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dc.contributor.authorLequin, P
dc.contributor.authorGolay, P
dc.contributor.authorHerrera, F
dc.contributor.authorBrisard, M-A
dc.contributor.authorConus, P
dc.date.accessioned2020-12-14T06:09:40Z
dc.date.available2020-12-14T06:09:40Z
dc.date.issued2020-09-25
dc.identifierpii: 10.1007/s11126-020-09846-y
dc.identifier.citationLequin, P., Golay, P., Herrera, F., Brisard, M. -A. & Conus, P. (2020). Recovering the Capacity to Live outside of a Psychiatric Hospital: Impact of a Specialized Inpatient Program. PSYCHIATRIC QUARTERLY, 92 (2), pp.751-759. https://doi.org/10.1007/s11126-020-09846-y.
dc.identifier.issn0033-2720
dc.identifier.urihttp://hdl.handle.net/11343/254125
dc.description.abstractDeinstitutionalization in psychiatry led to a decrease in hospital beds, short hospital admissions focussed on symptoms reduction, and the development of ambulatory care. However, the needs of patients who despite symptoms reduction do not display the minimal competencies to live alone or in a sheltered accommodation, are not met in such a context. They usually go through long admissions and fail to improve. In 2016, we implemented a new inpatient program focused on fostering the development of the competencies needed to adapt to living outside the hospital; the aim of this study was to evaluate if it lead to the resolution of these situations or in contrary if it turned into a long stay unit. 116 patients admitted to the program between 2016 and 2018 were included in the study. They were psychiatric inpatients who had no home, did not find a place in a sheltered accommodation and couldn't be discharged. In the majority of cases, the situation was resolved within 180 days and the majority of patients was referred to a sheltered accommodation. Functional and symptom levels improved significantly over time. A specific focus on restoring competencies to live outside of hospital allows complex patients to improve their functional level and to find a place to live in the community within a relatively short time. While deinstitutionalization has been beneficial to the vast majority of patients, denying the specific needs of a minority of patients leads to unnecessary long and inefficient hospital admissions.
dc.languageEnglish
dc.publisherSPRINGER
dc.titleRecovering the Capacity to Live outside of a Psychiatric Hospital: Impact of a Specialized Inpatient Program
dc.typeJournal Article
dc.identifier.doi10.1007/s11126-020-09846-y
melbourne.affiliation.departmentCentre for Youth Mental Health
melbourne.source.titlePsychiatric Quarterly
melbourne.source.volume92
melbourne.source.issue2
melbourne.source.pages751-759
melbourne.elementsid1468001
melbourne.openaccess.urlhttps://serval.unil.ch/resource/serval:BIB_E4234460788C.P001/REF.pdf
melbourne.openaccess.statusPublished version
melbourne.contributor.authorConus, Philippe
dc.identifier.eissn1573-6709
melbourne.accessrightsAccess this item via the Open Access location


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