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The TAPS Project. 7: Mental Hospital Closure - A Literature Review of Outcome Studies and Evaluative Techniques

Published online by Cambridge University Press:  06 August 2018

Catherine O'Driscoll*
Affiliation:
Child and Family Department, Tavistock Centre, London (formerly TAPS)

Abstract

Various techniques have been used to assess the results of ‘deinstitutionalisation’. This paper reviews these outcome studies, most of which have concluded that a new long-stay group will replace the old long-stay patients, and that a residual group of ageing patients, mostly with organic syndromes, is difficult to accommodate in the community.

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

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References

Barton, R. (1959) Institutional Neurosis. Bristol: Wright.Google Scholar
Bassuk, E. L. & Gerson, S. (1978) Deinstitutionalization and mental health services. Scientific American, 238, 4653.CrossRefGoogle ScholarPubMed
Beiser, M., Shore, J. H., Peters, R., et al (1985) Does community care for the mentally ill make a difference? A tale of two cities. American Journal of Psychiatry, 142, 10471052.Google Scholar
Bewley, T., Bland, J. M., Ilo, M., et al (1975) Census of mental hospital patients and life expectancy of those unlikely to be discharged. British Medical Journal, iv, 671675.CrossRefGoogle Scholar
Bewley, T., Bland, J. M., Mechen, D., et al (1981) ‘New chronic’ patients. British Medical Journal, 283, 11611164.CrossRefGoogle ScholarPubMed
Bollini, P., Muscettola, G., Piazza, A., et al (1986) Mental health care in Southern Italy: application of case-control methodology for the evaluation of the impact of the 1978 psychiatric reform. Psychological Medicine, 16, 701707.Google Scholar
Bollini, P. & Mollica, R. F. (1989) Surviving without the asylum: an overview of the studies on the Italian reform movement. Journal of Nervous and Mental Disease, 177, 607615.CrossRefGoogle ScholarPubMed
Braun, P., Kochansky, G., Shapiro, R., et al (1981) Overview: deinstitutionalization of psychiatric patients, a critical review of outcome studies. American Journal of Psychiatry, 138, 736749.Google ScholarPubMed
Brown, G. W., Carstairs, G. M. & Topping, G. (1958) Post-hospital adjustment of chronic mental patients. Lancet, ii, 685689.CrossRefGoogle Scholar
Burti, L., Garzotto, N., Sicilani, O., et al (1986) South Verona's psychiatric service: an integrated system of community care. Hospital and Community Psychiatry, 37, 809813.Google Scholar
Carling, P. J., Miller, S., Daniels, L. V., et al (1987) A state mental health system with no state hospital: the Vermont feasibility study. Hospital and Community Psychiatry, 38, 617623.Google ScholarPubMed
Chittick, R. A., Brooks, G. W., Irons, F. S., et al (1961) The Vermont Story: Rehabilitation of Chronic Schizophrenic Patients. Burlington: Queen City Printers.Google Scholar
Christie Brown, J. R. W., Ebringer, L. & Freedman, L. S. (1977) A survey of a long-stay psychiatric population: implications for community services. Psychological Medicine, 7, 113126.Google Scholar
Clifford, P., Charm an, A., Webb, Y., et al (1991) Planning for community care: long-stay populations of hospitals scheduled for rundown or closure. British Journal of Psychiatry, 158, 190196.Google Scholar
Cooper, A. B. & Early, D. F. (1961) Evolution in the mental hospital: review of a hospital population. British Medical Journal, i, 16001603.Google Scholar
Craig, T. J. & Lin, S. P. (1981) Death and deinstitutionalization. American Journal of Psychiatry, 138, 224227.Google ScholarPubMed
Craig, T. J. & Laska, E. M. (1983) Deinstitutionalization and the survival of the state hospital. Hospital and Community Psychiatry, 34, 616622.Google ScholarPubMed
Craig, T. J., Goodman, A. B., Siegal, C., et al (1984) The dynamics of hospitalization in a defined population during deinstitutionalization. American Journal of Psychiatry, 141, 782785.Google Scholar
Crepet, P. (1988) The Italian mental health reform nine years on. Acta Psychiatrica Scandinavica, 77, 515523.CrossRefGoogle Scholar
