Abstract：
:Little is known about the first patients who left hospital before and during the official implementation of the hospital discharge policy in Northern Ireland. This study describes patterns of residential provision for former long-stay patients (approximately two-thirds of whom had an ICD-9 diagnosis of schizophrenia) discharged from the six major psychiatric hospitals in Northern Ireland between 1987 and 1990 (n = 321). It also employs several instruments within a retrospective survey design to examine outcomes for a 35% sample of people (112/321) discharged between 1997 and 1990 and followed up in 1993. Almost two-thirds (61%) had been discharged to independent living or low-staffed statutory settings. None of the group was homeless, one person was in prison and three people had committed suicide during the first 2 years after discharged. Almost one-third had to be re-admitted at some stage during the 6-year period and 13% had died. 'Moderate' to 'major problems' with most daily living skills were reported for less than 25% of people, while 15% or less had problem behaviour. Approximately 90% or more were satisfied with most aspects of their new homes and most also reported feeling happier (77%), healthier (63%) and more independent (78%) since discharge. However, social, recreational and occupational opportunities were limited. Purchasers, providers and practitioners need to review ways in which former long-stay patients might be empowered to live more meaningful and integrated lives in the community, particularly as the current government strategy for health and social well-being (1997-2002) in Northern Ireland points to the closure of existing psychiatric hospitals.
journal_name
Soc Psychiatry Psychiatr Epidemioljournal_title
Social psychiatry and psychiatric epidemiologyauthors
Donnelly M,McGilloway S,Mays N,Perry S,Lavery Cdoi
10.1007/BF00789139subject
Has Abstractpub_date
1997-11-01 00:00:00pages
451-8issue
8eissn
0933-7954issn
1433-9285journal_volume
32pub_type
杂志文章abstract：OBJECTIVE:Previous epidemiological studies have revealed a high prevalence of mental disorders among primary care (PC) patients. However, most studies have methodological limitations (e.g. absence of structured clinical interviews, two-phase designs) that affect the generalizability of their results. The main objective...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-009-0056-y
更新日期：2010-02-01 00:00:00
abstract：INTRODUCTION:A long duration of untreated psychosis (DUP) is associated with a worse prognosis, an increased risk of suicide and may be linked to serious violence. Mental health laws that require patients to be dangerous to themselves or to others before they can receive involuntary psychiatric treatment may make it mo...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-007-0287-8
更新日期：2008-03-01 00:00:00
abstract：:It has been suggested that the short-term clinical outcome of schizophrenia may be better in developing than in industrialised countries. Little is known of the social outcome of the disorder in the medium term in developing societies. In a study of 120 clinically stable outpatients in a clinic in Nigeria, we examined...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 临床试验,杂志文章
doi：10.1007/s001270050126
更新日期：1999-03-01 00:00:00
abstract：BACKGROUND:The current debate on organisation of the mental health care raises a question whether to prioritise specialisation of clinical teams or personal continuity of care. The article explores the experiences of patients and clinicians regarding specialisation (SC) and personal continuity (PCC) of care in five Eur...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-019-01757-z
更新日期：2020-02-01 00:00:00
abstract：PURPOSE:The purpose of this study was to investigate the level of adherence to antipsychotic prescription medication in a well-defined homeless cohort over a 15-year period. We hypothesized that adherence would be well below the recommended threshold for clinical effectiveness (80 %), and that it would be strongly asso...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 临床试验,杂志文章
doi：10.1007/s00127-016-1259-7
更新日期：2016-12-01 00:00:00
abstract：PURPOSE:The Peters et al. Delusions Inventory (PDI) is a commonly used instrument to measure delusion proneness in the general population and includes dimensions that measure distress, preoccupation, and conviction of unusual beliefs. This self-report scale has already been translated into several languages. However, t...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-011-0428-y
更新日期：2012-08-01 00:00:00
abstract：PURPOSE:Self-harm patient management varies markedly between hospitals, with fourfold differences in the proportion of patients who are admitted to a medical or psychiatric inpatient bed. The current study aimed to investigate whether differences in admission practices are associated with patient outcomes (repeat self-...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-016-1247-y
