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Titolo:
Long-stay patients in state psychiatric hospitals at the end of the 20th century
Autore:
Fisher, WH; Barreira, PJ; Geller, JL; White, AW; Lincoln, AK; Sudders, M;
Indirizzi:
Univ Massachusetts, Sch Med, Dept Psychiat, Worcester, MA 01655 USA Univ Massachusetts Worcester MA USA 01655 ychiat, Worcester, MA 01655 USA Massachusetts Dept Mental Hlth, Boston, MA USA Massachusetts Dept Mental Hlth Boston MA USA Mental Hlth, Boston, MA USA
Titolo Testata:
PSYCHIATRIC SERVICES
fascicolo: 8, volume: 52, anno: 2001,
pagine: 1051 - 1056
SICI:
1075-2730(200108)52:8<1051:LPISPH>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
ENG
Soggetto:
BREWSTER V DUKAKIS; 2ND-GENERATION DEINSTITUTIONALIZATION; MENTALLY-ILL; CASE-MIX; IMPACT; CONTINUUM; SERVICES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Fisher, WH Univ Massachusetts, Sch Med, Dept Psychiat, 55 Lake Ave N, Worcester, MA 01655 USA Univ Massachusetts 55 Lake Ave N Worcester MA USA 01655655 USA
Citazione:
W.H. Fisher et al., "Long-stay patients in state psychiatric hospitals at the end of the 20th century", PSYCH SERV, 52(8), 2001, pp. 1051-1056

Abstract

Objectives: The purpose of this study was to assess the characteristics oflong-stay patients in contemporary state psychiatric hospitals and to identify, factors representing possible barriers to alternative placements for these patients. Methods: All patients in inpatient units of the Massachusetts Department of Mental Health who had been hospitalized for at least threeyears as of April 1, 1999, were assessed by their treatment teams with a standardized data collection instrument. Domains assessed included medical problems, need for nursing care, psychiatric diagnosis, and history of problematic behaviors. Results: The 330 individuals identified as long-stay patients had an array of medical problems and nursing care needs that likely would have been manageable in other long-term-care settings. A total of 276 patients had at least one significant medical problem. However, some patients exhibited behavioral problems that might have complicated such placements, especially when behavioral problems co-occurred with the need for medicalsupervision. A total of 228 patients had exhibited a significant problematic behavior in the previous 30 days. Conclusions: Although the number of long-stay patients in state psychiatric hospitals declined dramatically during the second half of the 20th century, a small group of patients still requires care in this setting. State psychiatric hospitals continue to occupy asignificant niche in the mental health system.

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Documento generato il 19/01/20 alle ore 11:51:27