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Article
Long-stay patients in state psychiatric hospitals at the end of the 20th century
Open Access Articles
  • William H. Fisher, University of Massachusetts Medical School
  • Paul J. Barreira
  • Jeffrey L. Geller, University of Massachusetts Medical School
  • Andrew W. White, University of Massachusetts Medical School
  • Alisa K. Lincoln, University of Massachusetts Medical School
  • Marylou Sudders
UMMS Affiliation
Department of Psychiatry
Date
7-28-2001
Document Type
Article
Subjects
Female; History, 20th Century; Hospitalization; Hospitals, Psychiatric; Hospitals, State; Humans; Length of Stay; Male; Mental Disorders; Mental Health Services; data; United States
Abstract

OBJECTIVES: The purpose of this study was to assess the characteristics of long-stay patients in contemporary state psychiatric hospitals and to identify factors representing possible barriers to alternative placements for these patients.

METHODS: All patients in inpatient units of the Massachusetts Department of Mental Health who had been hospitalized for at least three years as of April 1, 1999, were assessed by their treatment teams with a standardized data collection instrument. Domains assessed included medical problems, need for nursing care, psychiatric diagnosis, and history of problematic behaviors.

RESULTS: The 330 individuals identified as long-stay patients had an array of medical problems and nursing care needs that likely would have been manageable in other long-term-care settings. A total of 276 patients had at least one significant medical problem. However, some patients exhibited behavioral problems that might have complicated such placements, especially when behavioral problems co-occurred with the need for medical supervision. A total of 228 patients had exhibited a significant problematic behavior in the previous 30 days.

CONCLUSIONS: Although the number of long-stay patients in state psychiatric hospitals declined dramatically during the second half of the 20th century, a small group of patients still requires care in this setting. State psychiatric hospitals continue to occupy a significant niche in the mental health system.

Rights and Permissions
Citation: Psychiatr Serv. 2001 Aug;52(8):1051-6.
Related Resources
Link to Article in PubMed
PubMed ID
11474050
Citation Information
William H. Fisher, Paul J. Barreira, Jeffrey L. Geller, Andrew W. White, et al.. "Long-stay patients in state psychiatric hospitals at the end of the 20th century" Vol. 52 Iss. 8 (2001) ISSN: 1075-2730 (Print)
Available at: http://works.bepress.com/jeffrey_geller/71/