grant N. Marshall
Affiliation:
Department of Psychiatry, University of Southern California, Los Angeles, California, USA
*
1Address for correspondence: Dr Ian R. H. Falloon, Department of Psychiatry, University of Southern California, 1934 Hospital Place, Los Angeles, CA 90033, USA.

Synopsis

Although most chronically impaired psychiatric patients now reside in community-based residential homes, a substantial number show little progress in their social rehabilitation. To establish the rehabilitative needs of this population, the current study sought to examine the social behaviour of residents of a large residential care facility. After an analysis of the social behaviour of all residents, two groups were selected for detailed study on the basis of their contrasting patterns of social interaction.

These two groups were found to differ significantly with respect to their interpersonal activity, social contact, conversation skill, employment, and participation in community rehabilitation programmes. Psychiatric status was substantially different in each group. The implications of these findings for rehabilitation strategies in the management of severe mental illness are discussed.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1983

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Alevizos, P., DeRisi, W. J., Liberman, R. P., Eckman, T. & Callahan, E. (1978). The development and application of a method of direct observation for program evaluation. Journal of Applied Behavioural Analysis 11, 243257.CrossRefGoogle Scholar
Apte, R. Z. (1968). Halfway Houses. Occasional Papers on Social Administration No. 27. Bell: London.Google Scholar
Bennett, D. (1978). Community psychiatry. British Journal of Psychiatry 132, 209220.CrossRefGoogle Scholar
Christie Brown, J. R. W., Ebringer, L. & Freedman, L. S. (1977). A survey of a long-stay psychiatric population: implications for community services. Psychological Medicine 7, 113126.CrossRefGoogle Scholar
Falloon, I. R. H., Boyd, J. L. & McGill, C. W. (1982). Behavioral family therapy for schizophrenia. In Social Competence and Psychiatric Disorder: Theory and Practice (ed. Curran, J. P. and Monti, P.), pp. 117158. Guilford: New York.Google Scholar
Hagen, R. L. (1975). Behavioral therapies and the treatment of schizophrenics. Schizophrenia Bulletin 13, 7096.CrossRefGoogle Scholar
Hersen, M. & Bellack, A. S. (1976). Social skills training for chronic psychiatric patients. Comprehensive Psychiatry 17, 559580.CrossRefGoogle ScholarPubMed
Krawiecka, M., Goldberg, D. & Vaughan, M. (1977). A standardized psychiatric assessment scale for rating chronic psychotic patients. Acta Psychiatrica Scandinavica 55, 299308.CrossRefGoogle ScholarPubMed
Lamb, H. R. (1979). The new asylums in the community. Archives of General Psychiatry 36, 129134.CrossRefGoogle ScholarPubMed
Lamb, H. R. & Goertzel, V. (1971). Discharged mental patients-are they really in the community? Archives of General Psychiatry 24, 2936.CrossRefGoogle ScholarPubMed
Liberman, R. P. (1975). Instructional manual. Hospital improvement project. Camarillo State Hospital: Camarillo, California.Google Scholar
Mann, S. & Cree, W. (1976). ‘New’ long-stay patients: a national sample of 15 mental hospitals in England and wales, 1972–3. Psychological Medicine 6, 606616.Google Scholar
O'Connor, N. & Rawnsley, K. (1959). Incentives with paranoid and non-paranoid schizophrenics in a workshop. British Journal of Medical Psychology 32, 133.CrossRefGoogle ScholarPubMed
Paul, G. L. (1969). Chronic mental patient: current status–future directions. Psychological Bulletin 71, 8194.CrossRefGoogle ScholarPubMed
Ryan, P. & Hewett, S. H. (1976). A pilot study of hostels for the mentally ill. Social Work Today 6, 774778.Google Scholar
Segal, S. P. & Aviram, U. (1978). The Mentally Ill in Community-Based Sheltered Care: A Study of Community Care of Social Integration. John Wiley & Sons: New York.Google Scholar
Simpson, G. M. & Pi, E. H. (1981). The treatment of refractory schizophrenia. In Recent Advances in Neuropsychopharmacology (ed. Angrist, B.), pp. 365372. Pergamon Press: New York.CrossRefGoogle Scholar
Wing, J. K. (1978). Social influences on the course of schizophrenia. In The Nature of Schizophrenia (ed. Wynne, L. C., Cromwell, R. L. and Matthysse, S.), pp. 599616. John Wiley & Sons: New York.Google Scholar
Wing, J. K. & Brown, G. W. (1970). Institutionalism and Schizophrenia. Cambridge University Press: London.CrossRefGoogle Scholar
Wing, J. K., Bennett, D. M. & Denham, J. (1964). The Industrial Rehabilitation of Long-Stay Schizophrenic Patients. Medical Research Council Memo No. 42. HMSO: London.Google ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974). Measurement and Classification of Psychiatric Symptoms: An Instruction Manual for the PSE and CATEGO System. Cambridge University Press:Cambridge.Google Scholar