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Deinstitutionalization: who is left behind?

R A Dorwart

    Hospital & Community Psychiatry
    |May 1, 1980
    PubMed
    Summary
    This summary is machine-generated.

    Patients remaining in Massachusetts state hospitals after deinstitutionalization required high care levels, lacked social support, or were acutely psychotic or dangerous. Understanding these individuals is crucial for effective treatment and community program planning.

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    Area of Science:

    • Psychiatry
    • Public Health
    • Health Services Research

    Background:

    • Massachusetts implemented a large-scale deinstitutionalization program for state mental health facilities.
    • The study examines the characteristics of patients remaining in a state hospital after this program was well underway.

    Purpose of the Study:

    • To characterize the demographic and clinical profiles of patients remaining in a Massachusetts state hospital in March 1977.
    • To compare this patient cohort with those in other state hospitals nationally and within Massachusetts.
    • To inform treatment strategies for state hospital staff and planning for community-based mental health services.

    Main Methods:

    • A cross-sectional study was conducted on 137 patients in one Massachusetts state hospital.
    • Data collection focused on demographic and clinical characteristics.

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    Main Results:

    • Patients remaining in the hospital exhibited a high need for care.
    • These individuals often lacked social relationships.
    • Acutely psychotic or dangerous behaviors were common among the remaining patient population.

    Conclusions:

    • The study identifies a vulnerable patient group with complex needs remaining in state hospitals.
    • Findings underscore the necessity of understanding the "left behind" population for clinical care and policy development.
    • The characteristics of these patients highlight ongoing challenges in mental healthcare provision and community integration.