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Related Experiment Videos

Board-and-care home wanderers

H R Lamb

    Archives of General Psychiatry
    |February 1, 1980
    PubMed
    Summary

    A significant portion of psychiatric patients in board-and-care homes are not static. Factors like shorter residency, younger age, and life goals influence their transition to independent living.

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    Area of Science:

    • Psychiatry
    • Gerontology
    • Sociology

    Background:

    • Board-and-care homes serve a population of psychiatric patients with varying needs.
    • Understanding patient mobility is crucial for effective care planning and resource allocation.

    Purpose of the Study:

    • To identify factors associated with psychiatric patients transitioning out of board-and-care home settings.
    • To explore the motivations behind patient movement and transitions in residential care.

    Main Methods:

    • A six-month follow-up study was conducted with 101 psychiatric patients residing in a board-and-care home.
    • Data collected included residency duration, age, life goals, recent hospitalizations, and patterns of independent living attempts.

    Main Results:

    • 32% (32 of 101) of patients transitioned out of the board-and-care home within six months.
    • Key predictors for moving on included shorter residency (≤12 months), age under 30, expressed goals for change, and prior year hospitalization.
    • Repeated independent living attempts were linked to desires for autonomy and mastery, and resistance to dependency.

    Conclusions:

    • The psychiatric patient population in board-and-care homes is dynamic, not static.
    • Patient transitions are influenced by individual factors, motivations for autonomy, and external support systems.
    • Ambivalence and the need for respite among residents and families contribute to residential mobility patterns.

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