A Follow-Up Study on some Schizophrenic Patients

1965 ◽  
Vol 111 (476) ◽  
pp. 617-624 ◽  
Author(s):  
J. T. Leyberg
Keyword(s):  
Large Degree ◽  
Research Unit ◽  
Community Services ◽  
Chronic Patients ◽  
Admission Rates ◽  
The Social ◽  
Schizophrenic Patients ◽  
Effective Community ◽  
The Impact

What happens to schizophrenics after their discharge to the community has been a subject of several recent studies. Most of this work is from the Social Psychiatry Research Unit at the Maudsley Hospital and deals with prospects of rehabilitation and resettlement, morbidity in the community, and the impact which these patients have on their families. Earlier follow-up studies of chronic patients who left certain London hospitals between 1949 and 1956 point to a satisfactory resettlement in two-thirds of cases (Brown et al., 1958). In more recent papers rather cautious conclusions were drawn, especially where morbidity in the community and not just lengths of hospital stay and re-admission rates were ascertained (Wing, 1963; Wing et al., 1964). Whilst the time spent in hospital by schizophrenics is now much shorter, re-admission rates continue to rise, and according to Wing “… in the absence of effective community services the policy of early discharges is based to a large degree on the willingness of relatives to attempt the role of nurse and put up with considerable discomfort and distress”. Furthermore, with existing services so different in various parts of the country, no reliable data exist which would indicate to what extent a fully developed community service could prevent morbidity of discharged schizophrenics. What is needed, according to Wing, would be a combination of the Nottingham community services, the Worthing day-centre and industrial workshops on the Bristol pattern.

scholarly journals SOCIAL SKILL TRAINING PADA PENYANDANG SKIZOFRENIA

2013 ◽  
Vol 2 (3) ◽  
Author(s):  
Anita E. Dundu
Keyword(s):  
Social Skill ◽  
Skill Training ◽  
Key Words Schizophrenia ◽  
Social Skill Training ◽  
Psychotic Symptoms ◽  
Social Rehabilitation ◽  
The Social ◽  
Schizophrenic Patients ◽  
The Impact

Abstract: Besides psychotic symptoms, schizophrenic patients also show alterations in cognitive function, verbal information, and emotional response, due to disturbances of interpersonal interaction. The impact of all of these is the disturbance in social function. Treatment of schizophrenic patients with psychopharmacotherapy can only suppress the symptoms, but it can not overcome the functional deficit. For this reason, combination of psychopharmacotherapy, psychotherapy, and social rehabilitationin is introduced to obtain a better result in schizophrenic management. Social skill training is a part of the social rehabilitation that is very useful in improving the patients’ quality of life in preparing them to be functional in their society. Key words: schizophrenia, social rehabilitation, social skill training.  Abstrak: Pada penyandang skizofrenia selain gejala-gejala psikotik juga terdapat perubahan dalam fungsi kognisi, informasi verbal dan respon emosi akibat terganggunya interaksi interpersonal, yang berdampak gangguan dalam fungsi sosial. Pengobatan skizofrenia dengan menggunakan psikofarmaka hanya dapat menekan gejala-gejala penyakit ini tetapi tidak dapat mengatasi defisit fungsional. Untuk hal ini, pada pengobatan skizofrenia terkini digunakan kombinasi psikofarmaka, psikoterapi dan rehabilitasi sosial. Social skill training merupakan salah satu bagian dari rehabilitasi sosial yang bermanfaat meningkatkan kwalitas hidup dalam mempersiapkan penyandang skizofrenia  untuk dapat berfungsi kembali dalam masyarakat. Kata kunci: skizofrenia, rehabilitasi sosial, social skill training.

The Expectation of Outcome from Maintenance Therapy in Chronic Schizophrenic Patients

1976 ◽  
Vol 128 (3) ◽  
pp. 246-250 ◽  
Author(s):  
D. A. W. Johnson
Keyword(s):  
Maintenance Therapy ◽  
Patient Population ◽  
Significant Proportion ◽  
Community Services ◽  
Neuroleptic Drugs ◽  
Follow Up Study ◽  
High Incidence ◽  
Schizophrenic Patients ◽  
Long Acting

SummaryThe results from a prospective follow-up study of a group of schizophrenic patients suggest that a significant proportion (41 per cent) are likely to relapse during a two-year period despite the prescription of long-acting injectable neuroleptic drugs. Some will relapse because of a failure of the regime, but others (32–37 per cent) because the pharmacological protection of these drugs would appear to be less effective in certain patients. Even with the major advantages of the long-acting injectable neuroleptics over oral medication, the schizophrenic patient population remains a group with a high incidence of psychiatric and social morbidity which continues to require the full resources of both the hospital and community services.

