Living without the Mental Hospitals

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Abstract
Changes in the administrative structure of the National Health Service and in policy concerning the role of the psychiatric hospitals in the delivery of mental health care mean that local authorities have a growing responsibility for providing a range of supportive services for people who formerly would have lived for long periods in mental hospitals. Sheltered living environments will be an essential part of these services but there is little systematic information regarding the kind of care required in terms of the needs of the adult mentally ill. A pilot study is reported of the non-hospital residential care experienced by mentally ill adults who were financially assisted by three South London boroughs. The findings are related to a wider study of new long-stay patients in mental hospitals, some of whom could be discharged if alternative services were available. The appropriateness of short-term rehabilitation hostels as opposed to long-term maintenance environments of various kinds is discussed. The study is now being extended to include other forms of care including group homes, sheltered housing schemes and a wider range of local authority hostels than was encountered at the pilot stage.

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