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The TAPS Project. 13: Clinical and Social Outcomes of Long-Stay Psychiatric Patients After One Year in the Community

Published online by Cambridge University Press:  06 August 2018

Jeremy Anderson
Affiliation:
Department of Psychological Medicine, University of Otago, New Zealand
David Dayson
Affiliation:
Maudsley Hospital, and Institute of Psychiatry (formerly TAPS)
Walter Wills
Affiliation:
TAPS
Chris Gooch
Affiliation:
TAPS
Olga Margolius
Affiliation:
Psychology Services, Haringey Health Authority (formerly TAPS)
Catherine O'Driscoll
Affiliation:
Child and Family Department, Tavistock Centre, London (formerly TAPS)
Julian Leff
Affiliation:
TAPS, and MRC Social & Community Psychiatry Unit, Institute of Psychiatry, London

Abstract

The first prospective, controlled study of a large, long-stay, in-patient population as their hospital services were reprovided in the community is reported. Two-hundred-and-seventy-eight patients were matched individually with similar patients who remained in hospital. Clinical and social outcomes over a one-year follow-up are presented for the first three years of the reprovision process. Compared with matches, the leavers at follow-up had more diverse social networks that contained a higher proportion of contacts named as friends. The care facilities in the community allowed more opportunities for patient autonomy than the hospitals across all aspects of the environments measured. At follow-up, more leavers than matches wanted to remain in their current placement, while fewer leavers than matches said there was nothing they liked about their current placement. More leavers than matches found their medication helpful.

Type
Research Article
Copyright
Copyright © 1993 The Royal College of Psychiatrists 

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