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The Daily Living Programme

Preliminary Comparison of Community Versus Hospital-Based Treatment for the Seriously Mentally Ill Facing Emergency Admission

Published online by Cambridge University Press:  02 January 2018

M. Muijen ,
I. M. Marks ,
J. Connolly ,
B. Audini  and
G. McNamee
M. Muijen*
Affiliation:
Research and Development for Psychiatry, 134–138 Borough High Street, London SE1 1LB
I. M. Marks
Affiliation:
The Maudsley Hospital, Denmark Hill, London SE5 8AZ
J. Connolly
Affiliation:
The Maudsley Hospital, Denmark Hill, London SE5 8AZ
B. Audini
Affiliation:
The Maudsley Hospital, Denmark Hill, London SE5 8AZ
G. McNamee
Affiliation:
The Maudsley Hospital, Denmark Hill, London SE5 8AZ
*
∗Correspondence
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Abstract

Patients with a serious mental illness requiring admission were randomised to home care or standard hospital care. Over the initial 18 months, 60 patients entered each group and were studied for a mean of 10 months. Home care reduced hospital use by 80%, with patients being admitted for a mean of 14 days, compared with 72 days for the standard group, but this bed-saving made no difference in direct treatment costs. Home care offers individualised treatment, and many patients require continuing support with the emphasis on areas such as finances and housing.

Type
Papers
Information
The British Journal of Psychiatry , Volume 160 , Issue 3 , March 1992 , pp. 379 - 384
Copyright
Copyright © Royal College of Psychiatrists, 1992 

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References

Audit Commission (1986) Making a Reality of Community Care. London: HMSO.Google Scholar
Bachrach, L. L. (1980) Overview: Model programmes for chronic mental patients. American Journal of Psychiatry, 137, 1023–1031.Google Scholar
Bachrach, L. L. (1982) Young adult chronic patients: an analytical review of the literature. Hospital and Community Psychiatry, 33, 189–197.Google Scholar
Braun, P., Kochansky, G., Shapiro, R., et al (1981) Overview: deinstitutionalisation of psychiatric patients, a critical review of outcome studies. American Journal of Psychiatry, 136, 736–749.Google Scholar
Davis, A. E., Dinitz, S., Pasamanick, B. (1972) The prevention of hospitalisation in schizophrenia: five years after an experimental program. American Journal of Orthopsychiatry, 42, 375–388.Google Scholar
Department Of Health (1989) Caring for People. London: HMSO.Google Scholar
Department Of Health And Social Security (1975) Better Services for the Mentally Ill. London: HMSO.Google Scholar
Fenton, F. R., Tessier, L. & Struening, E. L. (1979) A comparative trial of home and hospital psychiatric care. One-year follow-up. Archives of General Psychiatry, 36, 1073–1079.CrossRefGoogle ScholarPubMed
Fenton, F. R., Tessier, L., Contandriopoulos, A. P., et al (1982) A comparative trial of home and hospital psychiatric treatment: financial costs. Canadian Journal of Psychiatry, 27, 177–187.Google Scholar
Fenton, F. R., Tessier, L., Struening, E. L., et al (1982) Home and Hospital Psychiatric Treatment. London: Croom Helm.Google Scholar
Griffiths, R. (1988) Community Care: Agenda for Action. London: HMSO.Google Scholar
Hoult, J., Reynolds, I., Charbonneau-Powis, M., et al (1983) Psychiatric hospital versus community treatment: the results of a randomised trial. Australian and New Zealand Journal of Psychiatry, 17, 160–167.Google Scholar
Kiesler, C. A. (1982) Mental hospitals and alternative care. American Psychologist, 37, 349–360.Google Scholar
Kings Fund (1988) Promoting Innovation in Community Care. London: Kings Fund Institute.Google Scholar
Langsley, D., Kaplan, D., Pittman, F., et al (1968) The Treatment of Families in Crisis. New York: Grune and Stratton.Google Scholar
Langsley, D., Machotka, P. & Flomenhaft, K. (1971) Avoiding mental hospital admission, a follow-up study. American Journal of Psychiatry, 127, 1391–1394.Google Scholar
Marks, I., Connolly, J. & Muijen, M. (1988) The Maudsley Daily Living Programme: a controlled cost-effectiveness study of community-based versus standard in-patient care of serious mental illness. Bulletin of the Royal College of Psychiatrists, 12, 22–24.Google Scholar
Muijen, M. (1991) The Outcome of the First Year of the Daily Living Programme: A Controlled Study Comparing Home-Based Care with Standard Hospital Care. PhD thesis, Institute of Psychiatry, University of London.Google Scholar
Pasamanick, B., Scarpitti, F. R. & Dinitz, S. (1967) Schizophrenics in the Community. New York: Appleton-Century-Crofts.Google Scholar
Stein, L. J. & Test, M. A. (1980) Alternative to mental hospital treatment: 1, conceptual model, treatment program and clinical evaluation. Archives of General Psychiatry, 37, 392–397.CrossRefGoogle Scholar
Turner, J. C. & TenHoor, W. J. (1978) The NIMH Community Support Program; pilot approach to a needed social reform. Schizophrenia Bulletin, 4, 319–348.Google Scholar
Weisbrod, B. A., Test, M. A. & Stein, L. J. (1980) Alternative to mental hospital treatment: 2, economic benefit-cost analysis. Archives of General Psychiatry, 37, 400–405.CrossRefGoogle Scholar
Weller, M. (1989) Mental illness, who cares? Nature, 339, 249–252.CrossRefGoogle ScholarPubMed
Wing, J. (ed.) (1982) Long-term community care: experience in a London borough. Psychological Medicine (suppl.).Google Scholar
Wing, J., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
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