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Related Experiment Videos

Institutional dependence is reversible.

G Smith

    Gerontology
    |January 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    This project successfully discharged 105 long-stay psychiatric patients into community family settings within 12 months. This initiative required significant staff attitude shifts to overcome resistance and facilitate patient reintegration into society.

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    Area of Science:

    • Psychiatry
    • Social Work
    • Healthcare Management

    Background:

    • Long-stay psychiatric patients often face challenges with community reintegration.
    • Traditional institutional settings may not always provide the optimal environment for long-term recovery.
    • A shift towards community-based care models is gaining traction in mental health services.

    Purpose of the Study:

    • To describe a project facilitating the discharge of long-stay psychiatric patients into private family homes.
    • To highlight the attitudinal changes required among hospital staff for successful deinstitutionalization.
    • To assess the resources and time investment necessary for such a community placement program.

    Main Methods:

    • A multidisciplinary team, including a consultant psychiatrist and social worker, interviewed long-stay patients.

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  • Collaborative decision-making with charge nurses determined patient suitability for external environments.
  • Individualized environmental assessments and after-care planning were conducted for each patient.

    • Main Results:

    • 105 long-stay psychiatric patients were discharged to private individuals within a 12-month period.
    • The project necessitated and achieved significant shifts in hospital staff attitudes across all levels.
    • The intensive assessment and placement process required approximately 1.5 weeks of work per patient.

    Conclusions:

    • Community-based family placements are a viable alternative for long-stay psychiatric patients.
    • Overcoming staff resistance through attitude change is crucial for successful deinstitutionalization.
    • The investment in patient assessment and placement is comparatively small relative to long-term inpatient care costs.