Hostname: page-component-78c5997874-s2hrs Total loading time: 0 Render date: 2024-11-05T05:27:19.646Z Has data issue: false hasContentIssue false
  • English
  • Français

The Effects that Patients Have on their Families in a Community Care and a Control Psychiatric Service—A Two Year Follow-up

Published online by Cambridge University Press:  29 January 2018

Jacqueline Grad  and
Peter Sainsbury
Peter Sainsbury
Affiliation:
Clinical Psychiatry Research Unit, Graylingwell Hospital, Chichester, Sussex
Get access Rights & Permissions [Opens in a new window]

Extract

The effects that mentally ill people have on their families have been more commented upon than studied. The currently favoured practice of community care has increased the need for a systematic attempt to evaluate the families' problems, and an opportunity to do this occurred when a community psychiatric service was introduced in Chichester in 1958, while the neighbouring Salisbury district continued with a conventional hospital-based service. The Medical Research Council's Clinical Psychiatry Research Unit has been evaluating the new service to find out how it affects referral and admission rates; how it influences social and clinical outcome, and the effect it has on the community itself. As the patient's family is the sector of the community most closely concerned in any extension of the extra-mural care of patients, we began by assessing the effects on them. The present paper therefore describes the assessments we made of the burden the patients' families carried in the Chichester Community Care Service and compares their burden with that experienced by families in Salisbury, where admission to hospital was more commonly practised. The comparison is made in terms of the relief that was afforded the two groups of families over a period of two years.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 114 , Issue 508 , March 1968 , pp. 265 - 278
Copyright
Copyright © Royal College of Psychiatrists, 1968 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Brown, G. W., Bone, M., Dalison, B., and Wing, J. K. (1966). Schizophrenia and Social Care. Maudsley Monograph, No. 17, London.Google Scholar
Carse, J., Panton, N., and Watt, A. (1958). “A district mental health service: the Worthing experiment.” Lancet, i, 39–41.CrossRefGoogle Scholar
Clausen, J. A., and Yarrow, M. R. (1955). “The impact of mental illness on the family.” J. social Issues, xi, No. 4, 6–10.Google Scholar
Grad, J., and Sainsbury, P. (1963). “Mental illness and the family.” Lancet, i, 544–547.Google Scholar
Kreitman, N., Sainsbury, P., Morrissey, J., Towers, J., and Scrivener, J. (1961). “The reliability of psychiatric assessment: an analysis.” J. ment. Sci., 107, 887–908.CrossRefGoogle Scholar
Kreitman, N., (1964). “The patient's spouse.” Brit. J. Psychiat., 110, 159–173.Google Scholar
Morrissey, J. D., and Sainsbury, P. (1959). “Observations on the Chichester and district mental health service.” Proc. Roy. Soc. Med., 52, 1061–1063.Google Scholar
Morrissey, J. D., (1966). “The Chichester and district psychiatric service.” Milbank Memorial Fund Quarterly, 44, 28–36.Google Scholar
Post, F. (1962). “The social orbit of psychiatric patients.” J. ment. Sci., 108, 759–771.Google Scholar
Rutter, M. (1966). Children of Sick Parents. Maudsley Monograph, No. 16, London.Google Scholar
Sainsbury, P., and Grad, J. (1966). “Evaluating the community psychiatric service in Chichester.” Milbank Memorial Fund Quarterly, 44, 231–277.Google Scholar
Tizard, J., and Grad, J. (1961). The Mentally Handicapped and their Families. Maudsley Monograph, No. 7, London.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.