The closing of central state hospital: Long-term outcomes for persons with severe mental illness

John H. McGrew, Eric R. Wright, Bernice A. Pescosolido, Elizabeth C. McDonel

    Research output: Contribution to journalArticle

    29 Citations (Scopus)

    Abstract

    This study examined the clinical/community functioning of long-stay patients following closing of a large state psychiatric hospital. Two overlapping samples were followed: (1) the tracking project collected information on patient location, treatment provision, legal contacts, and level of functioning (LOF) and Closing of a State Hospital: An Overview and Framework for a Case Study followed all discharged patients and (2) the research study subsample, drawn from the final group of discharged patients, gathered information on quality of life (QOL), LOF, and general physical and mental health. At follow-up, patients were functioning equal to or better than prior to discharge. There were consistent improvements in QOL (especially safety and occupational satisfaction) and LOF (especially housing and income/benefits). Fewer than 27% of patients discharged into the community were rehospitalized, and fewer than 4% were either in jail or homeless after 24 months. The study demonstrates that even persons who have been hospitalized for extremely long periods can do well in the community.

    Original languageEnglish
    Pages (from-to)246-261
    Number of pages16
    JournalJournal of Behavioral Health Services and Research
    Volume26
    Issue number3
    DOIs
    StatePublished - Aug 1999

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    State Hospitals
    mental illness
    human being
    quality of life
    community
    legal provision
    psychiatric hospital
    mental health
    housing
    Quality of Life
    contact
    income
    Psychiatric Hospitals
    Occupational Health
    Mental Health
    Group
    Research

    ASJC Scopus subject areas

    • Health(social science)
    • Health Professions(all)

    Cite this

    The closing of central state hospital : Long-term outcomes for persons with severe mental illness. / McGrew, John H.; Wright, Eric R.; Pescosolido, Bernice A.; McDonel, Elizabeth C.

    In: Journal of Behavioral Health Services and Research, Vol. 26, No. 3, 08.1999, p. 246-261.

    Research output: Contribution to journalArticle

    McGrew, John H. ; Wright, Eric R. ; Pescosolido, Bernice A. ; McDonel, Elizabeth C. / The closing of central state hospital : Long-term outcomes for persons with severe mental illness. In: Journal of Behavioral Health Services and Research. 1999 ; Vol. 26, No. 3. pp. 246-261.
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