PMID: 9646149Jul 1, 1998Paper

The Taps Project 40: quality of care provisions for the elderly mentally ill--traditional vs alternative facilities

International Journal of Geriatric Psychiatry
W WillsJ Leff

Abstract

The study evaluates some aspects of care reprovision for psychogeriatric patients. Seven hospital wards are compared with four community settings, established as part of the reprovision programme for Friern Hospital in London. Each facility was assessed for policy and programme, social climate and physical characteristics; staff attitudes in regard to their tasks, training needs and job satisfaction were also explored. Community settings were superior to hospital wards in providing more privacy for the residents and were better equipped with physical amenities and safety features. There were relatively small differences between the way staff perceived the social climate in community homes and in hospital. The former were regarded as encouraging greater independence. Care staff in the hospital were more likely to express dissatisfaction with pay, working conditions and social status, while community staff were more dissatisfied with the quality of cooperation between staff members. Clients transferred to Social Services facilities had a higher level of functioning and needed less on-site medical care. This was further reflected by the lower frequency of nursing care tasks being performed by staff in community facilities. Overall...Continue Reading

References

May 1, 1990·The British Journal of Psychiatry : the Journal of Mental Science·J Anderson
Sep 15, 1990·BMJ : British Medical Journal·E Murphy
Oct 1, 1984·The Gerontologist·H M WaxmanG Berkenstock
Jan 1, 1980·Journal of Gerontology·S Lemke, R H Moos
Jul 1, 1980·Journal of Gerontology·R H Moos, S Lemke
Sep 18, 1996·Schizophrenia Research·N TriemanJ Leff

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Citations

Jun 28, 2006·International Journal of Geriatric Psychiatry·Brian DraperLee-Fay Low

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