Described are ten residential facilities, which represent examples of different residential arrangements available for mentally-ill people in a north London region. Administrative issues, daily routine, physical layout, and other aspects regarding residents and staff are addressed. The environmental features of the facilities were rated by using structured assessments.
The facilities, though run by various agencies and providing different levels of care, demonstrate a common set of principles and practices, which formulates a framework for successful care Generally, there has been no indication of any shortcomings in providing a reliable and good standard of care.
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References
1.
Anderson, J., Dayson, D., Willis, W. ET AL. (1993) The TAPS project 13: Clinical and social outcomes of long-stay psychiatric patients after one year in the community . British Journal of Psychiatry, 162 (suppl. 19), 45-56.
2.
Audit Commission (1994) Finding a place - a review of mental health services for adults. London: HMSO.
3.
Carling, P.J. (1993) Housing and supports for persons with mental illness: emerging approaches to research and practice. Hospital and Community Psychiatry, 44(5), 439-449.
4.
Cutler, D.L. (1986) Community residential options for the chronically mentally ill. Community Mental Health Journal, 22, 61-73.
5.
Dayson, D. (1992) The TAPS project 15: The social networks of two group settings: a pilot study. Journal of Mental Health, 1, 99-106.
6.
Downs, M.W. & Fox, J.C. (1993) Social environments of adult homes. Community Mental Health Journal, 29(1), 15-23.
7.
Faulkner, A., Field, V. & Lindesay, J. (1993) Residential care provision in mental health: The current picture and future uncertainties. Journal of Mental Health, 2, 57-64.
8.
Fields, S. (1990) The relationship between residential treatment and supported housing in a community system of services. Psychosocial Rehabilitation Journal, 13, 105-113.
9.
Knapp, M., Beecham, J., Hallam, A. & Fenyo, A. (1993) The TAPS project 18: The costs of community care for former long-stay psychiatric hospital residents. Health & Social Care in the Community, Vol. 1, 4.
10.
Knisley, M.B. & Fleming, M. (1993) Implementing supported housing in state and local mental health systems. Hospital and Community Psychiatry, 44(5), 456-461.
11.
Lamb, R.H. (1984) Alternatives to hospitals. In: The Chronic Mental Patient. (ed. J.A. Talbott ) London: Grune Stratton Inc . pp: 215.
12.
Leff, J., Thornicroft, G., Coxhead, N. & Crawford, C. (1994) The TAPS project 22: a five-year follow-up of long-stay psychiatric patients discharged to the community. British Journal of Psychiatry, 165 (supplement 25), 13-17.
13.
Leff, J., Trieman, N. & Gooch, C. (1995) The TAPS project 33: Prospective follow-up study of long-stay patients discharged from two Victorian asylums (unpublished paper).
14.
Lehman, A.F., Slaughter, J.G. & Myers, C.P. (1991) Quality of life in alternative residential settings . Psychiatry-Quarterly, 62(1), 35-49.
15.
Mowbray, C.T., Greenfield, A. & Freddolino, P.P. (1992) An analysis of treatment services provided in group homes for adults labelled mentally ill. Journal of Nervous and Mental Disease, 180(9), 551-9.
16.
North East Thames Regional Health Authority ( 1992) Leaving Friern, coming home: a guide to the closure of Friern Hospital and the development of community-based mental health services in north east London.
17.
O'Driscoll, C. & Leff, J. (1993) The TAPS project 8: Design of the research study on the long-stay patients. In Evaluating community placement of long-stay psychiatric patients. (ed. J. Leff)British Journal of Psychiatry, 192, Supplement 19.
18.
Pepper, B. (1985) Where (and how) should young adult chronic patients live? - the concept of a residential spectrum. Tie Lines, 2(2), 1-6.
19.
Randolph, F.L., Ridgway, P. & Carling, P.J. (1991) Residential programs for persons with severe mental illness: a nationwide survey of state-affiliated agencies. Hospital and Community Psychiatry, 42(11), 1111-5.
20.
Ridgway, P. & Zipple, A.M. (1990) The paradigm shift in residential services: from the linear continuum to supported housing approaches. Psychosocial Rehabilitation Journal, 13(4), 11-32
21.
Shepherd, G., King, C. & Fowler, D. (1994) Outcomes in hospital hostels. Psychiatric Bulletin, 18, 609-612.
22.
Tanzman, B. (1993) An overview of surveys of mental health consumers' preferences for housing and support services. Hospital and Community Psychiatry, 44(5), 450455.
23.
Thornicroft, G., Margolius, O. & Jones, D. (1992) The TAPS Project 6: New long-stay psychiatric patients and social deprivation. British Journal of Psychiatry, 161, 621-624.
24.
Trainor, J., Morrell-Bellai, T., Ballantyne, R. & Boydell, K. (1993) Housing for people with mental illness: a comparison of models and an examination of the growth of alternative housing in Canada . Canadian Journal of Psychiatry, 38(7), 494-501.
25.
Trieman, N. & Kendal, R. (1995) The TAPS project 27: After hospital-pathways patients follow in the community. (In press, Journal of Mental Health ).
26.
Trieman, N. & Leff, J. (1995) The TAPS project 24: Difficult to place patients in a psychiatric hospital closure programme. (In press, Psychological Medicine).
27.
Trieman, N. (1994). The concept and practice of a "Special Needs" unit. (paper presented at) The Ninth Annual Conference of the Team for the Assessment of Psychiatric Services, London, U.K.
28.
Wing, L. (1989) Hospital Closure and the Resettlement of Residents . Aldershot: Gower.
29.
Wykes, T. & Wing, J.K. (1982) A ward in a house: accommodation for "new" long-stay patients. Acta Psychiatrica Scandinavica, 65, 315-330.
30.
Young, R. (1991) Residential needs of severely disabled psychiatric patients - the case for hospital hostels. London: HMSO.
