Conclusion
If community based care is to remain the treatment of choice for the severely mentally ill, then acceptable, affordable, and accessible respite care must be available for the families who assume significant responsibility for their loved one's care.
Based on what families are asking for, a clear mandate exists for communities to develop and implement some type of a respite care services. There is a substantial array of program models and service delivery mechanisms, as demonstrated by this paper. It is hoped that the community of professionals and families around the country will seize the initiative for the development of such programs, into the 1990's and beyond.
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References
Anderson, C.M., Reiss, D.J., & Hogarty, G.E. (1986).Schizophrenia and the family. New York: Guilford Press.
Anthony, W.A., Cohen, M.R., & Cohen, B.F. (1984). Psychiatric rehabilitation. In J.A. Talbott (Ed.),The chronic mental patient: Five years later, (Chapter 10): Orlando Grune & Stratton.
Arce, A.A., & Vergare, M. (1985, September). An overview of community residences as alternatives to hospitalization.Psychiatric Clinics of North America, 8(3), 423–436.
Bader, J.E. (1985, Summer/Fall). Respite care: Temporary relief for caregivers.Women and health, 10(2–3), 39–52.
Barton, W.E. (Summer/Fall 1983). The place, if any, of the mental hospital in the community mental health care system.Psychiatric Quarterly, 55(2–3), 146–155.
Berheim, K.F., & Lehman, A.F. (1985).Working with families of the mentally ill. New York: W.W. Norton.
Carling, P.J. (1984), October).Developing family foster care programs in mental health: A resource guide. Proceedings of the National Institute of Mental Health Workshop on Family Foster Care for “Chronic Mentally Ill” Persons, Rockville, Maryland, NIMH.
Carter, G. (1984). Why are the mentally handicapped admitted to hospitals?British Journal of Psychiatry, 145, 283–288.
Clayton, D. (1985, January 1). Community efforts help Alzheimer's victims.Canadian Medical Association Journal, 132, 68–69.
Clough, N. (1984), December). A short answer to long-term care.Nursing Times, 40–42.
Cohen, S., & Warren, R. (1985).Respite care: Principles, programs, and policies. Austin: Pro-Ed, Inc.
Falloon, I., Boyd, J.L., & McGill, C.W. (1984).Family care of schizophrenia. New York: Guilford Press.
Gallagher, D.E. (1985). Intervention strategies to assist caregivers of frail elders: Current research status and future research directions.Annual Review of Gerontology and Geriatrics, 5, 249–282.
Group for Advancement of Psychiatry, Committee on Psychiatry and the Community. (1986).Family affairs: Helping families cope wïth mental illness. New York: Brunner/Mazel Publishers.
Halpern, P.L. (1985, Spring). Respite care and family functioning in families with retarded children.Health and Social Work, 10(2), 138–150.
Hamrick, K. & Blazer, D. (1980, May). Older adults and their families in a community mental health center: Strategies for intervention.Hospital and Community Psychiatry, 31(5), 332–335.
Hatfield, A.B. (1979). Help-seeking behavior in families of schizophrenics.American Journal of Community Psychology, 7, 563–569.
Hatfield, A.B. (1984). The family. In: J.A. Talbott (Ed.),The chronic mental patient: Five years later, (Chapter 21) (pp. 307–323). Orlando: Grune and Stratton.
Hatfield, A.F., Fierstein, R., & Johnson, D.M. (1982, July). Meeting the needs of families of the psychiatrically disabled.Psychosocial Rehabilitation Journal, 6(2), 27–40.
Holden, D.F., & Lewing, R.R.J. (1982). How families evaluate mental health professionals, resources, and effects of illness.Schizophrenia Bulletin, 3(4), 626–633.
Intagliata, J., Willer, B., & Egri, G. (1986). Role of the family in case management of the mentally ill.Schizophrenia Bulletin, 12(4), 699–708.
Lakin, K.C., Greenberg, J.N., Schmitz, M.P., & Hill, B.K. (1984). A comparison of Medicaid waiver applications for populations that are mentally retarded and elderly/disabled.Mental Retardation, 22(4), 182–192.
Lamb, H.R. (1980, February). Board-and-care home wanderes.Archives of General Psychiatry, 37, 135–137.
Lamb, H.R. (1982).Treating the long-term mentally ill. San Francisco: Jossey-Bass.
Levy, J.M., & Levy, P.H. (1986). Issues and models for delivering respite services. In C.L. Salisbury & J. Intagliata (Eds.),Respite care: Support for persons with developmental disabilities and their families. Baltimore: Paul H. Brookes Publishing.
Mendel, W.M. (1979). Staff burnout: Diagnosis, treatment and prevention. In L.I. Stein (Ed.),New directions for mental health services: Community support systems for the long term patient (No. 2) (pp. 75–83). San Francisco: Jossey-Bass.
Mendel, W.M., Houle, J., & Osman, S. (1979). Mainstreaming: An approach to the treatment of chronically and severely mentally ill patients in the community.Hillside Journal of Clinical Psychiatry, 2(1), 95–128.
National Institute of Mental Health. (1983).NIMH definition and guiding principles for community support systems (CSSs). Rockville, MD.
Pepper, B., & Ryglewicz, H. (1984). Treating the young adult chronic patient: An update. In B. Pepper & H. Ryglewicz (Eds.),New directions for mental health services (No. 21) (pp. 5–15). San Francisco: Jossey-Bass.
Salisbury, C.L., & Intagliata, J. (Eds.), (1986).Respite care: Support for persons with developmental disabilities and their families. Baltimore: Paul H. Brookes Publishing.
Scott, J.P., Roberto, K.A., & Hutton, J.T. (May, 1986). Families of Alzheimers victims: Family support to the caregivers.Journal of the American Geriatrics Society, 34(5), 348–354.
Skirboll, B.W., & Panelsky, P.K. (1984, September). The Compeer Program: Volunteers as friends of the mentally ill.Hospital and Community Psychiatry, 35(9), 938–939.
Talbott, J.A. A special population: The elderly deinstitutionalized chronically mentally ill patient. (Summer/Fall, 1983).Psychiatric Quarterly, 55(2–3), 90–105.
Thompson, E.H., Jr., & Doll, W. (1982, July). The burden of families coping with the mentally ill: An invisible crisis.Family Relations, 31, 379–388.
Torrey, E.H. (1983).Surviving schizophrenia: A family manual. New York: Harper Colophon Books.
Walsh, M. (1985).Schizophrenia: Straight talk for families and friends. New York: William Morrow.
Warren, R., & Cohen, S. (1985, March–April). Respite care.Rehabilitation Literature, 46(3–4), 66–71.
Zirul, D.W., & Rapp, C.A. (1987, July). The design and use of respite care: An instructional module. Unpublished manuscript, The University of Kansas, School of Social Welfare, Lawrence, Kansas.
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This work was supported by the National Institute of Mental Health, Grant MH 18644-02.
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Zirul, D.W., Lieberman, A.A. & Rapp, C.A. Respite care for the chronically mentally ill: Focus for the 1990s. Community Ment Health J 25, 171–184 (1989). https://doi.org/10.1007/BF00754435
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DOI: https://doi.org/10.1007/BF00754435