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Related Experiment Videos

Problems of transformation.

J Leff1

  • 1Friern Hospital, London, UK.

The International Journal of Social Psychiatry
|January 1, 1992
PubMed
Summary
This summary is machine-generated.

The closure of psychiatric hospitals and patient discharge policies were evaluated. Despite challenges in planning and patient selection, long-stay patient deinstitutionalization into the community showed relative success.

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Area of Science:

  • Psychiatry
  • Health Services Research
  • Social Policy

Background:

  • Long-term psychiatric hospital populations have decreased in the US and Europe.
  • Few studies have evaluated the impact of psychiatric deinstitutionalization policies.
  • The Team for the Assessment of Psychiatric Services (TAPS) was formed to study psychiatric hospital closures.

Purpose of the Study:

  • To monitor and evaluate the closure of two psychiatric hospitals in North London.
  • To identify challenges associated with deinstitutionalization and hospital closure.
  • To assess the success of discharging long-stay psychiatric patients into the community.

Main Methods:

  • The TAPS research program monitored psychiatric hospital closures.
  • Qualitative and quantitative data likely collected on planning, patient discharge, community integration, and staff transition.

Related Experiment Videos

  • Analysis of problems encountered during the deinstitutionalization process.

    • Main Results:

    • Identified significant challenges: planning inertia, biased patient selection favoring less disabled individuals, new long-stay patient accumulation, discreet community integration policies, and difficulties in deinstitutionalizing staff.
    • Despite identified problems, the study found that discharging long-stay patients into the community was relatively successful.

    Conclusions:

    • Psychiatric deinstitutionalization presents complex challenges in planning, patient management, and staff adaptation.
    • Effective community-based care requires addressing the needs of all patient groups, including the most disabled.
    • While challenges exist, the policy of discharging long-stay patients into the community can be relatively successful with careful management.