Deinstitutionalization: avoiding the disasters of the past. 1979.
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The author studied 125 families to determine the effect of the current movement toward returning mental patients to their homes. From interviews with and attitudinal tests of those families, he reports that they will generally care for the former patient in their home, often with little shame or embarrassment, and usually without rehospitalizing him. But the former patient's presence, especially when severe psychotic symptoms persist, often puts heavy emotional and social strains on the families. He warns that although families accept the physical presence of the patients, the accompanying social rejection could have serious consequences for the community mental health movement.
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A survey was conducted amongst physicians responsible for long term inpatients of Louis-H. Lafontaine mental hospital. Physicians were asked to identify patients with a potential for resettlement outside the hospital. A random sample of 300 patients (out of 831) were screened. 29% were identified as suitable for such a transfer. This is comparable to the 25 % ("community living") obtained from the 1984 survey using the Levels of Care Survey with this population. However, the present survey also indicate the 24-hour supervised residential settings would be needed for most of these patients.
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