Abstract
Comprehensive community follow-up programs may be considered essential in increasing the community adjustment of former psychiatric patients. Even intermittent hospitalization perpetuates dependency and hinders full rehabilitation in the community. Research findings are presented which indicate that subjects receiving post-hospital follow-up in the community show reduced hospital contact and recidivism and increased vocational success and satisfaction. Follow-up which offers moderate support and is distinct from the hospital, i.e., community-based, fosters the most independence and adjustment in its participants.
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Beard, J. N., Pitt, R. B., Fisher, S. H., & Goertzel, V. Evaluating the effectiveness of a psychiatric rehabilitation program.American Journal of Orthopsychiatry, 1963,33, 701, 712.
Dawis, R. V., England, G. W., & Lofquist, L. N. A theory of work adjustment.Minnesota studies in vocational rehabilitation, Bulletin 38,XV, January, 1964.
Forsyth, R. E., & Fairweather, G. W. Psychotherapeutic and other hospital treatment criteria: The dilemma.Journal of Abnormal and Social Psychology, 1961,63, 698–704.
Free, S., & Dodd, D. Aftercare for discharged mental patients. Paper presented at the Five-State Conference on Mental Health, Richmond, Va., November, 1961.
Friedman, I., Von Mering, O., &, Hinks, E. N. Intermittent patienthood.Archives of General Psychiatry, 1966,14, 386–392.
Gaviria, B., Lund, D., Micek, L., & Berry, K. L. Follow-up studies at Fort Logan Mental Health Center. Unpublished manuscript, Fort Logan Mental Health Center, 1967.
Greenblatt, M., Moore, R. F., Albert, R. S., & Solomon, M. H.The prevention of hospitalization. New York: Grune and Stratton, 1963.
Hornstra, R., & McPartland, T. Aspects of psychiatric aftercare.International Journal of Social Psychiatry, 1963,9, 135–142.
Kasser, M., and Cohen, M. E. Follow-up: Aftercare of discharged chronic mental patients.Psychiatric Quarterly, 1966,40, 723–728.
Koegler, R. R., & Brill, N. Q.Treatment of psychiatric outpatients. New York: Appleton-Century-Crofts, 1967.
Kraft, A., Binner, P. R., & Dickey, B. A. The chronic patient. In R. H. Williams, & L. D. Ozarin, (Eds.),Community mental health. San Francisco: Jossey-Bass, 1968.
Mendel, W. M., & Green, G. A.The therapeutic management of psychological illness: The theory and practice of supportive care. New York: Basic Books, 1967.
Mendel, W. M., & Rapport, S. Outpatient treatment for chronic schizophrenic patients.Archives of General Psychiatry, 1963,8, 190–196.
Miskimins, R. W., Cole, C. W., & Oetting, E. R. Success rates for the vocational rehabilitation of the psychiatrically disabled.Journal of Personnel and Guidance, 1968,46, 801–805.
Moon, L. E., & Patton, R. E. First admissions and readmissions to New York State mental Hospitals—A statistical evaluation.Psychiatric Quarterly, 1965,39, 476–486.
Orlinsky, N., & D'Elia, E. Rehospitalization of the schizophrenic patient.Archives of General Psychiatry, 1964,10, 47–54.
Ruesch, J., Brodsky, C. M., & Fischer, A.Psychiatric care, psychiatry simplified for therapeutic action. New York: Grune and Stratton, 1964.
Williams, R., & Walker, R. Schizophrenics at time of discharge.Archives of General Psychiatry, 1961,4, 113–116.
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This research was supported in part by the U.S. Department of Labor, OMPER, Grant Number 82-06-66-62.
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Purvis, S.A., Miskimins, R.W. Effects of community follow-up on post-hospital adjustment of psychiatric patients. Community Ment Health J 6, 374–382 (1970). https://doi.org/10.1007/BF01434856
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DOI: https://doi.org/10.1007/BF01434856