Cross, K. W. & Yates, J. (1961) Follow-up study of admissions to mental hospitals. Lancet, i, 989991.Google Scholar
Curson, D. A., Patel, M., Liddle, P. F., et al (1988) Psychiatric morbidity of a long stay hospital population with chronic schizophrenia and implications for future community care. British Medical Journal, 297, 819822.Google Scholar
Dorwart, R. A. (1988) A ten-year follow-up study of the effects of deinstitutionalization. Hospital and Community Psychiatry, 39, 287291.Google Scholar
Early, D. F. & Magnus, R. V. (1966) Population trends in a mental hospital. British Journal of Psychiatry, 112, 595601.Google Scholar
Early, D. F. & Nicholas, M. (1971) The developing scene: ten-year review of a psychiatric hospital population. British Medical Journal, ii, 793795.Google Scholar
Early, D. F. & Nicholas, M. (1977) ‘Dissolution of the mental hospital': fifteen years on. British Journal of Psychiatry, 130, 117122.Google Scholar
Early, D. F. & Nicholas, M. (1981) Two decades of change: Glenside Hospital population surveys 1960-80. British Medical Journal, 282, 14461449.Google Scholar
Eason, R. J. & Grimes, J. A. (1976) In-patient care of the mentally ill: a statistical study of future provision. Health Trends, 8, 1318.Google Scholar
Farkas, M. D., Rogers, E. S. & Thurer, S. (1987) Rehabilitation outcome of long-term hospital patients left behind by deinstitutionalization. Hospital and Community Psychiatry, 38, 864870.Google ScholarPubMed
Feinstein, A. R. (1978) Clinical biostatics: XLIV. A survey of the research architecture used for publications in general medical journals. Clinical Pharmacology and Therapeutics, 24, 117125.Google Scholar
Ford, M., Goddard, C. & Lansdell-Welfare, R. (1987) The dismantling of the mental hospital? Glenside Hospital surveys 1960-1985. British Journal of Psychiatry, 151, 479485.Google Scholar
Fottrell, E., Peermohamed, R. & Kothari, R. (1975) Identification and definition of a long-stay mental hospital population. British Medical Journal, iv, 675677.CrossRefGoogle Scholar
Fryers, T. (1974) Psychiatric inpatients in 1982: how many beds? Psychological Medicine, 4, 196211.Google Scholar
Giel, R. (1986) Care of chronic mental patients in The Netherlands. Social Psychiatry, 21, 2532.CrossRefGoogle ScholarPubMed
Goffman, E. (1961) Asylums: Essays on the Social Situation of Mental Patients and Other Inmates. New York: Doubleday.Google Scholar
Goldman, H. H., Gattozzi, A. A. & Taube, C. A. (1981) Defining and counting the chronic mentally ill. Hospital and Community Psychiatry, 32, 2127.Google Scholar
Goldman, H. H., Adams, N. H. & Taube, C. A. (1983) Deinstitutionalization: the data demythologized. Hospital and Community Psychiatry, 34, 129134.Google Scholar
Gore, C. P. & Jones, K. (1961) Survey of a long-stay mental hospital population. Lancet, ii, 544546.Google Scholar
Häfner, H. (1985) Changing patterns of mental health care. Acta Psychiatrica Scandinavica, 71 (suppl. 319), 151164.Google Scholar
Häfner, H. & Klug, J. (1982) The impact of an expanding community mental health service on patterns of bed usage: evaluation of a four-year period of implementation. Psychological Medicine, 12, 177190.CrossRefGoogle ScholarPubMed
Hailey, A. M. (1971) Long-stay psychiatric inpatients: a study based on the Camberwell register. Psychological Medicine, 1, 128142.CrossRefGoogle ScholarPubMed
Harding, C. M., Brooks, G. W., Ashikaga, T., et al (1987a) The Vermont longitudinal study of persons with severe mental illness, I: methodology, study sample, and overall status 32 years later. American Journal of Psychiatry, 144, 718726.Google Scholar
Harding, C. M., Brooks, G. W., Ashikaga, T., et al (1987b) The Vermont longitudinal study of persons with severe mental illness, II: long-term outcome of subjects who retrospectively met DSM-III criteria for schizophrenia. American Journal of Psychiatry, 144, 727735.Google ScholarPubMed
Hassall, C., Spencer, A. M. & Cross, K. W. (1965) Some changes in the composition of a mental hospital population. British Journal of Psychiatry, 111, 420428.Google Scholar