更新日期：2016-11-01 00:00:00
abstract：:The aim of this study is the investigation of psychological discomforts in workers considered to be exposed to mental health risks. The subjects chosen were all young males, aged between twenty and twenty-nine, resident in the same geographical area for at least ten years and still living with their original family. T...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/BF00795212
更新日期：1991-08-01 00:00:00
abstract：:Children 7 to 12 years of age were asked to indicate events they had experienced in the previous three months in a questionnaire devised for the study. Most children were able to complete the questionnaire and reported positive and negative events, the most common themes being personal achievement, illness-related eve...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/BF00782882
更新日期：1990-11-01 00:00:00
abstract：BACKGROUND:Studying pathways to care, or contacts made during the period of time from the onset of illness until the first initiation of treatment, is critical for understanding how to improve the early recognition and treatment of mental disorders. However, little is known about pathways to care among patients with fi...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-006-0065-z
更新日期：2006-07-01 00:00:00
abstract：:The planning and organization of mental health care in developing countries frequently lacks empirical data. The World Health Organization recommended psychiatric brief inpatient programs in general hospitals for these countries as a cost-effective alternative to the traditional mental hospital. Length of hospital sta...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/BF00788761
更新日期：1992-05-01 00:00:00
abstract：OBJECTIVES:Most first episode psychosis (FEP) outcome studies are based on patient samples enrolled through an informed consent procedure, which may induce important biases. Our aim was to study the 18-month outcome of FEP in an epidemiological sample of patients treated at the Early Psychosis Prevention and Interventi...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-017-1388-7
更新日期：2017-09-01 00:00:00
abstract：PURPOSE:Community treatment orders (CTOs) are widely used internationally despite a lack of evidence supporting their effectiveness. Most effectiveness studies are relatively short (12-months or less) and focus on clinical symptoms and service data, while a little attention is given to patients' social outcomes and bro...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章,随机对照试验
doi：10.1007/s00127-017-1442-5
更新日期：2017-11-01 00:00:00
abstract：OBJECTIVE:Patient's language, tradition, conventions, and customs may all determine integration into a society and are also part of the doctor-patient relationship that influences diagnostic and therapeutic outcome. Language barrier and sociocultural disparity of Eastern and Southern European patients may hamper recove...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-009-0036-2
更新日期：2010-01-01 00:00:00
abstract：BACKGROUND:The diagnosis of schizophrenia by clinicians is not always accurate in terms of operational diagnostic criteria despite the fact that these diagnoses form the basis of case registers and routine statistics. This poses a challenge to psychiatric research. We studied the reasons for diagnostic discordance betw...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-003-0638-z
更新日期：2003-06-01 00:00:00
abstract：PURPOSE:People with mental illness face the dilemma whether or not to disclose their condition. We examined stigma variables and their relationship with comfort disclosing. METHODS:Comfort with disclosure, well-being, symptoms and aspects of experiencing and reacting to stigma were assessed among 202 individuals with ...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-014-0871-7
更新日期：2014-07-01 00:00:00
abstract：PURPOSE:"Associative stigma" is the negative stereotyping of mental health service providers who treat people with serious mental illness. The Clinician Associative Stigma Scale (CASS) has been validated in a US sample but not in other nations, e.g., in China which has been found to have substantially higher levels of ...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-018-1643-6
更新日期：2019-06-01 00:00:00
abstract：BACKGROUND:We investigated the 3-year prevalence, and the sociodemographic and clinical correlates of violent victimization in a large and unselected nationwide sample of deinstitutionalized patients with schizophrenia. METHODS:The sample comprised 670 schizophrenic patients aged 15-64 years, who had been discharged f...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-004-0805-x
更新日期：2004-08-01 00:00:00
abstract：PURPOSE:Epidemiological studies in the Netherlands have reported an excessive gender gap in the risk for non-affective psychotic disorder (NAPD) among immigrants from Morocco with a higher risk elevation in males compared to females. We examined the consistency of these findings and their generalizability to immigrants...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章,meta分析,评审
