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A Haven for the Severely Disabled Within the Context of a Comprehensive Psychiatric Community Service

Published online by Cambridge University Press:  29 January 2018

J. K. Wing  and
R. Furlong
J. K. Wing*
Affiliation:
Professor of Social Psychiatry, MRC Social Psychiatry Unit, Institute of Psychiatry, De Crespigny Park, London SES 8AF
R. Furlong
Affiliation:
Frieen Hospital, Friern Barnet Road, London N11 3BP
*
Correspondence
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Extract

The priorities accorded severely disabled or disturbed long-stay patients in Regional and District planning strategies vary enormously. A scheme to cater for the needs of this group is described. The scheme includes: non-stigmatising housing; a domestic regime, daytime occupation and leisure activities offering forms of enabling and caring that foster the highest possible levels of functioning; a secure home; private and peaceful outdoor space; and graduated steps towards independence that allow for the possibility of relapse. The central concept is the establishment of a Community for people with severe difficulties in making social contacts. The importance of integrating the scheme into a comprehensive District psychiatric service is emphasised.

Type
Papers
Information
The British Journal of Psychiatry , Volume 149 , Issue 4 , October 1986 , pp. 449 - 457
Copyright
Copyright © 1986 The Royal College of Psychiatrists 

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References

Burrell, J. (1985) A sane environment. Building Design, 18 October, 18-A.Google Scholar
Creer, C. & Wing, J. K. (1974) Schizophrenia at Home. Surbiton: National Schizophrenia Fellowship.Google Scholar
Department of Health and Social Security (1975) Belter Services for the Mentally III. Cmnd 6233. London: HMSO.Google Scholar
Freudenberg, R. K. (1970) Netheme Hospital. In Institutionalism and Schizophrenia (eds Wing, J. K. and Brown, G. W. London: Cambridge University Press.Google Scholar
Garety, P. & Morris, I. (1984) A new unit for long-stay psychiatric patients: organization, attutudes and quality of care. Psychological Medicine. 14, 183–192.Google Scholar
Gibbons, J., Jennings, C. & Wing, J. K., (eds) (1984) Psychiatric Care in Eight Register Areas, 1976–1981. Psychiatric Case Register, Knowle Hospital, Fareham, Hants.Google Scholar
Gibbons, J. S. (1986) Care of “new” long-stay patients in a district general hospital psychiatric unit: the first two years of a hospital-hostel. Acta Psychiatrica Scandinavica, 73, 582–588.Google Scholar
Goffman, E. (1961) Asylums: Essays on the Social Situation of Mental Patients and other Inmates. Harmondsworth: Penguin.Google Scholar
Goldberg, D. B., Bridges, K., Cooper, W., Hyde, C, Sterling, C. & Wyatt, R. (1985) Douglas House: a new type of hostel ward for chronic psychotic patients. British Journal of Psychiatry, 147, 383–388.CrossRefGoogle Scholar
Hewett, S. (1979) Somewhere to live. In Alternative Patterns of Residential Care for Discharged Psychiatric Patients (Ed. Olsen, R.). London: British Association of Social Workers.Google Scholar
Lamb, H. R. (1980) Board and care home wanderers. Archives of General Psychiatry, 37, 135–137.Google Scholar
Leach, J. & Wing, J. K. (1980) Helping Destitute Men. London: Tavistock.Google Scholar
Mann, S. & Cree, W. (1976) “New' long-stay psychiatric patients: a national survey of fifteen mental hospitals in England and Wales, 1972/3. Psychological Medicine, 6, 603–616.CrossRefGoogle ScholarPubMed
Pincus, R. A. (1982) An alternative view. Appendix B in Social Workers: Their Role and Tasks (The Barclay Report). London: Bedford Square Press.Google Scholar
Rawlings, S. (1985a) Behaviour and skills of severely retarded adults in hospitals and small residential homes. British Journal of Psychiatry, 146, 358–366.Google Scholar
Rawlings, S. (1984B) Life-styles of severely retarded non-communicating adults in hospitals and small residential homes. British Journal of Social Work, 15, 49–61.Google Scholar
Robertson, G. (1981) The provision of in-patient facilities for the Mentally III: A Paper to Assist NHS Planners. London: Department of Health and Social Security.Google Scholar
Ryan, P. (1979) New forms of residential care for the mentally ill. In Community Care for the Mentally Disabled, (eds Wing, J. K. and Olsen, R.). London: Oxford University Press.Google Scholar
Sinson, J. C. (1981) Attitudes to Down's Syndrome: An Investigation of Attitudes to Mental Handicap in Urban and Rural Yorkshire. London: The Mental Health Foundation.Google Scholar
Social Services Committee, House of Commons (1985) Community Care with Special Reference to Adult Mentally III and Mentally Handicapped People. Second Report from the Social Services Committee. London: HMSO.Google Scholar
Wing, J. K. (1964) The Industrial Rehabilitation of Long-Stay Schizophrenic Patients. MRC White Paper Report No. 42. London: HMSO.Google Scholar
Wing, J. K. (1972) Principles of evaluation. In Evaluating a Community Psychiatric Service: The Camberwell Register, 1964–1971 (eds Wing, J. K. and Hailey, A. M.). London: Oxford University Press.Google Scholar
Wing, J. K. (1978) Medical and social science and medical and social care. In Social Care Research (eds Barnes, J. and Connelly, N.). London: Bedford Square Press.Google Scholar
Wing, J. K. (1968) The cycle of planning and evaluation. In The Provision of Mental Health Services in Britain: The Way Ahead (eds Wilkinson, G. and Freeman, H.). London: Gaskell.Google Scholar
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia. London: Cambridge University Press.Google Scholar
Wing, J. K. & Hailey, A. M., (eds) (1972) Evaluating a Community Psychiatric Service: The Camberwell Register, 1964–1971. London: Oxford University Press.Google Scholar
Wykes, T. (1982) A hostel-ward for “new' long-stay patients. In Long-term Community Care (ed. Wing, J. K. Psychological Medicine, Suppl 2, 57–97.Google Scholar
Wykes, T., Creer, C. & Sturt, E. (1982) Needs and the deployment of services. In Long-term Community Care (ed. Wing, J. K. Psychological Medicine, Suppl. 2, 41–55. (Accepted 20 May 1986) CrossRefGoogle Scholar
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