scholarly journals 48 Specialist Physiotherapist Leading in the Frailty Revolution in Ambulatory Emergency Care at the John Radcliffe Hospital, Oxford

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i14-i17
Author(s):  
B Greensitt
Keyword(s):  
Support Services ◽  
Community Support ◽  
Training Programme ◽  
Community Services ◽  
Ambulatory Setting ◽  
Admission Rates ◽  
John Radcliffe Hospital ◽  
Bed Days ◽  
The Impact ◽  
Therapy Intervention

Abstract Background The Ambulatory Assessment Unit (AAU) at the John Radcliffe Hospital aims to provide excellent care for complex patients with varying range of medical presentations. It sees over 50% of the acute take in operational hours, with over 40% of AAU patients over the age of 70. Staff feedback consistently identified a suboptimal service provided to the frail group within this patient cohort. A dedicated physiotherapist specialising in older people living with frailty joined the team in October 2018 to address this. Aims Early identification of patients with frailty attending the unit Improve staff understanding of frailty to enhance patient care Assess patients to either enable a patient to return home safely or support ambulatory pathway Refer to community services that can support the patient and enable them to live well after hospital attendance Review the impact of the specialist physiotherapist’s role Methods Introduction of frailty identification as per frailty team guidance Frailty questionnaire to ascertain baseline understanding and learning needs to develop staff training Assess patients using a Comprehensive Geriatric Assessment Raise staff and patient awareness of community support services available within the community Data collection to review interventions taken, bed days saved and re-attendance rates Results 129 new patients were seen in a 4-month period. 85% returned home the same day; 64% had their ambulatory pathway supported with therapy intervention and 21% had an acute admission avoided directly due to therapy. 15% were admitted to an acute bed for safety 60% of patients were referred to community services and 50% were signposted to a range of community and support services The re-admission rates for therapy related reasons within 7 days and 30 days were 0% and 4% respectively. 38 bed days were saved with a calculated cost saving of £15,162 Future service delivery and conclusions There is ongoing work to obtain patient experience data for those who had their admission avoided directly due to therapy intervention. A training programme on frailty for all members of the MDT is to be developed. A dedicated therapy service in an ambulatory setting has a role in ensuring that patients’ needs are met in the most appropriate place and enhances their quality of life after hospital attendance.

Cognitive deficit and the prediction of rehabilitation success in a chronic psychiatric group

1992 ◽  
Vol 22 (2) ◽  
pp. 389-398 ◽  
Author(s):  
Til Wykes ◽  
Graham Dunn
Keyword(s):  
Reaction Time ◽  
Service Use ◽  
Time Variable ◽  
Chronic Patients ◽  
Schizophrenic Patients ◽  
Processing Measure ◽  
Schizophrenic Group ◽  
Predicting Outcome ◽  
Behavioural Factors

SYNOPSISThis paper describes the second stage (years 4, 5 and 6) of a prospective follow-up of a sample of chronic patients which was designed to investigate the in service use. It also tested the relative predictive power of variables which included demographic, symptomatic and behavioural factors as well as a novel reaction time variable which reflects response processing time.During the six years of the study 91% of the patients in the sample changed either the degree of their day and/or night care. Many moved to more independence but, a number did also become more dependent on psychiatric services. There were no differences in outcome between a schizophrenic group and patients with other diagnoses. These results suggest a level of flexibility in outcome even in a severely disabled chronic group.The main predictor of future service use at each stage of the follow-up for the whole group was chronicity at entry to the study. But, when the group was divided into schizophrenic patients and ‘others’, the response processing measure was a significant predictor of service use in the schizophrenic group and accounted for between 17% and 30% of the variance. For the ‘other’ diagnostic group, the age of the patient seemed to be the major determinant of care.The reaction time variable seems to be an extra class correlate of a strict diagnosis of schizophrenia. It may also be a stable or episodic vulnerability factor, but as well as these promising hypotheses, which have yet to be justified, this measure does seem to have pragmatic value in predicting outcome in a rehabilitation network.

