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Return to the family and its consequence for rehospitalization among recently discharged mental patients

Published online by Cambridge University Press:  09 July 2009

Richard Blumenthal*
Affiliation:
New York State Psychiatric Institute, New York, USA
Dolores Kreisman
Affiliation:
New York State Psychiatric Institute, New York, USA
Patricia A. O'Connor
Affiliation:
New York State Psychiatric Institute, New York, USA
*
1Address for correspondence: Dr Richard Blumenthal, New York State Psychiatric Institute, 722 West 168th Street, New York, NY 10032, USA.

Synopsis

This study examined the contribution that living arrangements made to the rehospitalization rates of mental patients discharged to the community during the first 7 months they spent there. Over 20000 mental patients discharged from psychiatric facilities in the state of New York were categorized on the basis of the living arrangements to which they were discharged. These included living alone, parental, marital, other relatives or friends, and domiciliary settings. The sample was divided in half and results of the analysis of the first sample were replicated on the second sample. Analysis of covariance and multiple regression techniques revealed that patients discharged to marital settings were rehospitalized less than those discharged to other settings, and that there were no differences in the return rates among the remaining settings. The major predictor of rehospitalization was the number of previous hospitalizations. The implications of these findings for further research on supportive as well as stressful parameters of community and family settings are discussed.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1982

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References

REFERENCES

Bateson, G., Jackson, D., Haley, J. & Weakland, J. (1956). Toward a theory of schizophrenia. Behavioral Science 1, 251264.CrossRefGoogle Scholar
Bott, E. (1976). Hospital and society. British Journal of Medical Psychology 49, 97140.CrossRefGoogle ScholarPubMed
Braceland, F. (1975). Rehabilitation. In American Handbook Psychiatry (2nd edn) vol. 5 (ed. Arieti, S.), pp. 683700. Basic Books: New York.Google Scholar
Brown, G. W. & Rutter, M. L. (1966). The measurement of family activities and relationships. Human Relations 19, 241263.CrossRefGoogle Scholar
Brown, G. W., Carstairs, G. M. & Topping, G. C. (1958). The post-hospital adjustment of chronic mental patients. Lancet ii, 685689.CrossRefGoogle Scholar
Brown, G. W., Monck, E. M., Carstairs, G. M. & Wing, J. K. (1962). The influence of family life on the course of schizophrenic illness. British Journal of Preventive and Social Medicine 16, 5868.Google Scholar
Brown, G. W., Birley, J. L. T. & Wing, J. K. (1972). Influence of family life on the course of schizophrenic disorders: A replication. British Journal of Psychiatry 121, 241258.CrossRefGoogle ScholarPubMed
Goldberg, S., Schooler, N., Hogarty, G. & Roper, M. (1977). Prediction of relapse in schizophrenic outpatients treated by drugs and sociotherapy. Archives of General Psychiatry 34, 171184.CrossRefGoogle ScholarPubMed
Goldman, H. (1980). The post-hospital mental patient and family therapy: prospects and populations. Journal of Marital and Family Therapy 6, 447452.CrossRefGoogle Scholar
Goldstein, M. & Rodnick, E. H. (1975). The family's contribution the etiology of schizophrenia. Schizophrenia Bulletin no. 14, 4863.CrossRefGoogle Scholar
Gunderson, J. (1980). A reevaluation of milieu therapy for nonchronic schizophrenic patients. Schizophrenia Bulletin 6, 6469.CrossRefGoogle ScholarPubMed
Hammer, M., Barrow-Makiesky, S. & Gutwirth, L. (1978). Social networks and schizophrenia. Schizophrenia Bulletin 4, 522544.CrossRefGoogle ScholarPubMed
Hogarty, G., Schooler, N., Ulrich, R., Mussare, F., Ferro, P. & Herron, E. (1979). Fluphenazine and social therapy in the aftercare of schizophrenic patients. Archives of General Psychiatry 36, 12831294.CrossRefGoogle ScholarPubMed
Lidz, T. (1973). The Origins and Treatment of Schizophrenia. Basic Books: New York.Google Scholar
Lorei, T. W. & Gurel, L. (1972). Use of a biographical inventory to predict schizophrenics' post-hospital employment and readmission. Journal of Consulting and Clinical Psychology 38, 238293.CrossRefGoogle Scholar
Rosen, B., Klein, D. F. & Gittelman-Klein, R. (1971). The prediction of rehospitalization: the relationship between age of first psychiatric treatment contact, marital status and premorbid social adjustment. Journal of Nervous and Mental Disease 152, 1722.CrossRefGoogle Scholar
Rosenblatt, A. & Meyer, J. (1974). The recidivism of mental patients: a review of past studies. American Journal of Orthopsychiatry 44, 697706.CrossRefGoogle ScholarPubMed
Stein, L. & Test, M. (eds.) (1978). Alternatives to Mental Hospital Treatment. Plenum Press: New York.Google Scholar
Tarrier, N., Vaughn, C., Lader, M. & Leff, J. (1979). Bodily reactions to people and events in schizophrenics. Archives of General Psychiatry 36, 311315.CrossRefGoogle ScholarPubMed
Vaughn, C. E. & Leff, J. P. (1976 a). The influence of family and social factors on the course of psychiatric patients. British Journal of Psychiatry 129, 125137.CrossRefGoogle Scholar
Vaughn, C. E. & Leff, J. P. (1976 b). The measurement of expressed emotion in the families of psychiatric patients. British Journal of Social and Clinical Psychology 15, 157165.CrossRefGoogle ScholarPubMed
Wynne, L. (1970). Communication disorders and the quest for relatedness of schizophrenics. American Journal of Psychoanalysis 30, 100114.CrossRefGoogle ScholarPubMed
Zwerling, I. (1975). Aftercare systems. In American Handbook of Psychiatry (2nd edn) Vol. 5 (ed. Arieti, S.), pp. 721736. Basic Books: New York.Google Scholar