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The long-stay psychiatric patient as consumer

  • I. C. T. Hughes (a1), B. M. McLackland (a1), G. S. Oles (a1), I. G. Pryce (a1) and R. D. P. Griffiths (a1)...
Extract

“Quality of life” (QOL) appears intrinsically important but difficult to measure. As a mental health professional, one might wish to know whether patients moving from the security of hospital to “the community” improve their QOL, or to evaluate their QOL against that of other groups in society. Simply looking at symptom change or economic cost-benefit misses much of the point behind innovations in psychiatric services. From previous QOL assessments (e.g. Lehman, 1983) one would focus upon positive aspects such as living situation, personal relationships, and general health and on negative aspects such as lack of money or being a victim of crime. Literature from the 1950s and 60s attests to the adverse effects of institutional care but more recently writers such as Kathleen Jones (Jones et al, 1986) have drawn attention to the benefits of living in such an environment. Also, various well-publicised “scandals” have suggested the pitfalls of inadequately thought-out discharge into the community.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Abrahamson, D., Swatton, J. & Wills, W. (1989) Do long-stay psychiatric patients want to leave hospital? Health Trends, 21, 1719.
Dayson, D. (1990) Clinical and social outcomes after one year in the community. Paper presented at TAPS fifth annual conference.
Jones, K., Robinson, M. & Golightly, M. (1986) Long-term psychiatric patients in the community. British Journal of Psychiatry, 149, 537540.
Lehman, A. S. (1983) The well-being of chronic mental patients: assessing their quality of life. Archives of General Psychiatry, 40, 369373.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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The long-stay psychiatric patient as consumer

  • I. C. T. Hughes (a1), B. M. McLackland (a1), G. S. Oles (a1), I. G. Pryce (a1) and R. D. P. Griffiths (a1)...
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