Hostname: page-component-8448b6f56d-mp689 Total loading time: 0 Render date: 2024-04-23T13:19:14.285Z Has data issue: false hasContentIssue false
  • English
  • Français

The TAPS Project. 13: Clinical and Social Outcomes of Long-Stay Psychiatric Patients After One Year in the Community

Published online by Cambridge University Press:  06 August 2018

Jeremy Anderson ,
David Dayson ,
Walter Wills ,
Chris Gooch ,
Olga Margolius ,
Catherine O'Driscoll  and
Julian Leff
Jeremy Anderson
Affiliation:
Department of Psychological Medicine, University of Otago, New Zealand
David Dayson
Affiliation:
Maudsley Hospital, and Institute of Psychiatry (formerly TAPS)
Walter Wills
Affiliation:
TAPS
Chris Gooch
Affiliation:
TAPS
Olga Margolius
Affiliation:
Psychology Services, Haringey Health Authority (formerly TAPS)
Catherine O'Driscoll
Affiliation:
Child and Family Department, Tavistock Centre, London (formerly TAPS)
Julian Leff
Affiliation:
TAPS, and MRC Social & Community Psychiatry Unit, Institute of Psychiatry, London
Get access Rights & Permissions [Opens in a new window]

Abstract

The first prospective, controlled study of a large, long-stay, in-patient population as their hospital services were reprovided in the community is reported. Two-hundred-and-seventy-eight patients were matched individually with similar patients who remained in hospital. Clinical and social outcomes over a one-year follow-up are presented for the first three years of the reprovision process. Compared with matches, the leavers at follow-up had more diverse social networks that contained a higher proportion of contacts named as friends. The care facilities in the community allowed more opportunities for patient autonomy than the hospitals across all aspects of the environments measured. At follow-up, more leavers than matches wanted to remain in their current placement, while fewer leavers than matches said there was nothing they liked about their current placement. More leavers than matches found their medication helpful.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 162 , Issue S19: The TAPS Project: Evaluating Community Placement of Long-Stay Psychiatric Patients , April 1993 , pp. 45 - 56
Copyright
Copyright © 1993 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abrahamson, D. & Brenner, D. (1982) Do long-stay psychiatric patients want to leave hospital? Health Trends, 14, 95–98.Google ScholarPubMed
Anderson, J. N. (1989) Patient power in mental health. British Medical Journal, 299, 1477–1478.CrossRefGoogle ScholarPubMed
Avison, W. & Speechley, K. (1987) The discharged psychiatric patients: a review of the social, social-psychological, and psychiatric correlates of outcome. American Journal of Psychiatry, 144, 10–18.Google Scholar
Bachrach, L. (1976) Deinstitutionalisation: An Analytic Review and Sociological Perspective. Rockville, Maryland: US Department of Health, Education and Welfare, NIMH.Google Scholar
Bachrach, L. (1982) Assessment of outcomes in community support systems: results, problems, limitations. Schizophrenia Bulletin, 8, 39–61.CrossRefGoogle ScholarPubMed
Beels, C. C., Gutwirth, L. & Berkeley, J. (1984) Measurements of social support in schizophrenia. Schizophrenia Bulletin, 10, 388–411.CrossRefGoogle ScholarPubMed
Bennett, D. & Morris, I. (1983) Deinstitutionalization in the United Kingdom. International Journal of Mental Health, 11, 5–23.Google Scholar
Booth, T. & Phillips, D. (1985) Caring routines and the characteristics of regimes. In Home Truths (ed. Booth, T.), pp. 147–174. Aldershot: Gower.Google Scholar
Braun, P., Kochansky, G., Shapiro, R., et al (1981) Overview: deinstitutionalisation of psychiatric patients, a critical review of outcome studies. American Journal of Psychiatry, 138, 736–749.Google Scholar
Clifford, P., Charman, 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, 190–196.CrossRefGoogle ScholarPubMed
Coid, J. W. (1988) Mentally abnormal prisoners on remand. I. Rejected or accepted by the NHS? British Medical Journal, 296, 1779–1782.CrossRefGoogle ScholarPubMed
COURNOS, F. (1987) The impact of environmental factors on outcome in residential programs. Hospital and Community Psychiatry, 38, 848–852.Google ScholarPubMed
Dayson, D. & Anderson, I. (1989) A comparison of staffed purpose-planned group homes and other forms of care for the long-term mentally ill. In Moving Long-stay Psychiatric Patients into the Community: First Results. TAPS Fourth Annual Conference Report in Moving Long-stay Psychiatric Patients into the Community: First Results. TAPS Fourth Annual Conference Report, pp. 69–80. London: North East Thames Regional Health Authority.Google Scholar
Drake, R. E. & Wallach, M. A. (1988) Mental patients’ attitudes towards hospitalization: a neglected aspect of hospital tenure. American Journal of Psychiatry, 145, 29–34.Google Scholar
Dunn, M., O'Driscoll, C., Dayson, D., et al (1990) The TAPS project. 4: An observational study of the social life of long-stay patients. British Journal of Psychiatry, 157, 842–848.CrossRefGoogle ScholarPubMed
Ford, M., Goddard, C. & Lansdell-Welfare, R. (1987) The dismantling of a mental hospital? The Glenside Hospital surveys 1960-1985. British Journal of Psychiatry, 151, 479–485.CrossRefGoogle ScholarPubMed