Howat, J. (1979) Nottingham and the hospital plan: a follow-up study of long-stay in-patients. British Journal of Psychiatry, 135, 4251.Google Scholar
Jones, K. (1985) After Hospital: A Study of Long-Term Psychiatric Patients in York. Department of Social Policy and Social Work, University of York.Google Scholar
Jones, K. (1987) Trends in the organization of mental health services in Great Britain in the past 25 years. International Journal of Mental Health, 16, 94107.Google Scholar
Kirk, S. A. (1976) Effectiveness of community services for discharged mental hospital patients. American Journal of Orthopsychiatry, 46, 646659.CrossRefGoogle ScholarPubMed
Levene, L. S., Donaldson, L. J. & Brandon, S. (1985) How likely is it that a district health authority can close its large mental hospitals? British Journal of Psychiatry, 147, 150155.CrossRefGoogle ScholarPubMed
Linn, M. W., Caffey, E. M., Klett, J., et al (1977) Hospital vs community (foster) care for psychiatric patients. Archives of General Psychiatry, 34, 7883.Google Scholar
Linn, M. W., Gurel, L., Williford, W. O., et al (1985) Nursing home care as an alternative to psychiatric hospitalization. Archives of General Psychiatry, 42, 544551.Google Scholar
McCreadie, R. G. (1980) Clinical and social aspects of long-stay psychiatric patients. Health Bulletin, 38, 7075.Google Scholar
McCreadie, R. G., Stewart, M., Robertson, L., et al (1991) The Scottish survey of old long-stay in-patients. British Journal of Psychiatry, 158, 398402.Google Scholar
Newson-Smith, J. (1983) Who cares for the adult brain damaged? Bulletin of the Royal College of Psychiatrists, 7, 181183.Google Scholar
Norton, A. (1961) Mental hospital ins and outs. British Medical Journal, i, 528536.CrossRefGoogle Scholar
Perris, C. & Kemali, D. (eds) (1985) Focus on the Italian psychiatric reform. Acta Psychiatrica Scandinavica, 71 (suppl. 316).Google Scholar
Platman, S. R., Karahasan, A. & Booker, T. C. (1983) The new long-term patient in the public mental hospital. American Journal of Psychiatry, 140, 606608.Google Scholar
Platman, S. R. & Booker, T. C. (1984) The new long-term patient in the public mental hospital: a follow-up. American Journal of Psychiatry, 141, 794795.Google Scholar
Pryce, I. G., Griffiths, R. D., Gentry, R. M., et al (1991) The nature and severity of disabilities in long-stay psychiatric inpatients in South Glamorgan. British Journal of Psychiatry, 158, 817821.Google Scholar
Robertson, G. (1981) The Provision of In-patient Facilities for the Mentally Ill: A Paper to Assist NHS Planners. London: DHSS.Google Scholar
Soloman, P., Davis, J. & Gordon, B. (1984) Discharged state hospital patients’ characteristics and use of aftercare: effect on community tenure. American Journal of Psychiatry, 141, 15661570.Google Scholar
Stewart, M. (1991) The physical health of old long stay in-patients in one psychiatric hospital. Psychiatric Bulletin, 15, 404406.Google Scholar
Taube, C. A., Thompson, J. W., Rosenstein, M. J., et al (1983) The ‘chronic’ mental hospital patient. Hospital and Community Psychiatry, 34, 611615.Google Scholar
ten Horn, G. H. M. M., Moschel, G., Giel, R., et al (1988) Patterns of mental care in two European areas: Mannheim, Federal Republic of Germany; and Groningen, The Netherlands. Acta Psychiatrica Scandinavica, 77, 271279.Google Scholar
Tooth, G. C. & Brooke, E. M. (1961) Trends in the mental hospital population and their effect on future planning. Lancet, i, 710713.CrossRefGoogle Scholar
Wing, J. K. (1986) The cycle of planning and evaluation. In The Provision of Mental Health Services in Britain: The Way Ahead (eds Wilkinson, G. & Freeman, H.). London: Gaskell.Google Scholar
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia; A Comparative Study Of Three Mental Hospitals 1960-1968. London: Cambridge University Press.Google Scholar
Wing, L. (1989) Hospital Closure and the Resettlement of Residents. Aldershot: Gower.Google Scholar
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