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Alternative to Mental Hospital Treatment: III. Social Cost

Alternative to Mental Hospital Treatment: III. Social Cost Abstract • Much concern has been expressed over the possible burden placed on family and community members by programs that emphasize community treatment of severely disturbed patients. In this study, the social costs of an experimental in-community program were compared with those of a traditional approach using short-term hospitalization plus aftercare. Six objective and one subjective measures of the burden placed on the family members of patients in both groups were obtained. Community burden was assessed through police records of frequency of patient arrests, number of suicidal gestures that required medical attention, and frequency of emergency room use. All measures showed that the total in-community program resulted in no more burden on the family or community than the traditional approach. The large amount of support provided to patients, families, and community members in the experimental approach is emphasized in explaining these results. References 1. Arnhoff F: Social consequences of policy toward mental illness . Science 190:1277-1281, 1975.Crossref 2. Kreisman DE, Joy V: Family response to the mental illness of a relative: A review of the literature . Schizophr Bull 10:34-57, 1974.Crossref 3. Grad J, Sainsbury P: The effects that patients have on their families in a community-care and a control psychiatric service: A two-year follow-up . Br J Psychiatry 114:265-278, 1968.Crossref 4. Hoenig J, Hamilton M: The Desegregation of the Mentally Ill . London, Routledge & Kegan Paul Ltd, 1969. 5. Smith CM: Measuring some effects of mental illness on the home . Can Psychiatr Assoc J 14:97-104, 1969. 6. Doll W: Family coping with the mentally ill: An unanticipated problem of deinstitutionalization . Hosp Community Psychiatry 27:183-185, 1976. 7. Pasamanick B, Scarpetti F, Dinit S: Schizophrenics in the Community: An Experimental Study in the Prevention of Hospitalization . New York, Appleton-Century-Crofts, 1967, pp 301-306, 341-345. 8. Giovannoni JM, Gurel L: Socially disruptive behavior of ex-mental patients . Arch Gen Psychiatry 17:146-153, 1967.Crossref 9. Rappeport JR, Lassen G: Dangerousness-arrest rate comparisons of discharged patients and the general population . Am J Psychiatry 121:776-783, 1965. 10. Steadman HJ, Cocozza JJ, Melick ME: Explaining the increased arrest rate among mental patients: The changing clientele of state hospitals . Am J Psychiatry 135:816-820, 1978. 11. Zitrin A, Hardesty AS, Burdock EI, et al: Crime and violence among mental patients . Am J Psychiatry 133:142-149, 1976. 12. Hatfield AB: Psychological costs of schizophrenia to the family . Soc Work 23:355-359, 1978. 13. Lamb HR, Elliphant E: Schizophrenia through the eyes of families . Hosp Community Psychiatry 29:803-805, 1978. 14. Sosowsky L: Crime and violence among mental patients reconsidered in view of the new legal relationship between the state and the mentally ill . Am J Psychiatry 135:33-42, 1978. 15. Slovenko R, Luby ED: From moral treatment to railroading out of the mental hospital . Bull Am Acad Psychiatry Law 2:223-236, 1974. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

Alternative to Mental Hospital Treatment: III. Social Cost

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Publisher
American Medical Association
Copyright
Copyright © 1980 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1980.01780170051005
Publisher site
See Article on Publisher Site

Abstract

Abstract • Much concern has been expressed over the possible burden placed on family and community members by programs that emphasize community treatment of severely disturbed patients. In this study, the social costs of an experimental in-community program were compared with those of a traditional approach using short-term hospitalization plus aftercare. Six objective and one subjective measures of the burden placed on the family members of patients in both groups were obtained. Community burden was assessed through police records of frequency of patient arrests, number of suicidal gestures that required medical attention, and frequency of emergency room use. All measures showed that the total in-community program resulted in no more burden on the family or community than the traditional approach. The large amount of support provided to patients, families, and community members in the experimental approach is emphasized in explaining these results. References 1. Arnhoff F: Social consequences of policy toward mental illness . Science 190:1277-1281, 1975.Crossref 2. Kreisman DE, Joy V: Family response to the mental illness of a relative: A review of the literature . Schizophr Bull 10:34-57, 1974.Crossref 3. Grad J, Sainsbury P: The effects that patients have on their families in a community-care and a control psychiatric service: A two-year follow-up . Br J Psychiatry 114:265-278, 1968.Crossref 4. Hoenig J, Hamilton M: The Desegregation of the Mentally Ill . London, Routledge & Kegan Paul Ltd, 1969. 5. Smith CM: Measuring some effects of mental illness on the home . Can Psychiatr Assoc J 14:97-104, 1969. 6. Doll W: Family coping with the mentally ill: An unanticipated problem of deinstitutionalization . Hosp Community Psychiatry 27:183-185, 1976. 7. Pasamanick B, Scarpetti F, Dinit S: Schizophrenics in the Community: An Experimental Study in the Prevention of Hospitalization . New York, Appleton-Century-Crofts, 1967, pp 301-306, 341-345. 8. Giovannoni JM, Gurel L: Socially disruptive behavior of ex-mental patients . Arch Gen Psychiatry 17:146-153, 1967.Crossref 9. Rappeport JR, Lassen G: Dangerousness-arrest rate comparisons of discharged patients and the general population . Am J Psychiatry 121:776-783, 1965. 10. Steadman HJ, Cocozza JJ, Melick ME: Explaining the increased arrest rate among mental patients: The changing clientele of state hospitals . Am J Psychiatry 135:816-820, 1978. 11. Zitrin A, Hardesty AS, Burdock EI, et al: Crime and violence among mental patients . Am J Psychiatry 133:142-149, 1976. 12. Hatfield AB: Psychological costs of schizophrenia to the family . Soc Work 23:355-359, 1978. 13. Lamb HR, Elliphant E: Schizophrenia through the eyes of families . Hosp Community Psychiatry 29:803-805, 1978. 14. Sosowsky L: Crime and violence among mental patients reconsidered in view of the new legal relationship between the state and the mentally ill . Am J Psychiatry 135:33-42, 1978. 15. Slovenko R, Luby ED: From moral treatment to railroading out of the mental hospital . Bull Am Acad Psychiatry Law 2:223-236, 1974.

Journal

Archives of General PsychiatryAmerican Medical Association

Published: Apr 1, 1980

References