The prediction of community tenure after discharge of a group of state hospital patients was examined using a recently developed rating scale designed to assess patients' readiness for discharge and community living. Length of community stay was negatively correlated with a predischarge rating of belligerent behavior. Ratings of other dimensions of behavior often believed to be of considerable clinical importance did not relate to community tenure. The findings suggest that social factors are important in the readmission process.
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References
1.
BuellG.AnthonyW.The relationship between patient demographic characteristics and psychiatric rehabilitation outcome. Community Mental Health Journal, 1975, 11, 208–214.
2.
ClausenG. T.Some problems of design and inference in studies of community tenure. Journal of Nervous and Mental Disease, 1972, 155, 22–35.
3.
ClumG.Intrapsychic variables and the patient's environment as factors in prognosis. Psychological Bulletin, 1975, 82, 413–431.
4.
EllsworthR.FosterL.ChildersB.ArthurG.KroekerD.Hospital and community adjustment as perceived by psychiatric patients, their families, and staff. Journal of Consulting and Clinical Psychology, 1968, 32(Pt. 2), 1–41. (Monograph Supplement)
5.
HogartyG.UlrichR.A manual for the discharge readiness inventory. Baltimore: Friends Medical Science Research Center, 1971.
6.
HogartyG.UlrichR.The discharge readiness inventory. Archives of General Psychiatry, 1972, 26, 419–426.
7.
KatzM.LyerlyS.Methods for measuring adjustment and social behavior in the community: I. Rationale, description, discriminative validity and scale adjustment. Psychological Review, 1963, 13, 503–535.
8.
KlassD.GroweG.StrizichM.Ward treatment milieu and posthospital functioning. Archives of General Psychiatry, 1977, 34, 1047–1052.
9.
LoreiT.Prediction of community stay and employment for released psychiatric patients. Journal of Consulting Psychology, 1967, 31, 349–357.
10.
MarksJ.StauffacherJ.LyleC.Predicting outcome in schizophrenia. Journal of Abnormal and Social Psychology, 1963, 66, 117–217.
11.
MichauxW.KatzM.KurklandA.GansereitK.The first year out: mental patients after hospitalization. Baltimore: Johns Hopkins Press, 1969.
12.
MillerG.WillerB.Predictors of return to a psychiatric hospital. Journal of Consulting and Clinical Psychology, 1976, 44, 898–900.
13.
RosenblattA.MayerJ.The recidivism of mental patients: a review of past studies. American Journal of Orthopsychiatry, 1974, 44, 697–706.
14.
SchwartzL.MyersJ.AstrachanB.Concordance of multiple assessments of the outcome of schizophrenia. Archives of General Psychiatry, 1975, 32, 1221–1227.
15.
SmithK.PumphreyM.HallJ.The “last straw:” the decisive incident resulting in the request for rehospitalization in 100 schizophrenic patients. American Journal of Psychiatry, 1963, 120, 228–233.
16.
StraussJ.CarpenterW.Jr.The prediction of outcome in schizophrenia: I. Characteristics of outcome. Archives of General Psychiatry, 1972, 27, 739–746.
17.
WilliamsR.WalkerR.Schizophrenics at time of discharge. Archives of General Psychiatry, 1961, 4, 113–116.
