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Reframe your outlook on recidivism.

L H Beebe1

  • 1Mental Hygiene Clinic, Veterans Administration Medical Center, Huntington, West Virginia.

Journal of Psychosocial Nursing and Mental Health Services
|September 1, 1990
PubMed
Summary
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Deinstitutionalization challenges community mental health services. Focusing on client coping strategies within community programs can prevent repeated psychiatric emergency visits and hospitalizations.

Area of Science:

  • Psychiatry
  • Community Mental Health
  • Public Health Policy

Background:

  • Deinstitutionalization has led to increased numbers of chronically mentally ill individuals residing in unprepared communities.
  • A mismatch between patient needs and available community programs contributes to frequent psychiatric emergency service utilization.
  • Community-based mental healthcare offers advantages over hospitalization, including reduced stigma and cost.

Purpose of the Study:

  • To explore the potential of community programs to manage chronic mental illness.
  • To investigate strategies for preventing decompensation and repeated psychiatric emergency visits.
  • To shift focus from reactive crisis management to proactive coping skill development for patients.

Main Methods:

  • Analysis of patient flow within community mental health services.

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  • Review of program effectiveness in addressing the needs of chronically mentally ill individuals.
  • Exploration of early intervention models to prevent relapse.

    • Main Results:

    • Community programs can be a viable alternative to repeated hospitalizations.
    • Early engagement with community services can mitigate the need for emergency psychiatric care.
    • A proactive approach focusing on coping mechanisms is more effective than reactive treatment.

    Conclusions:

    • Community mental health services are crucial for managing chronic mental illness post-deinstitutionalization.
    • Optimizing the fit between clients and programs can reduce emergency service use.
    • Emphasizing coping strategies within community settings promotes long-term patient well-being and reduces healthcare system burden.