A Live Simulation-Based Investigation: Interactions with Clients and Their Effect on Audit Judgment and Professional Skepticism

2017 ◽  
Vol 37 (3) ◽  
pp. 145-162 ◽  
Author(s):  
Jared Eutsler ◽  
Anne E. Norris ◽  
Gregory M. Trompeter
Keyword(s):  
Social Relationships ◽  
Psychology Research ◽  
Professional Skepticism ◽  
Audit Judgment ◽  
The Social ◽  
Simulation Based ◽  
Construct Accessibility ◽  
The Impact

SUMMARY Threats to professional skepticism are embedded in the social relationships and interactions between auditors and management. These can affect auditor skepticism and the extent of audit procedures performed. In this study, we conduct an experiment using live simulation to create a realistic audit setting to investigate the effect of these interactions on professional skepticism. Each participant (n = 49) completed a measure of trait skepticism and conducted an audit interview with a professional actor trained to play the role of a client controller. Findings indicate that, in general, participants who interview a friendly controller (rather than an intimidating controller) are less likely to determine questionable cash disbursements to be control exceptions and less likely to recommend more intensive follow-up. However, consistent with social psychology research on construct accessibility, planned contrasts indicate that participants who score low on trait skepticism are least likely to identify control exceptions and recommend more intensive follow-up when interviewing a friendly controller. This study advances research on professional skepticism by examining the impact that type of social interaction (friendly, intimidating) has on professional skepticism using a methodology (live simulation) that allows us to simulate a realistic audit environment. Use of this methodology increases external validity and generalizability of our findings. As a result, this study corroborates concerns that the social relationships/interactions between management and the auditor can be a threat to professional skepticism, and allows us to understand better how, when, and where these threats occur.

The Effects that Patients Have on their Families in a Community Care and a Control Psychiatric Service—A Two Year Follow-up

1968 ◽  
Vol 114 (508) ◽  
pp. 265-278 ◽  
Author(s):  
Jacqueline Grad ◽  
Peter Sainsbury
Keyword(s):  
Mentally Ill ◽  
Community Care ◽  
Care Service ◽  
Psychiatric Service ◽  
Research Unit ◽  
Admission Rates ◽  
Community Psychiatric ◽  
Community Psychiatric Service ◽  
Made In

The effects that mentally ill people have on their families have been more commented upon than studied. The currently favoured practice of community care has increased the need for a systematic attempt to evaluate the families' problems, and an opportunity to do this occurred when a community psychiatric service was introduced in Chichester in 1958, while the neighbouring Salisbury district continued with a conventional hospital-based service. The Medical Research Council's Clinical Psychiatry Research Unit has been evaluating the new service to find out how it affects referral and admission rates; how it influences social and clinical outcome, and the effect it has on the community itself. As the patient's family is the sector of the community most closely concerned in any extension of the extra-mural care of patients, we began by assessing the effects on them. The present paper therefore describes the assessments we made of the burden the patients' families carried in the Chichester Community Care Service and compares their burden with that experienced by families in Salisbury, where admission to hospital was more commonly practised. The comparison is made in terms of the relief that was afforded the two groups of families over a period of two years.

scholarly journals Postponing Pregnancy Through Oocyte Cryopreservation for Social Reasons: Considerations Regarding Clinical Practice and the Socio-Psychological and Bioethical Issues Involved

Medicina ◽  
2018 ◽  
Vol 54 (5) ◽  
pp. 76 ◽  
Author(s):  
Mara Simopoulou ◽  
Konstantinos Sfakianoudis ◽  
Panagiotis Bakas ◽  
Polina Giannelou ◽  
Christina Papapetrou ◽  
...  
Keyword(s):  
Reproductive Age ◽  
Future Expectations ◽  
The Social ◽  
Wide Range ◽  
Bioethical Issues ◽  
The Moment ◽  
The Impact ◽  
Complex Matter ◽  
Oocyte Freezing