doi：10.1007/s00127-016-1261-0
更新日期：2016-12-01 00:00:00
abstract：BACKGROUND:In the last few years the international literature has shown an increasing attention for the work as life-event stressor, for its organizational characteristics as well as for job insecurity and interpersonal conflicts. METHODS:We have studied 707 subjects who approached the Work Psychopathology Medical Cen...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 临床试验,杂志文章
doi：10.1007/s00127-009-0155-9
更新日期：2010-11-01 00:00:00
abstract：BACKGROUND:Lack of consensus about the meaning of severe mental illness makes it difficult to prioritise the severely mentally ill for specialist mental health care. The goal of this study was to develop a valid and brief assessment of severity of mental illness. METHOD:Six search workshops (n = 57) using consensus te...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s001270050011
更新日期：2000-02-01 00:00:00
abstract：PURPOSE:Comorbid depression is common in adolescents with attention-deficit/hyperactivity disorder (ADHD). As yet, however, little is known about the factors associated with co-occurring depression in this population. To address this research gap, the current study examined the role of community violence exposure in th...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-019-01662-5
更新日期：2019-06-01 00:00:00
abstract：PURPOSE:The number of antidepressants prescribed in the UK has been increasing over the last 25 years; however, the reasons for this are not clear. This study examined trends in antidepressant prescribing in the UK between 1995 and 2011 according to age, sex, and drug class, and investigated reasons for the increase in...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-016-1306-4
更新日期：2017-02-01 00:00:00
abstract：BACKGROUND:Evaluation of symptom presentation and antipsychotic response based on ethnicity in children and adolescents with schizophrenia is limited. The purpose of this naturalistic, retrospective database study was to compare symptom presentation of children and adolescents of different ethnicities with schizophreni...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-006-0036-4
更新日期：2006-05-01 00:00:00
abstract：:A total of 728 patients admitted to the medical, gynaecological and surgical departments of one urban and one rural general hospital in Austria were investigated for psychiatric morbidity. Using the Clinical Interview Schedule and its case criteria, the prevalence of psychiatric morbidity was found to be highest in me...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/BF00785771
更新日期：1996-06-01 00:00:00
abstract：PURPOSE:European studies about ethnic inequalities in depressive symptoms are scarce, show inconclusive results and are complicated by the discussion of what constitute (im)migrant and ethnic minority groups. Moreover, comparisons across countries are hampered by a lack of comparable measures of depressive symptoms. Th...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-010-0321-0
更新日期：2012-01-01 00:00:00
abstract：:Expressed Emotion was measured in the staff of two similar hostels for the long term mentally ill in an Inner London Borough (Hostel A and Hostel B). Patients in the two hostels showed similar levels of disturbance as measured by the PSE and symptom and behaviour profile scores. Staff from Hostel B displayed higher le...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/BF00788954
更新日期：1992-01-01 00:00:00
abstract：BACKGROUND AND AIMS:Since de-institutionalisation, housing services have taken a central role in the care of patients with severe mental illness. Yet, little is known about the characteristics of patients in different housing services, what care they receive, and what costs are generated. This study aimed to assess pat...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-009-0001-0
更新日期：2009-10-01 00:00:00
abstract：BACKGROUND:Community violence exposure among youth can lead to various negative outcomes, including post-traumatic stress symptoms. Research in the Western world indicates that a number of social support factors may moderate the relation between violence exposure and internalizing symptoms. Little research has been car...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-009-0162-x
更新日期：2011-01-01 00:00:00
abstract：PURPOSE:Data on mental disorder prevalence and health service utilization required to inform healthcare management and planning are lacking in Hong Kong. The current study determined the prevalence of common mental disorders (CMD), and examined the patterns of mental health service utilization and associated factors. ...
journal_title：Social psychiatry and psychiatric epidemiology
pub_type： 杂志文章
doi：10.1007/s00127-015-1014-5
更新日期：2015-09-01 00:00:00
