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Clinical Usefulness of an Aftercare Worker for Psychotic Patients Discharged from Half-way Houses in Hong Kong

Published online by Cambridge University Press:  02 January 2018

Ki-Yan Mak  and
Lyn Gow
Ki-Yan Mak*
Affiliation:
Department of Psychiatry, The University of Hong Kong
Lyn Gow
Affiliation:
Faculty of Education, University of Western Sydney, Australia
*
Dr Mak, Department of Psychiatry, Queen Mary Hospital, Pokfulam Road, Hong Kong
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Abstract

Background

The aim was to assess the clinical usefulness and economic viability of an aftercare worker for psychotic patients discharged from half-way houses in Hong Kong.

Method

A sample of 32 chronic psychotic patients was provided with a full-time aftercare worker. A matched control group received no such service.

Results

The experimental group was found to have greater and better employment prospects, better mental status with less hospitalisation and less law-breaking behaviour than the control group. Some of these benefits were converted into economic terms and the tangible costs incurred in the project were calculated.

Conclusions

The provision of an aftercare service is clinically useful and economically viable.

Type
Papers
Information
The British Journal of Psychiatry , Volume 168 , Issue 6 , June 1996 , pp. 757 - 761
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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References

Andrews, G., Hal, W., Goldstein, G., et al (1985) The economic costs of schizophrenia. Archives of General Psychiatry, 42, 537–543.Google Scholar
Bassuk, E. L. & Gerson, S. (1978) Deinstitutionalization and Mental Health Services. Scientific American, 238, 46–53.Google Scholar
Bond, G. R., Miller, L. D., Krumwied, R. D., et al (1987) Assertive case management in three CMHS: a controlled study. Hospital and Community Psychiatry, 39, 411–418.Google Scholar
Brown, B. (1975) Deinstitutionalisation and Community Support Systems. Statement by Director, NIMH, Bethesda. Maryland: NIMH.Google Scholar
Dincin, J. & Witheridge, T. F. (1982) Psychiatric rehabilitation as a deterrent to recidivism. Hospital and Community Psychiatry, 33, 645–650.Google Scholar
Drummond, M. F., Ludbrook, A., Lowson, K., et al (1986) Studies in Economic Appraisal in Health Care, Vol. 2. Oxford: Oxford University Press.Google Scholar
Hafner, H. & Heiden, W. an der (1989) Effectiveness and cost of community care for schizophrenic patients. Hospital and Community Psychiatry, 40, 59–63.Google Scholar
Krawiecka, M., Goldberg, D. & Vaughan, M. (1977) A standardized psychiatric assessment scale for rating chronic psychotic patients. Acta Psychiatrica Scandinavica, 55, 299–308.Google Scholar
Mak, K. Y. (1987a) Psychiatric Half-way House in Hong Kong. Hong Kong: Mental Health Association of Hong Kong.Google Scholar
Mak, K. Y. (1987b) The importance and cost-effectiveness of an aftercare worker for psychiatric patients discharged to group homes. Hong Kong Journal of Mental Health, 17, 35–38.Google Scholar
Mak, K. Y., Gow, L. & Foo, T. N. (1990) The joys and sorrows of hard research – the Mental Health Association special project on ‘aftercare worker’. Hong Kong Journal of Mental Health, 19, 23–28.Google Scholar
Mak, K. Y., Gow, L. (1991) The living conditions of patients discharged from psychiatric half-way houses in Hong Kong. International Journal of Social Psychiatry, 37, 107–112.Google Scholar
Manchanda, R., Hirsch, S. R. & Barnes, T. R. E. (1989) A review of rating scales for measuring symptom changes in schizophrenia research. In The Instruments of Psychiatric Research (ed. Thompson, C.), pp. 59–83. Chichester John Wiley & Sons Ltd.Google Scholar
Marx, A. J., Test, M. A. & Stein, L. I. (1973) Extrahospital management of severe mental illness. Archives of General Psychiatry, 29, 505–511.Google Scholar
Overall, J. E. & Gorham, D. R. (1962) The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799–812.Google Scholar
Shadish, W. R. Jr (1984) Policy research: lessons from the implementation of deinstitutionalization. American Psychologist, 39, 725–738.Google Scholar
Stein, L. I. & Test, M. A. (1980) Alternative to mental hospital treatment: I. Conceptual model, treatment program and clinical evaluation. Archives of General Psychiatry, 37, 406–412.Google Scholar
Thornicroft, G. & Bebbington, P. (1989) Deinstitutionalisation – from hospital closure to service development British Journal of Psychiatry, 155, 739–753.Google Scholar
Velasquez, J. S. & McCubbin, H. I. (1980) Towards establishing the effectiveness of community-based residential treatment: program evaluation by experimental research. Journal of Social Service Research, 3, 337–359.Google Scholar
Weinman, B. & Kleiner, R. J. (1978) The impact of community living and community member intervention on the adjustment of the chronic psychotic patient In Alternatives to Mental Hospital Movement (eds Stein, L. I. & Test, M. A.), pp. 139–159. New York: Plenum Press.Google Scholar
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