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January 1971, Vol 24, No. 1 >

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Article | January 1971

Discharged Mental Patients— Are They Really in the Community?

H. Richard Lamb, MD; Victor Goertzel, PhD
Arch Gen Psychiatry. 1971;24(1):29-34. doi:10.1001/archpsyc.1971.01750070031004.
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This study measures the effect of a high-expectation and a low-expectation environment on discharged long-term mental patients randomly assigned to one of two community settings. The high-expectation setting includes a halfway house, a daytreatment center, and a rehabilitation workshop. It demands much in the way of mobility, planning, and accepting responsibility. Low-expectation patients go to boarding homes where docility is valued and little initiative is expected. The boardinghome group is not really in the community. It is like a small ward moved to a community setting. The high-expectation group has a higher rehospitalization rate, but a longer time out of the hospital with a higher level of instrumental performance. The high-expectation group is less segregated, is less likely to be labeled as deviate, and is less stigmatized.

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