Hostname: page-component-586b7cd67f-gb8f7 Total loading time: 0 Render date: 2024-11-22T07:33:15.229Z Has data issue: false hasContentIssue false
  • English
  • Français

The Measurement of Psychiatric Rehabilitation Status

A Review of the Needs and a New Scale

Published online by Cambridge University Press:  29 January 2018

James W. Affleck  and
Ralph J. McGuire
James W. Affleck
Affiliation:
Rehabilitation Studies Unit, University of Edinburgh
Ralph J. McGuire*
Affiliation:
Departments of Psychiatry and Psychology, University of Edinburgh, Royal Edinburgh Hospital, Morningside Park, Edinburgh EH10 5HF
*
∗Correspondence.
Get access Rights & Permissions [Opens in a new window]

Summary

The recognition of rehabilitation as a special interest in psychiatry, and its practice by professional teams, raises the need for some uniformity in examining patient outcome. The features required in a scale designed for this purpose are considered and the Morningside Rehabilitation Status Scales, which have been prepared specifically for psychiatric rehabilitation, have their development and use described. They measure the dimensions of dependency, inactivity in occupation and leisure, social integration/isolation, and current symptoms and deviant behaviour. The measures can be expressed as a profile of the dimensions, with the total a measure of overall level of functioning; reliability has been established, and validity assessed. The soales are not difficult to apply when the patients are known to the staff using them. They should be useful to rehabilitation teams for defining the current status of patients, measuring changes produced by rehabilitation programmes, deciding areas where treatment or service deficits may exist which the team should be attempting to remedy, as well as for teaching purposes.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 145 , Issue 5 , November 1984 , pp. 517 - 525
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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

