Mentoring, work-based and community placement support

2013 ◽  
pp. 71-84
Keyword(s):  
Community Placement

Planning for Community Care

1991 ◽  
Vol 158 (2) ◽  
pp. 190-196 ◽  
Author(s):  
P. Clifford ◽  
A. Charman ◽  
Y. Webb ◽  
S. Best
Keyword(s):  
Community Care ◽  
Usual Definition ◽  
Community Placement ◽  
Number Of Patients ◽  
Diagnosis Of Dementia

Using the Community Placement Questionnaire, the long-stay populations of five hospitals were surveyed. The results suggest that there is little need for large hospitals if adequate community provision is made. However, a small number of patients continue to accumulate for whom community placement is hard to envisage. Investigating the characteristics of the ‘new long-stay’ patients suggests that the usual definition should be extended to include those over 65 years old with no diagnosis of dementia and those in hospital for 1–10 years. About 20% of ‘new long-stay’ patients have organic diagnoses and the needs of this group require assessment.

A National Audit of New Long-Stay Psychiatric Patients

1994 ◽  
Vol 165 (2) ◽  
pp. 170-178 ◽  
Author(s):  
Paul Lelliott ◽  
John Wing
Keyword(s):  
Northern Ireland ◽  
Psychiatric Patients ◽  
Hospital Setting ◽  
Residential Setting ◽  
National Audit ◽  
Community Based ◽  
Community Placement ◽  
Lengths Of Stay ◽  
Psychiatric Beds ◽  
Rate Of Accumulation

Background.This second report of a national audit of new long-stay (NLS) psychiatric patients describes the services caring for the patients and the reasons why patients were still in hospital.Method.Data analyses addressed the prevalence of NLS patients, the residential resources available to services, the distributions of patients within services, clinicians' views as to the appropriateness of current placement and the reasons for any inappropriate placements.Results.The average point prevalence was 6.1 per 100 000 population; it was significantly lower in England and Wales (5.6, s.d. = 3.2) than in Scotland and Northern Ireland (10.7, s.d. = 6.4, ANOVA F ratio = 10.9, P < 0.01). The estimated rate of accumulation was 1.3 per 100 000 population per year. Many English services had very few non-acute psychiatric beds and 31 % of English NLS patients, despite their protracted lengths of stay, were housed on acute wards. Assessors thought that 61 % of patients would be better placed in a non-hospital setting; 47% were thought to require a community-based residential setting, and of these over one-half were still in hospital because no suitable community placement was available.Conclusions.Many NLS patients remain in hospital because their residential needs are not met by existing community provision.

Predicting Rehospitalization from Community Placement

1971 ◽  
Vol 29 (2) ◽  
pp. 475-478 ◽  
Author(s):  
George Johnson ◽  
Jack Fox ◽  
Halmuth H. Schaefer ◽  
Wesley Ishikawa
Keyword(s):  
Minnesota Multiphasic Personality Inventory ◽  
Family Care ◽  
Personality Inventory ◽  
Care Homes ◽  
Community Placement ◽  
Community Residence ◽  
Board And Care ◽  
Length Of Hospitalization

120 patients were given the Minnesota Multiphasic Personality Inventory (MMPI) prior to placement in family care and in board and care homes. After 1 yr., 20 patients had been rehospitalized. Another group of 20 patients was randomly selected from those who had not been rehospitalized during the year. The 2 groups were compared on various MMPI scales and with respect to age, sex, length of hospitalization, and type of placement to which they were sent. Type of placement was a significant factor in length of patient community residence.

Difficult to place patients in a psychiatric hospital closure programme: the TAPS project 24

1996 ◽  
Vol 26 (4) ◽  
pp. 765-774 ◽  
Author(s):  
Noam Trieman ◽  
Julian Leff
Keyword(s):  
Sexual Behaviour ◽  
Mental State ◽  
Final Stage ◽  
Community Setting ◽  
Younger Patients ◽  
Core Group ◽  
Community Placement ◽  
Problem Behaviours ◽  
Hospital Closure

SynopsisA group of 72 long-term patients, who were retained in Friern Hospital until the final stage of its closure programme, underwent a comprehensive psychiatric and social assessment shortly before moving to other hospitals. These patients were then compared with the rest of the long-stay patients who were considered suitable for community placement.The residual group consisted of younger patients with shorter duration of stay, compared with the rest of the hospital population. Although not excessively disabled functionally or physically, the residual patients were slightly more disturbed in mental state in comparison with the rest, with notably higher levels of subjective anxiety.A range of 13 problem behaviours were designated by staff as a direct impediment to placing a patient in a community setting. Most common problem areas were aggressiveness, non-compliance with medication and inappropriate sexual behaviour. Fourteen per cent of the residual group had none of these special problems. Some other patients have remained in hospital solely because they refused to leave.It is argued that a distinction should be made between the residual patients who were actually transferred to other hospitals, and a core group of extremely disturbed patients for whom further hospitalization is likely to be the only alternative.

Community Placement of Long-Stay Psychiatric Patients in Northern Finland

2000 ◽  
Vol 51 (3) ◽  
pp. 383-385 ◽  
Author(s):  
Sami Räsänen ◽  
Helinä Hakko ◽  
Anne Herva ◽  
Matti Isohanni ◽  
Pentti Nieminen ◽  
...  
Keyword(s):  
Psychiatric Patients ◽  
Community Placement
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