Abstract
During the last decade in Ontario large numbers of patients with chronic psychiatric disorders have been discharged from the mental hospitals and are now scattered throughout other psychiatric facilities. The Homes for Special Care Program offers privately run but government-funded accommodation for severely disabled patients with relatively stable and socially acceptable behaviour, who require residential or nursing care but are thought unlikely to benefit from further hospital treatment. Salient features of the program include the formal discharge of patients from hospital and their legal reinstatement as "persons", the cessation of active psychiatric treatment, and the provision of ongoing care and supervision by largely untrained personnel. Medical care is provided by general practitioners and the program looks to volunteer agencies to provide recreational and other activities for residents.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Allodi F. A., Kedward H. B. The vanishing chronic. The reduction of the resident patient population of a large urban Ontario mental hospital from 1950 to 1970 with an analysis of associated administrative and therapeutic changes. Can J Public Health. 1973 May-Jun;64(3):279–289. [PubMed] [Google Scholar]
- Capstick N. Group homes: rehabilitation of the long-stay patient in the community. Proc R Soc Med. 1973 Dec;66(12):1229–1230. doi: 10.1177/003591577306601233. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Engelsmann F., Murphy H. B., Tcheng-Laroche F. C. Criteria for the post-hospital adjustment of mental patients in sheltered settings. Can Psychiatr Assoc J. 1974 Aug;19(4):375–380. doi: 10.1177/070674377401900408. [DOI] [PubMed] [Google Scholar]
- Kedward H. B., Eastwood M. R., Allodi F., Duckworth G. S. The evaluation of chronic psychiatric care. Can Med Assoc J. 1974 Mar 2;110(5):519–523. [PMC free article] [PubMed] [Google Scholar]
- Wing J. K., Birley J. L., Cooper J. E., Graham P., Isaacs A. D. Reliability of a procedure for measuring and classifying "present psychiatric state". Br J Psychiatry. 1967 May;113(498):499–515. doi: 10.1192/bjp.113.498.499. [DOI] [PubMed] [Google Scholar]