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The chronically mentally ill: planning a future.

R J Draper

    Psychiatric Journal of the University of Ottawa : Revue De Psychiatrie De L'Universite D'Ottawa
    |September 1, 1989
    PubMed
    Summary
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    Effective treatment for chronic mental illness requires systemic changes in healthcare organization and management. Goal-oriented, multidisciplinary approaches enable successful patient discharge, challenging traditional institutionalization paradigms.

    Area of Science:

    • Psychiatry
    • Health Services Management
    • Public Health

    Background:

    • Contemporary society faces challenges in addressing the needs of individuals with chronic mental illness.
    • Existing treatment strategies often fall short due to organizational and philosophical limitations.

    Purpose of the Study:

    • To explore the plight of the chronically mentally ill.
    • To identify appropriate treatment strategies and necessary organizational/philosophical changes.
    • To analyze epidemiological data and patient disposition for severe mental disorders.

    Main Methods:

    • Review of criteria used in major studies for defining the study population.
    • Analysis of epidemiological data on "Prolonged Functional Disabilities caused by or aggravated by Severe Mental Disorder."

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  • Evaluation of operational and research data from a regional psychiatric research service.

    • Main Results:

    • Many patients previously considered chronically institutionalized can be successfully discharged.
    • Goal-oriented, multidisciplinary methods are key to successful patient reintegration.
    • External societal factors and hierarchical healthcare structures inhibit progress.

    Conclusions:

    • Psychiatry must adopt and develop new management philosophies.
    • Rational healthcare planning requires restructuring the vertical hierarchical system.
    • Addressing external inhibiting factors is crucial for societal support.