Affleck, J. W. (1981) The Edinburgh progressive care system. In Handbook of Psychiatric Rehabilitation Practice (ed. Wing, J. K. & Morris, B.). Oxford: Oxford University Press.Google Scholar
Auerbach, L. D. & Pattison, E. M. (1976) Outcome of social rehabilitation—whom does it help? Social Psychiatry, 11, 33–40.CrossRefGoogle Scholar
Bland, R. & Bland, R. E. (1983) Recent research in old peoples' homes—a review of the literature. Research, Policy and Planning, 1, 16–24.Google Scholar
Burgess, J. H. (1975) Goals versus process orientation: policy in community health. Social Psychiatry, 10, 9–13.Google Scholar
Cheadle, A. J., Freeman, H. L. & Korer, J. (1978) Chronic schizophrenic patients in the community. British Journal of Psychiatry, 132, 221–7.Google Scholar
Early, D. H. (1965) Long-stay schizophrenic patients and results of rehabilitation—discussion in a symposium. In Psychiatric Hospital Care (ed. Freeman, H. L.). London: Balliere, Tindall and Cassell.Google Scholar
Falloon, I. R. H. & Marshall, G. N. (1983) Residential care and social behavior; a study of rehabilitation needs. Psychological Medicine, 13, 341–7.Google Scholar
Falloon, I. R. H. Watt, D.C. & Shepherd, M. (1978) The social outcome of patients in a trial of long-term continuation therapy in schizophrenia; pimozide vs fluphenazine. Psychological Medicine, 8, 265–74.Google Scholar
Freeman, H. L., Cheadle, A. J. & Korer, J. (1979) A method of monitoring the treatment of schizophrenia in the community. British Journal of Psychiatry, 134, 412–6.CrossRefGoogle ScholarPubMed
Goldberg, D. (1974) Principles of rehabilitation. Comprehensive Psychiatry, 15, 237–48.Google Scholar
Gunzburg, H. C. (1973) Social Competence and Mental Handicap. London: Balliere, Tindall & Cox.Google Scholar
Hall, J. N. (1981) Psychological assessment. In Handbook of Psychiatric Rehabilitation Practice (eds. Wing, J. K. & Morris, B.). Oxford: Oxford Medical Publications.Google Scholar
Honigfeld, G., Gillis, R. C. & Klett, C. J. (1966) NOSIE-30, a treatment-sensitive ward behaviour scale. Psychological Reports, 19, 180–2.Google Scholar
Hurry, J. & Sturt, E. (1981) Social performance in a population sample. In What is a Case? (eds. Wing, J. K., Bebbington, P. & Robins, C. B.). London: Grant McIntyre.Google Scholar
Krawiecka, M., Goldberg, D. & Vaughan, M. (1977) A standardised assessment scale for rating chronic psychiatric patients. Acta Psychiatrica Scandinavica, 55, 299–308.Google Scholar
Linn, M. W., Caffey, E. M., Klett, C. & Hogarty, G. (1978) Hospital v. community foster care for psychiatric patients. Archives of General Psychiatry, 34, 78–83.Google Scholar
McCreadie, R. G., Wilson, A. A. O. A. & Burton, L. L. (1983) The Scottish survey of ‘new chronic’ inpatients. British Journal of Psychiatry, 143, 564–71.CrossRefGoogle ScholarPubMed
Mitchell, S. F. & Birley, J. L. T. (1983) The use of ward support by psychiatric patients in the community. British Journal of Psychiatry, 142, 9–15.Google Scholar
Morgan, R. & Cheadle, J. (1974) A scale of disability and prognosis in long-term mental illness. British Journal of Psychiatry, 125, 475–8.Google Scholar
Morgan, R. & Cheadle, J. (1981) Psychiatric rehabilitation. Surbiton, Surrey: National Schizophrenic Fellowship.Google Scholar
Pattison, E. M., Defrancisio, D., Wood, P., Frazier, H. & Crowder, J. (1975) A Psychosocial kinship model for family therapy. American Journal of Psychiatry, 132, 1246–51.Google ScholarPubMed
Philip, A. E. (1979) Prediction of successful rehabilitation outcome by nurses rating scales. British Journal of Psychiatry, 134, 422–8.Google Scholar
Platt, S., Weyman, A., Hirsch, S. & Hewitt, S. (1980) The social behaviour assessment schedule (SBAS): rationale, contents, scoring and reliability of a new interview schedule. Social Psychiatry, 15, 43–55.Google Scholar
The Royal College of Psychiatrists (1980) Report of the Working Party on Rehabilitation: Psychiatric Rehabilitation in the 1980s. London: The Royal College of Psychiatrists.Google Scholar
Schwartz, C. C., Myers, J. K. & Astrachan, B. M. (1975) Concordance of multiple assessments of outcome in schizophrenia. Archives of General Psychiatry, 32, 1221–7.CrossRefGoogle ScholarPubMed
Scott, R. D. (1975) Family patterns and outcome in schizophrenia. In New Perspectives in Schizophrenia (eds. Forrest, A. D. & Affleck, J. W.). Edinburgh: Churchill-Livingstone.Google Scholar
Spitzer, R. L., Endicott, J., Fleiss, J. L. & Cohen, J. (1970) Psychiatric Status Schedule: a technique for evaluating psychopathology and impairment of role functioning. Archives of General Psychiatry, 23, 41–55.Google Scholar
Strauss, J. S. & Carpenter, W. T. (1972) The prediction of outcome in. schizophrenia. I—characteristics of outcome. Archives of General Psychiatry, 27, 739–46.CrossRefGoogle ScholarPubMed
Strauss, J. S. & Carpenter, W. T. (1974) The prediction of outcome in schizophrenia. II—Relationships between predictor and outcome variables. Archives of General Psychiatry, 31, 37–42.Google Scholar
Vaughn, C. E. & Leff, J. P. (1976) The influence of family and social factors on the course of psychiatric illness. British Journal of Psychiatry, 129, 125–37.Google Scholar
Wing, J. K. (1961) A simple and reliable subclassification of chronic schizophrenia. Journal of Mental Science, 107, 862–75.Google Scholar
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
Wing, J. K. Monck, A. M., Brown, G. W. & Carstairs, G. M. (1964) Morbidity in the community of schizophrenics discharged from London mental hospitals in 1959. British Journal of Psychiatry, 110, 10–21.CrossRefGoogle ScholarPubMed
World Health Organisation. (1980) International Classification of Impairments, Disabilities and Handicaps. Geneva: WHO.Google Scholar
Wykes, T. (1982) A hostel-ward for new long-stay patients: an evaluation study of a ‘ward in a house’. In Long-term Community Care: Experience in a London Borough (ed. Wing, J. K.). Psychological Medicine Monographs Supplement No. 2.Google Scholar
Wykes, T. Sturt, E. & Creer, C. (1982) Practices of day and residential units in relation to the social behaviour of attenders. In Long-term Community Care: Experience in a London Borough (ed. Wing, J. K.). Psychological Medicine Monographs Supplement No. 2.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.