Oocyte freezing for ‘social reasons’ refers to women of reproductive age who are aiming to prolong, protect and secure their fertility. The term emerged to describe application of the highly promising technique, namely vitrification on oocytes retrieved through controlled ovarian stimulation (COS) from women intending to preserve their fertility for social reasons. These women opt to cryopreserve their oocytes at a point in their life when they need to postpone childbearing on the grounds of so called ‘social’ reasons. These reasons may include a highly driven career, absence of an adequate partner, financial instability, or personal reasons that make them feel unprepared for motherhood. This is a sensitive and multifaceted issue that entails medical, bioethical and socio-psychological components. The latest trend and the apparent increase noted on oocyte freezing for ‘social reasons’ has prompted our team of fertility specialists, embryologists, obstetricians, gynecologists and psychologists to proceed with a thorough, critical and all-inclusive comprehensive analysis. The wide range of findings of this analysis involve concerns of embryology and epigenetics that shape decisions made in the IVF laboratory, issues regarding obstetric and perinatal concerns on the pregnancy concluding from these oocytes and the respective delivery management and neonatal data, to the social and bioethical impact of this trend’s application. This literature review refers to matters rising from the moment the ‘idea’ of this option is ‘birthed’ in a woman’s thoughts, to proceeding and executing it clinically, up until the point of the pediatric follow up of the children born. We aim to shed light to the controversial issue of oocyte freezing, while objectively exhibit all aspects regarding this complex matter, as well as to respectfully approach how could the prospect of our future expectations be shaped from the impact of its application.

The impact of therapeutic relatives’ groups on the course of illness of schizophrenic patients

1995 ◽  
Vol 10 (1) ◽  
pp. 17-27 ◽  
Author(s):  
G Buchkremer ◽  
H Schulze Mönking ◽  
R Holle ◽  
WP Hornung
Keyword(s):  
Control Group ◽  
Course Of Illness ◽  
Self Help ◽  
Before And After ◽  
Schizophrenic Patients ◽  
Clinically Significant ◽  
Self Help Groups ◽  
The Impact ◽  
Relapse Rates

SummaryThis study considers the question of whether relapse rates among schizophrenic patients can be reduced by means of relatives' groups. In a randomized, controlled intervention study, two therapeutic strategies (therapeutic relatives' groups, initiated relatives' self-help groups) were compared with each other and with a control group. Interventions were confined to the relatives, with the patients continuing their standard treatment. The study involved 151 relatives of 99 chronic DSMIII schizophrenics. Data were collected before and after a 1-year intervention phase and in a 2-year follow-up. No difference existed between the groups with respect to rehospitalization data. However, numerous differences recorded in the psychopathological findings and in living and working circumstances suggest that therapeutic work with relatives is of clinically significant benefit.

Schizophrenic Patients Discharged from Hospital—A Follow-up Study

1984 ◽  
Vol 145 (6) ◽  
pp. 586-590 ◽  
Author(s):  
Eve C. Johnstone ◽  
David G. C. Owens ◽  
Aviva Gold ◽  
Timothy J. Crow ◽  
J. Fiona Macmillan
Keyword(s):  
Social Services ◽  
Hospital Care ◽  
Mental Hospital ◽  
Mental States ◽  
Community Services ◽  
Follow Up Study ◽  
Financial Difficulties ◽  
Schizophrenic Patients ◽  
Psychotic Features

SummaryA cohort of 120 patients, comprising all those who met the St Louis criteria for a diagnosis of schizophrenia, discharged from a mental hospital over a five-year period, were followed-up in the community after an interval of five to nine years; 105 were traced and 94 were alive. Of those, 66 were living in UK, out of hospital, and willing to be seen. Their mental states, and social functioning and circumstances were assessed by interview with the patients and those with whom they lived; 18% had recovered to the extent that they had no significant symptoms and appeared to function satisfactorily. More than 50% had definite psychotic features. No patients and few relatives sought a return to hospital care, but severe emotional, social, and financial difficulties were commonplace; 27% of the sample had no contact with medical or social services, a further 14% saw only community nurses, and 24% only their general practitioners. The findings emphasise the limitations of community services in dealing with the chronicity and severity of the impairments resulting from schizophrenic illness.

Social Capital and Entrepreneurial Performance in Russia: A Longitudinal Study

2003 ◽  
Vol 24 (4) ◽  
pp. 535-556 ◽  
Author(s):  
Bat Batjargal
Keyword(s):  
Social Capital ◽  
Firm Performance ◽  
Social Embeddedness ◽  
Face To Face ◽  
Structural Embeddedness ◽  
The Social ◽  
Relational Embeddedness ◽  
Soviet Russia ◽  
The Impact

Drawing on the social embeddedness perspective, this article examines the impact of entrepreneurs' social capital on their firm performance in post-Soviet Russia. Based on face-to-face interviews with 75 Russian entrepreneurs in 1995 and follow-up interviews in 1999, the study examines effects of structural embeddedness, relational embeddedness and resource embeddedness on firm performance. The main finding is that relational embeddedness and resource embeddedness have direct positive impacts on firm performance, whereas structural embeddedness has no direct impacts on performance.

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