Freiman, J. A., Chalmers, T. C., Smith, H., et al (1978) The importance of beta, the type II error and sample size in the design and interpretation of the randomized control trial. Survey of 71 “negative” trials. New England Journal of Medicine, 299, 690–694.CrossRefGoogle ScholarPubMed
Gibbons, J. S. & Butler, J. P. (1987) Quality of life for “new” long-stay psychiatric in-patients. The effects of moving to a hostel. British Journal of Psychiatry, 151, 347–354.CrossRefGoogle ScholarPubMed
Groves, T. (1990a) After the asylums: who needs long-term psychiatric care? British Medical Journal, 300, 999–1001.CrossRefGoogle Scholar
Groves, T. (1990b) After the asylums: what does community care mean now? British Medical Journal, 300, 1060–1062.CrossRefGoogle Scholar
Groves, T. (1990c) After the asylums: the local picture. British Medical Journal, 300, 1128–1130.Google Scholar
Hammer, M. (1981) Social supports, social networks and schizophrenia. Schizophrenia Bulletin, 7, 45–57.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, 718–726.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, 727–735.Google ScholarPubMed
Johnstone, E. C., Owens, D. G., Gold, A., et al (1984) Schizophrenic patients discharged from hospital - a follow-up study. British Journal of Psychiatry, 145, 586–590.CrossRefGoogle ScholarPubMed
Jones, D. & Margolius, O. (1989) The accumulation of ‘new long stay’ patients at Friern and Claybury Hospitals. In Moving Long-stay Psychiatric Patients into the Community: First Results. TAPS Fourth Annual Conference Report in Moving Long-stay Psychiatric Patients into the Community: First Results. TAPS Fourth Annual Conference Report, pp. 12–25. London: North East Thames Regional Health Authority.Google Scholar
Jones, D. R. & Rushton, L. (1982) Simultaneous inference in epidemiological studies. International Journal of Epidemiology, 11, 276–282.CrossRefGoogle ScholarPubMed
Jones, K., Robinson, M. & Golightley, M. (1986) Long term psychiatric patients in the community. British Journal of Psychiatry, 149, 537–540.CrossRefGoogle ScholarPubMed
Kalman, T. (1983) An overview of patients’ satisfaction with psychiatric treatment. Hospital and Community Psychiatry, 34, 48–54.Google ScholarPubMed
Khoosal, D. & Jones, P. (1991) Worcester development project: where do patients go when hospitals close? Health Trends, 22, 137–141.Google Scholar
Knapp, M., Cambridge, P., Thomason, C., et al (1990a) Care in the Community: Lessons from the Demonstration Programme. Canterbury: Personal Social Sciences Research Unit, University of Kent.Google Scholar
Knapp, M., Beecham, J., Anderson, J., et al (1990b) The TAPS Project. 3: Predicting the costs of closing psychiatric hospitals. British Journal of Psychiatry, 157, 661–670.Google Scholar
Kunze, H. (1985) Rehabilitation and institutionalisation in community care in West Germany. British Journal of Psychiatry, 147, 261–264.Google Scholar
Lamb, H. (1979) New asylums in the community. Archives of General Psychiatry, 36, 129–134.Google Scholar
Leff, J., O'Driscoll, C., Dayson, D., et al (1990) The TAPS project. 5: The structure of social network data obtained from long-stay patients. British Journal of Psychiatry, 157, 848–852.Google Scholar
Lehman, A., Possidente, S. & Hawker, F. (1986) The quality of life of chronic patients in a state hospital and in community residences. Community and Hospital Psychiatry, 37, 901–907.Google Scholar
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, 150–155.Google Scholar
Milner, G. (1991) Worcester development project: the closure and replacement of a mental hospital. Health Trends, 4, 141–145.Google Scholar
Mueller, D. P. (1980) Social networks: a promising direction for research on the relationship of the social environment to psychiatric disorder. Social Science and Medicine, 14, 147–161.Google Scholar
Pattison, E. M., Defrancisco, D., Wood, P., et al (1975) A psychosocial kinship model for family therapy. American Journal of Psychiatry, 132, 1246–1251.Google Scholar
Pryce, I. G., Griffiths, R. D., Gentry, R. M., et al (1991) The nature and severity of disabilities in long-stay psychiatric in-patients in South Glamorgan. British Journal of Psychiatry, 158, 817–821.CrossRefGoogle ScholarPubMed
SAS Institute Inc (1985) SAS/STAT Guide for Personal Computers. Version 6 Edition. Cary, NC: SAS Institute Inc.Google Scholar
Sokolovsky, J., Berger, D. & Geiger, J. (1978) Personal networks of ex-mental patients in a Manhattan SRO hotel. Human Organisation, 37, 4–15.Google Scholar
Stewart, M. (1991) The physical health of old long-stay in-patients in one psychiatric hospital. Psychiatric Bulletin, 15, 404–406.Google Scholar
Sturt, E. & Wykes, T. (1986) The Social Behaviour Schedule: a validity and reliability study. British Journal of Psychiatry, 148, 1–11.Google Scholar
Thornicroft, G. & Bebbington, P. (1989) Deinstitutionalisation - from hospital closure to service development. British Journal of Psychiatry, 155, 739–753.CrossRefGoogle ScholarPubMed
Weinstein, R. (1979) Patient attitudes toward mental hospitalisation: a review of quantitative research. Journal of Health and Social Behaviour, 20, 237–258.CrossRefGoogle ScholarPubMed
Weller, M. (1989) Psychosis and destitution at Christmas 1985-1988. Lancet, ii, 1509–1511.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, J. K., Cooper, J. E. & Sartorius, N. (1974) Description and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.