RT Journal
A1 Lamb H
T1 THe new asylums in the community
JF Archives of General Psychiatry
JO Archives of General Psychiatry
YR 1979
FD February 1
VO 36
IS 2
SP 129
OP 134
DO 10.1001/archpsyc.1979.01780020019001
UL http://dx.doi.org/10.1001/archpsyc.1979.01780020019001
AB • One-hundred and one residents of a board-and-care home housing psychiatric patients were studied. Of these, 92% were diagnosed as psychotic; 42% have lived there five years or more; and 32% have overt major psychopathologic characteristics. Nine of ten have never lived alone or failed in their last attempt.A relationship was found between use of a community social rehabilitation program and its distance and provision of transportation. Sixty-one percent have had contact with community vocational rehabilitation but only 12% are still involved. Half of them have no goals for changing anything in their lives; 95% use community facilities, mostly eating places and supermarkets.Board-and-care homes offer an asylum from life's pressures, a degree of structure, and some treatment, especially medication supervision. For many long-term patients they have taken over the functions of the state hospital.