Abstract
The subjects in this study were 129 patients released within a 2-year period from a large state hospital to a three-county area. Patient information on demographic, inhospital, and posthospital variables and the extent of participation in an aftercare program was collected from existing records. The relationship between the community support system available to the patient and recidivism was determined. Three criteria of recidivism were used: readmission within 1 year following discharge, number of days in the community within 1 year following discharge, and number of days to first readmission. No single predictor was adequate in predicting hospital readmission. When the effects of confounding variables were eliminated using multiple-regression techniques, the amount of aftercare received was an important factor in predicting recidivism. However, current situational factors appeared to be more important predictors of recidivism than receipt of aftercare services.
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Anthony, W. A., & Buell, G. J. Psychiatric aftercare clinic effectiveness as a function of patient demographic characteristics.Journal of Consulting and Clinical Psychology, 1973,41, 116–119.
Anthony, W. A., Buell, G. J., Sharratt, S., & Althoff, M. E. Efficacy of psychiatric rehabilitation.Psychological Bulletin, 1972,78, 447–456.
Barr, A. J., & Goodnight, J. H. Statistical Analysis System. In J. Service,User's Guide. Raleigh: Student Supply Stores, North Carolina State University, 1972.
Beard, J. H., Pitt, R. B., Fisher, S. H., & Goertzel, V. Evaluating the effectiveness of a psychiatric rehabilitation program.American Journal of Orthopsychiatry, 1963,33, 701–712.
Brown, G. W., Carstairs, G. M., & Topping, G. Posthospital adjustment of chronic mental patients.Lancet, 1959,2, 685–689.
Byers, E. S., Cohen, S. H., & Harshbarger, D.Deinstitutionalization: The contribution of aftercare services. Paper presented at the meeting of the American Psychological Association, Washington, D.C., September 1976.
Byers, E. S., & Harshbarger, D.State mental hospital recidivism and the development of community services. Paper presented at the meeting of the Southeastern Psychological Association, Atlanta, March 1975.
Claghorn, J. L., & Kinross-Wright, J. Reduction in hospitalization of schizophrenics.American Journal of Psychiatry, 1971,128, 344–347.
Cropley, A. J., & Grazen, A. Some data concerning readmission of discharged schizophrenic patients.British Journal of Social and Clinical Psychology, 1969,8, 286–289.
Cuskey, W. R. Pre-hospital social and cultural factors as predictors of post-mental hospital experience.Dissertation Abstracts International, 1969,29 (12-A), 4571.
Fairweather, G. W., Sanders, D. H., Maynard, H., Cressler, D. L., & Bleck, D. S.Community life for the mentally ill. Chicago: Aldine, 1969.
Gocka, E. F. Stepwise regression for mixed mode predictor variables.Educational and Psychological Measurement, 1973,33, 319–325.
Johnson, G., Fox, J., Schaefer, H. H., & Ishikawa, W. Predicting rehospitalization from community placement.Psychological Reports, 1971,29, 475–478.
Lorei, T. W. Prediction of community stay and employment for released psychiatric patients.Journal of Consulting Psychology, 1967,31, 349–353.
Lorei, T. W., & Gurel, L. Use of biographical inventory to predict schizophrenic's post-hospital employment and readmission.Journal of Consulting and Clinical Psychology, 1972,38, 238–243.
Pishkin, V., & Bradshaw, F. J. Predictors of response to trial visit in a neuropsychiatric population.Journal of Clinical Psychology, 1960,16, 85–88.
Ruth, G. A. The relevance of certain variables operative or nonoperative in recidivism.Dissertation Abstracts International, 1971,31, 7610–7611.
Service, J.A user's guide to the statistical analysis system. Raleigh: Student Supply Stores, North Carolina University, 1972.
Sheldon, A. An evaluation of psychiatric aftercare.British Journal of Psychiatry, 1964,110, 662–667.
Vitale, J. H., & Steinbach, M. The prevention of relapse in chronic mental patients.International Journal of Social Psychiatry, 1965,11, 85–95.
Zolik, E. S., Lantz, E. M., & Sommers, R. Hospital return rates and pre-release referrals.Archives of General Psychiatry, 1968,18, 712–717.
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This article is based on a thesis submitted by Ms. Byers in partial fulfillment of the degree of master of arts. The study was supported in part by Canada Council Graduate Fellowship W74-1845 to Ms. Byers. The authors wish to express their appreciation to Joseph Panepinto and Eugene Quarrick for their efforts in facilitating data collection, and to the staff members at Valley Community Mental Health Center and Weston State Hospital who provided much necessary information. A special note of thanks to Nancy Datan for her cogent comments on earlier versions of this manuscript.
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Byers, E.S., Cohen, S. & Harshbarger, D.D. Impact of aftercare services on recidivism of mental hospital patients. Community Ment Health J 14, 26–34 (1978). https://doi.org/10.1007/BF00781308
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DOI: https://doi.org/10.1007/BF00781308