Moving On as a Key Part of Recovery: What issues arise for Service Users when moving from mental health units into community care?
DOI:
https://doi.org/10.61841/7ww6y788Abstract
Accommodation for long-term and enduring mental health patients experiencing psychosis has traditionally been provided within statutory provision such as hospitals and wards-in-the-community. More recently this picture has begun to change and many patients have moved out into community-based settings. Recently, in one London borough, 15 clients of the local community rehabilitation team moved out of the ward-in-the-community and into privately-run residential care settings.
Following the move the psychology staff on the team conducted a service evaluation to explore Service User experience, to try to understand from a client perspective what such a move was like and to consider ways to improve client experience in the future. This paper presents the outcomes and makes some recommendations for improving the move-on experience for this client group.
Downloads
References
Braun, V and Clarke, C (2006) Using thematic analysis in psychology. Qualitative Research in Psychology. 3, 77-101
de Girolamo, G and Bassi, M (2004) Residential facilities as the new scenario of long-term psychiatric care. Current Opinion in Psychiatry. 17, 275-281
Department of Health (1999) National Service Framework for Mental Health: Modern Standards and Service Models. London: The Stationery Office
Fakhoury, W and Priebe, S (2002) The process of deinstitutionalisation: an international overview. Current Opinion in Psychiatry. 15, 187-192
Hallam, A and Trieman N (2001) The cost effectiveness of specialised facilities for service users with persistent challenging behaviours. Health and Social care in the community. 9 (6), 429-435
Hobbs, C., Tennant, C., Rosen, A., Newton, L., Lapsley, H, M., Tribe, K and Brown, J, E (2000) Deinstitutionalisation for long-term mental illness: a 2-year clinical evaluation. Australian and New Zealand Journal of Psychiatry. 34, 476-483
Humberstone, V (2002) The experiences of people with schizophrenia living in supported accommodation: a qualitative study using grounded theory methodology. Australian and New Zealand Journal of Psychiatry. 36, 367-372
Knight, M, T, D., Wykes, T and Hayward, P (2003) ‘People don’t understand’: an investigation of stigma in schizophrenia using Interpretive Phenomenological Analysis (IPA). Journal of Mental Health. 12 (3), 209-222
Leff, J (2000) Can we manage without the mental hospital? Australian and New Zealand Journal of Psychiatry. 35, 421- 427
Leff, J., Trieman, N., Knapp, M. and Hallam, A (2000) The TAPS Project: A report on 13 years of research, 1985-1998. Psychiatric Bulletin. 24, 165-168
Lelliot, P., Beevor, A., Hogman, G., Hyslop, J., Lathlean, J and Ward, M (2001) Carers’ and Users’ Expectations of
Services – User Version (CUES-U): a new instrument to measure the experiences of users of mental health services. British Journal of Psychiatry. 179, 67-72
MacNamara, J., Smith, P., Martin, G and Coonan, L (Unpublished) Quality of Life Survey 2003-4 Service users satisfaction with services and quality of life. Personal Communication.
McCourt, C, A (2001) Life after hospital closure: users view of living in residential ‘resettlement’ projects. A case study in consumer-led research. Health Expectations. 3 (3) 192-202
Newton, L., Rosen, A., Tennant, C., Hobbs, C., Lapsley, H, M and Tribe, K (2000) Deinstitutionalisation for long-term mental illness: an ethnographic study. Australian and New Zealand Journal of Psychiatry. 34, 484-490
South London and Maudsley NHS Foundation Trust (2007) Social Inclusion, Rehabilitation and Recovery Strategy 2007- 2010 [online]. London: South London and Maudsley NHS Foundation Trust. http://www.slam.nhs.uk/news/boardmin/docs/20feb07/SIRR%20strategy%20final%20v2.doc [Accessed 9 July 2009]
Thornicroft, G., Bebbington, P and Leff, J (2005) Outcomes for long-term patients one year after discharge from a psychiatric hospital. Psychiatric Services. 56 (11), 1416-1422
Trieman, N and Leff, J (2002) Long term outcome of long-stay psychiatric in-patients considered unsuitable to live in the community (TAPS Project 44). British Journal of Psychiatry. 181, 428-432
Harrow M, Grossman L, Jobe TH, Herbener ES. Do patients with schizophrenia ever show periods of recovery? a 15-year multi-follow-up study. Schizophr Bull. 2005;31:723–734.
Torgalsbøen AK, Rund BR. Lessons learned from three studies of recovery from schizophrenia. Int Rev Psychiatry. 2002; 14:312–317.
Liberman RP, Kopelowicz A, Ventura J, Gutkind D. Operational criteria and factors related to recovery from schizophrenia. Int Rev Psychiatry. 2002;14:256–272.
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
