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    Chisholm, Daniel Knapp, Martin Astin, Jack Audini, Bernard and Lelliott, Paul 2007. The mental health residential care study: the “hidden costs” of provision. Health & Social Care in the Community, Vol. 5, Issue. 3, p. 162.

    Leff, Julian 2001. Can we manage without the mental hospital?. Australian and New Zealand Journal of Psychiatry, Vol. 35, Issue. 4, p. 421.

    Rothbard, Aileen B and Kuno, Eri 2000. The Success of Deinstitutionalization. International Journal of Law and Psychiatry, Vol. 23, Issue. 3-4, p. 329.

    Becker, Thomas and Thornicroft, Graham 1998. Community care and management of schizophrenia. Current Opinion in Psychiatry, Vol. 11, Issue. 1, p. 49.


Factors affecting the success of community placement: the TAPS project 26

  • Christopher Gooch (a1) and Julian Leff (a1)
  • DOI:
  • Published online: 01 July 2009

Long-stay patients who were discharged from Friern and Claybury hospitals during the 6-year period between September 1985 and August 1991 were followed up for at least 1 year and the details of all readmissions were recorded. Of the 615 hospital leavers, some 178 (29%) were readmitted at some time during the follow-up period. A proportional hazards regression analysis revealed a number of independent baseline factors which affect the risk of readmission at any time during the follow-up period. Younger patients were more at risk of readmission than were older patients and ‘new’ long-stay patients had a greater risk than baseline patients. Risk was also greater in patients who had a larger number of pre-discharge admissions,a higher abnormal behaviour score (PSE BSO) or a diagnosis of manic psychosis. An ordinal logistic regression analysis revealed that these same five factors tended to increase the actual number of readmission episodes. The proportion of post-discharge time spent in hospital among the readmitted patients was found to be greater for males, new long-stay patients and for patients with a higher number of positive social behaviour symptoms (SBSPOS score).

Corresponding author
1Address for correspondence: Professor Julian Leff, Team for the Assessment of Psychiatric Services, 69 Fleet Road, Hampstead, London NW3 2QU.
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G. Buchkremer , K. Stricker , R. Holle & H. Kuhs (1991). The predictability of relapses in schizophrenic patients. European Archives of Psychiatry and Clinical Neuroscience 240, 292300.

C. C. Colenda & R. M. Hamer (1989). First admission young adult patients to a state hospital: relative risk for rapid readmission. Psychiatric Quarterly 60, 227236.

D. Dayson , C. Gooch & G. Thornicroft (1992). The TAPS Project. 16. Difficult to place, long-term psychiatric patients: risk factors for failure to resettle long-stay patients in community facilities. British Medical Journal 305, 993995.

W. S. Fenton & T. H. McGlashan (1991). Natural history of schizophrenic subtypes. II. Positive and negative symptoms and long-term course. Archives of General Psychiatry 48, 978986.

A. Y. C. Kuk (1984). All subsets in Proportional Hazards Model. Biometrika 71, 587592.

R. Laessle , H. Pfister & H. U. Wittchen (1987). Risk of rehospitalization of psychotic patients. A 6-year follow-up investigation using the survival approach. Psychopathology 20, 4860.

P. H. Munley & L. A. Hyer (1978). Demographic and clinical characteristics as predictors of readmission: a one-year follow-up. Journal of Clinical Psychology 34, 833838.

D. Schoenfeld (1982). Partial residuals for the Proportional Hazards Model. Biometrika 69, 5155.

L. C. Stack , P. B. Lannon & A. D. Miley (1983). Accuracy of clinicians' expectancies for psychiatric rehospitalization. American Journal of Community Psychology 11, 99113.

J. S. Strauss & W. T. Carpenter (1974). The prediction of outcome in schizophrenia. II. Relationships between predictor and outcome variables. Archives of General Psychiatry 31, 3742.

G. Thornicroft , C. Gooch & D. Dayson (1992). The TAPS Project. 17. Readmission to hospital for long-term psychiatric patients after discharge to the community. British Medical Journal 305, 996998.

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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
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