Skip to main content
Log in

Predictors of self-sufficiency for the mentally ill in long-term care

  • Articles
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

A growing interest of mental health professionals is the community adjustment of former mental hospital patients. Recognition of the influence of environmental factors on adjustment has led to attempts to determine the specific environmental factors that are influential. The present study of 87 former mental hospital patients in long-term care indicates that the type of management practices used, together with the facility director's attitudes toward social services are major predictors of clients celf-sufficiency. Implications for administrators, staff and consultants to long-term care facilities are noted.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Altman, H. A collaborative approach to discharge planning for chronic mental patients.Hospital and Community Psychiatry, 1983,34, 7, 641–642.

    Google Scholar 

  • Andrews, F., Morgan, J., Sonquist, J., & Klem, L.Multiple classification analysis. 2nd ed. Ann Arbor: Institute for Social Research, 1973.

    Google Scholar 

  • Cumming, J. & Cumming, E.:Ego & milieu: Theory and practice of environmental therapy. New York: Atherton Press, 1963.

    Google Scholar 

  • David, T., Moos, R., & Kahn, J. Community integration among elderly residents of sheltered care settings.American Journal of Community Psychology, 1981,9, 5, 513–526.

    Google Scholar 

  • Endicott, J., Spitzer, R., Fleiss, J. & Cohen, J. The global assessment scale: A procedure for measuring overall severity of psychiatric disturbance.Archives of General Psychiatry, 1976,33, 766–771.

    Google Scholar 

  • Glazer, E., Sholomskas, D., Williams, N., & Weissman, M. Chronic schizophrenics in the community: Are they able to report their social adjustment?American Journal of Ortho Psychiatry, 1982,52, 1, 166–171.

    Google Scholar 

  • Goffman, E.Asylums. New York: Doubleday, 1961.

    Google Scholar 

  • Holland, T. Organizational structure and institutional care.Journal of Health and Social Behavior, 1973,14, 241–251.

    Google Scholar 

  • Hull, J.C. & Thompson, J.T. Factors which contribute to normalization in residential facilities for the mentally ill.Community Mental Health Journal, 1981a,17, 107–113.

    Google Scholar 

  • Johnson, G., Drake, M., Gantz, R. & Brown, T.An assessment of the community adjustment and service needs of former state hospital patients: A study of deinstitutionalization. Washington State Department of Social and Health Services, Olympia, WA, 1980.

    Google Scholar 

  • King, R. & Raynes, N. An operational measure of inmate management in residential institutions.Journal of Social Science and Medicine, 1968,2, 41–53.

    Google Scholar 

  • Kirk, R.Experimental design: Procedures for the behavioral sciences. Belmont, CA: Brooks/Cole, 1980.

    Google Scholar 

  • Kruzich, J. Community integration of the mentally ill in residential facilities.American Journal of Community Psychology, in press.

  • Lyle, J.G. The effect of an institution environment upon the verbal development of imbecile children.Journal of Mental Deficiency Research, 1959,3, 122–128.

    Google Scholar 

  • Minkoff, K. A map of the chronic mental patient. In J.A. Talbott (Ed.),The chronic mental patient: Problems, solutions and recommendations for a public policy (pp. 11–38). Washington, DC: American Psychiatric Association, 1978.

    Google Scholar 

  • Nie, Norman H., Hull, H., Jenkins, J., Steinbrenner, K., & Bent, D.Statistical Package for the Social Sciences. New York: McGraw-Hill, 1975.

    Google Scholar 

  • Paul, G.L. & Lentz, R.Psychosocial treatment of chronic mental patients. Cambridge: Harvard University Press, 1977.

    Google Scholar 

  • Raynes, N., Pratt, M. & Roses, S. Aides involvement in decision-making and quality of care in institutional settings.American Journal of Mental Deficiency, 1977,81, 570–577.

    Google Scholar 

  • Segal, S. & Moyles, E. Management style and institutional dependency in sheltered care.Social Psychiatry, 1979,14, 159–165.

    Google Scholar 

  • Segal, S. & Aviram, U.The mentally ill in community-based shelter care: A study of community care and social integration. New York: John Wiley & Sons, 1978.

    Google Scholar 

  • Smith, M. & Holland, T. Measurement of institutional resident management practices.Journal of Social Service Research, 1983,6, 17–30.

    Google Scholar 

  • Spitzer, R., Endicott, J., Fleiss, J. & Cohen, J. The psychiatric status schedule: A technique for evaluating psychopathology and impairment in role functioning.Archives of General Psychiatry, 1970,23, 41–55.

    Google Scholar 

  • Talbott, J. Deinstitutionalization: Avoiding the disasters of the past.Hospital and Community Psychiatry, 1979,30, 621–624.

    Google Scholar 

  • Tizard, B., Cooperman, O., Joseph, A., & Tizard, J. Environmental Effects on language development: A study of young children in long-stay residential nurseries.Child Development, 1972,43, 337–358.

    Google Scholar 

  • Velasquez, J.S. & McCubbin, H. Towards establishing the effectiveness of community-based residential treatment: Program evaluation by experimental research.Journal of Social Service Research, 1980,3, 337–359.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

This study was made possible through the cooperation of the Washington State Department of Health and Social Services, Office of Research, in sharing departmental data.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kruzich, J.M., Berg, W. Predictors of self-sufficiency for the mentally ill in long-term care. Community Ment Health J 21, 198–207 (1985). https://doi.org/10.1007/BF00754735

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00754735

Keywords

Navigation