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The Maine and Vermont Three-Decade Studies of Serious Mental Illness

II. Longitudinal Course Comparisons

Published online by Cambridge University Press:  02 January 2018

Michael DeSisto ,
Courtenay M. Harding ,
Rodney V. McCormick ,
Takamaru Ashikaga  and
George W. Brooks
Michael DeSisto*
Affiliation:
Bureau of Mental Health, State of Maine, Augusta, Maine
Courtenay M. Harding
Affiliation:
Department of Psychiatry, Yale University, New Haven, CT
Rodney V. McCormick
Affiliation:
Department of Medical Biostatistics
Takamaru Ashikaga
Affiliation:
Department of Medical Biostatistics
George W. Brooks
Affiliation:
Department of Psychiatry, College of Medicine, University of Vermont, Burlington, VT, USA
*
Dr Michael DeSisto, Outcomes, Inc., 18 Sheldon Street, Farmingdale, ME 04334, USA
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Abstract

Background

This paper supplements the cross-sectional outcome comparisons of the companion paper by providing a brief account of the longitudinal courses of the Maine and Vermont samples across several outcome domains.

Method

A Life Chart method was used to document changes in individual lives over the domains of residence, work, income source, and use of community resources over a 20-year period. Reliability studies between states were conducted.

Results

Throughout much of the period, more Vermont subjects lived independently, were working, and were less likely to use community resources compared to Maine subjects.

Conclusions

Differences in both policies and programmes contributed to course differences between the groups. System characteristics that may lead to better outcomes are discussed.

Type
Papers
Information
The British Journal of Psychiatry , Volume 167 , Issue 3 , September 1995 , pp. 338 - 342
Copyright
Copyright © 1995 The Royal College of Psychiatrists

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