PMID- 8168795
OWN - NLM
STAT- MEDLINE
DCOM- 19940527
LR  - 20190816
IS  - 0022-1597 (Print)
IS  - 0022-1597 (Linking)
VI  - 45
IP  - 2
DP  - 1994 Feb
TI  - A treatment outcome study of community-based residential care.
PG  - 152-5
AB  - OBJECTIVE: The authors describe two psychosocially oriented community residential 
      facilities for patients with persistent and severe mental disorders and multiple 
      failures at community tenure, and they report a retrospective study designed to 
      evaluate treatment outcomes of program residents. METHODS: The study employed a 
      retrospective single-group repeated-measures design to evaluate 104 patients who 
      completed the one-year follow-up. One-year mean number of admissions to and days 
      in a hospital or crisis center during the two years before program entry were 
      compared with mean admissions and days for the follow-up year; employment status, 
      living status, and Global Assessment of Functioning (GAF) Scale scores at program 
      entry and at one-year follow-up were also compared. Thirteen sociodemographic and 
      clinical variables were individually tested for association with outcome. 
      RESULTS: Hospital and crisis center admissions and days were significantly 
      reduced during the follow-up year. At one-year follow-up, a significantly greater 
      proportion of patients were employed and living independently, and fewer were 
      homeless. GAF scores were significantly higher. No significant correlations 
      between outcome and sociodemographic and clinical variables were found. 
      CONCLUSIONS: Despite design limitations of the study, the findings suggest that 
      psychosocial residential treatment models can offer cost-effective and clinically 
      efficacious care to persistently mentally ill patients.
FAU - Hawthorne, W B
AU  - Hawthorne WB
AD  - Community Research Foundation, San Diego, California.
FAU - Fals-Stewart, W
AU  - Fals-Stewart W
FAU - Lohr, J B
AU  - Lohr JB
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PL  - United States
TA  - Hosp Community Psychiatry
JT  - Hospital & community psychiatry
JID - 0040250
SB  - IM
MH  - Adult
MH  - Bipolar Disorder/psychology/rehabilitation
MH  - *Community Mental Health Centers
MH  - Crisis Intervention
MH  - Depressive Disorder/psychology/rehabilitation
MH  - Female
MH  - Follow-Up Studies
MH  - Hospitalization
MH  - Humans
MH  - Male
MH  - Mental Disorders/psychology/*rehabilitation
MH  - Middle Aged
MH  - Psychotic Disorders/psychology/rehabilitation
MH  - *Residential Facilities
MH  - Schizophrenia/rehabilitation
MH  - Schizophrenic Psychology
MH  - Socioenvironmental Therapy
MH  - Treatment Outcome
EDAT- 1994/02/01 00:00
MHDA- 1994/02/01 00:01
CRDT- 1994/02/01 00:00
PHST- 1994/02/01 00:00 [pubmed]
PHST- 1994/02/01 00:01 [medline]
PHST- 1994/02/01 00:00 [entrez]
AID - 10.1176/ps.45.2.152 [doi]
PST - ppublish
SO  - Hosp Community Psychiatry. 1994 Feb;45(2):152-5. doi: 10.1176/ps.45.2.152.