PMID: 6578788Jun 1, 1983Paper

Psychiatric hospital versus community treatment: the results of a randomised trial

The Australian and New Zealand Journal of Psychiatry
J HoultJ Briggs

Abstract

One hundred and twenty patients presenting for admission were randomly allocated into two groups. Controls received standard hospital care and after-care. Projects were not admitted if this could be avoided; instead they and their relatives were provided with comprehensive community treatment and a 24-hour crisis service. Patients with a primary diagnosis of alcohol or drug dependence, organic brain disorder or mental retardation were excluded. During the 12 months study period, 96% of controls were admitted, 51% more than once. Of the projects, 60% were not admitted at all and only 8% were admitted more than once. Controls spent an average of 53.5 days in psychiatric hospitals; projects spent an average of 8.4 days. Community treatment did not increase the burden upon the community, was considered to be significantly more satisfactory and helpful by patients and their relatives, achieved a clinically superior outcome, and cost less than standard care and after-care.

References

Feb 1, 1979·Archives of General Psychiatry·H R Lamb
Sep 1, 1979·Archives of General Psychiatry·F R FentonE L Struening
Nov 1, 1974·Postgraduate Medical Journal·A C Wicks, J J Jones
Jan 1, 1980·Schizophrenia Bulletin·C J WallaceC Ferris
Sep 1, 1982·The British Journal of Psychiatry : the Journal of Mental Science·K Jones
Apr 1, 1980·Archives of General Psychiatry·M A Test, L I Stein
Dec 1, 1962·Archives of General Psychiatry·L LUBORSKY

Citations

Jul 1, 1997·New Directions for Mental Health Services·D J Allness
Jan 1, 1991·New Directions for Mental Health Services·G R Bond
Jun 1, 1992·Community Mental Health Journal·P Solomon
May 1, 1991·Social Psychiatry and Psychiatric Epidemiology·D Goldberg
May 1, 1997·Social Psychiatry and Psychiatric Epidemiology·M SladeG Strathdee
Sep 1, 1994·Social Psychiatry and Psychiatric Epidemiology·M Ruggeri
Mar 1, 1996·Social Psychiatry and Psychiatric Epidemiology·P McCrone, S Weich
Nov 1, 1994·Social Psychiatry and Psychiatric Epidemiology·S DaviesG Thornicroft
Jan 1, 1992·The Psychiatric Quarterly·M Teesson, J Hambridge
Apr 1, 1988·Social Psychiatry and Psychiatric Epidemiology·S Compton, T Brugha
Apr 1, 1994·Community Mental Health Journal·P Solomon, J Draine
Jan 1, 1994·European Archives of Psychiatry and Clinical Neuroscience·F J NienhuisD Wiersma
Apr 1, 1990·Journal of Mental Health Administration·B J Burns, R M Friedman
Apr 1, 1995·Journal of Mental Health Administration·P SolomonM A Delaney
Apr 1, 1995·Journal of Mental Health Administration·P Solomon, J Draine
Apr 1, 1997·Journal of Mental Health Administration·N WolffT W Helminiak
Mar 6, 2008·Social Psychiatry and Psychiatric Epidemiology·Michaël RobinSerge Kannas
Apr 17, 2009·Social Psychiatry and Psychiatric Epidemiology·Phyllis SolomonStacey Uhl
Jan 1, 1984·Social Science & Medicine·J HoultI Reynolds
Jan 1, 1995·European Psychiatry : the Journal of the Association of European Psychiatrists·F HollowayJ Carson
Sep 12, 2000·International Journal of Law and Psychiatry·P Solomon
Oct 1, 1996·International Journal of Technology Assessment in Health Care·D Mechanic
Oct 9, 1998·Epidemiologia e psichiatria sociale·G Shepherd
Aug 26, 1998·The Australian and New Zealand Journal of Psychiatry·S JohnstonN Buhrich
Jun 13, 2002·The Australian and New Zealand Journal of Psychiatry·Daphne HabibisJohn Davidson
Jan 1, 1994·Drug and Alcohol Review·R L Ali, S M Cormack
Jan 1, 1989·Journal of the American Academy of Child and Adolescent Psychiatry·B Nurcombe
Jul 2, 2009·The British Journal of Psychiatry : the Journal of Mental Science·Tom Burns
Dec 9, 1993·Journal of Hospital Marketing·G L Patzer, M Y Rawwas
Jul 5, 2005·The British Journal of Psychiatry : the Journal of Mental Science·Sonia JohnsonStephen Pilling
Jan 19, 2012·Journal of Mental Health·Dieneke Hubbeling, Robert Bertram
Mar 17, 2007·International Review of Psychiatry·Ian B KerrGlenys D Parry
Dec 1, 1990·American Journal of Community Psychology·G R BondR De Graaf-Kaser
Dec 4, 2010·Health Policy·Ben Hannigan, Michael Coffey
Jan 15, 2011·Health & Social Care in the Community·Matthew Bookle, Martin Webber
Jun 14, 2005·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Adesina Adesanya
Dec 2, 2010·Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists·Rajan SinghCherrie Galletly
Aug 1, 1997·The Australian and New Zealand Journal of Psychiatry·R E Allen, J Read
Mar 1, 1990·The Australian and New Zealand Journal of Psychiatry·P J Shannon, D L Morrison

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Hereditary Sensory Autonomic Neuropathy

Hereditary Sensory Autonomic Neuropathies are a group of inherited neurodegenerative disorders characterized clinically by loss of sensation and autonomic dysfunction. Here is the latest research on these neuropathies.

Glut1 Deficiency

Glut1 deficiency, an autosomal dominant, genetic metabolic disorder associated with a deficiency of GLUT1, the protein that transports glucose across the blood brain barrier, is characterized by mental and motor developmental delays and infantile seizures. Follow the latest research on Glut1 deficiency with this feed.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.

Neural Activity: Imaging

Imaging of neural activity in vivo has developed rapidly recently with the advancement of fluorescence microscopy, including new applications using miniaturized microscopes (miniscopes). This feed follows the progress in this growing field.

Nodding Syndrome

Nodding Syndrome is a neurological and epileptiform disorder characterized by psychomotor, mental, and growth retardation. Discover the latest research on Nodding Syndrome here.

LRRK2 & Microtubules

Mutations in the LRRK2 gene are risk-factors for developing Parkinson’s disease (PD). LRRK2 mutations in PD have been shown to enhance its association with microtubules. Here is the latest research.