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Two Year Follow-up of Behavioural Functioning in Long-Stay Chronically Mentally Ill Clients Transferred to the Community

Published online by Cambridge University Press:  27 August 2015

Robyn Vertongen
Massey University, New Zealand
Frank P. Deane*
University of Wollongong, Australia
Graeme Beaumont
Norlhcote Community Mental Health Center, New Zealand
lllawarra Institute for Mental Health and Department of Psychology, University of Wollongong NSW 2522, Australia. E-mail:
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The effects of transferring 28 long-stay chronically mentally ill patients from a psychiatric hospital to community placements was evaluated. The Rehabilitation Evaluation Hall and Baker (REHAB; Baker & Hall, 1983) scale was used to assess clients' adaptive and maladaptive behavioural functioning at 12, 18 and 24 month intervals following the hospital baseline. Social contacts and inpatient readmissions were also assessed. The results showed that clients' general adaptive functioning and maladaptive behaviour, on average, remained stable across the hospital baseline and two year follow-up period. Clients with frequent social contacts were found to have significantly better adjustment on a number of the REHAB subscales and those who exhibited more maladaptive behaviour were more likely to be readmitted to a psychiatric inpatient unit. Overall the results were encouraging with relatively low readmission rates, however, approximately 10% of clients showed significant difficulty adjusting in the community. The implications of the findings for chronically mentally ill people and suggestions for community programmes are discussed.

Copyright © Cambridge University Press 1998

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