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The effects of relocation on long-stay psychiatric patients

  • Marie A Ferrari (a1), Elizabeth A Corbett (a1), Margaret M Cole (a2), Brid Corkery (a3), David F Dunne (a4), Eugene Morgan (a5), Marie O'Sullivan (a6) and Mary E Buckley (a1)...

Abstract

Objective: To assess the effects of relocation on the social behaviour and mental state of a group of 43 long stay psychiatric patients transferred from an old institution to a modern hospital. Method: Each patient was assessed using the MRC Social Behaviour Schedule and the Manchester Scale. Assessments were carried out prior to relocation and at six weeks and six months after transfer. Results: Some deterioration was apparent in the patients' social behaviour at six weeks following relocation but this trend was reversed to definite improvement at six months. There was an overall marked reduction in hostility and violence following relocation. Patients who showed most improvement in terms of social behaviour were the lower functioning group where greater emphasis was placed on promoting basic self care and social skills rather than on occupational therapy. Changes in mental state, following relocation, were minimal but a slight deterioration occurred especially in the area of negative symptoms. Conclusions: Relocations caused no serious adverse effects in the majority of these patients. The improvement observed in certain aspects of behaviour are attributable to the improved physical and psychological milieu of the receiving hospital.

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1.The psychiatric service - planning for the future: report by a study group on the development of the psychiatric services. Dublin: The Stationery Office, 1984.
2.Markus, E, Blenkner, M, Bloom, M, Downs, T. The impact of relocation upon mortality rates of institutionalised aged persons. J Gerontol 1971; 26: 537–41.
3.Demick, J, Wapner, S. Effects of environmental relocation on members of a psychiatric therapeutic community. J Abnorm Psychol 1980; 89: 444–52.
4.Morris, RK, Bowie, PC, Spencer, PV. The mortality of long-stay patients following interhospital relocation. Br J Psychiatry 1988; 152: 705–6.
5.Kelly, GR. Minimising the adverse effects of mass relocation among chronic psychiatric inpatients. Hosp Community Psychiatry 1983; 34: 150–4.
6.Nirenberg, TD. Relocation of institutionalised elderly. J Consult Clin Psychol 1983; 51: 693701.
7.Zlotowski, M, Cohen, D. Effects of environmental change upon behaviour of hospitalised schizophrenic patients. J Clin Psychol 1968; 24: 470–5.
8.Pryce, IG. The effects of social changes in chronic schizophrenia: a study of forty patients transferred from hospital to residential home. Psychol Med 1977; 7: 127–39.
9.Brown, GW, Birley, JL. Crises and life changes and the onset of schizophrenia. J Health Soc Behav 1968; 9: 203–14.
10.Schulz, R, Brenner, G. Relocation of the aged: a review and theoretical analysis. J Geront 1977; 32: 323–33.
11.Chong, LS, Abbott, PM. Relocation of long-stay general psychiatric in-patients. Psychol Bull 1992; 16: 22.
12.Barrington, L, Burke, JL, LaFave, HG. Mass transfer of two wards of chronic mental patients. Psychiatr Q 1962; 36: 286–95.
13.Lieberman, M, Tobin, S, Slover, D. The effects of relocation on long-term geriatric patients. Illinois Dept of Health Committee on Human Development, Univ Chicago, Final Report. Project 1971; 17: 1328.
14.Wing, JK, Brown, GW. Institutionalism and schizophrenia. London: Cambridge University Press, 1970.
15.Pryce, IG, Griffiths, RD, Gentry, RM, Hughes, ICT, Montague, LR, Watkins, SE, et al:The nature and severity of disabilities in long stay psychiatric in patients in South Glamorgan. Br J Psychiatry 1991; 158: 817–21.
16.Wykes, T, Sturt, E. The measurement of social behaviour in psychiatric patients: an assessment of the reliability and validity of the SBS schedule. Br J Psychiatry 1986; 148: 111.
17.Krawieeka, M, Goldberg, D, Vaughan, M. A standardised psychiatric assessment scale for rating chronic psychotic patients. Acta Psychiatr Scand 1977; 55: 299308.
18.Modestin, J, Frohlicher, P, Battegay, CH, Alberti, L. Impact of decisive changes in the clinical milieu on chronic psychiatric inpatients. Soc Psychiatry 1982; 17: 143–8.
19.Markson, E, Cumming, J. A strategy of necessary mass transfer and its impact on patient mortality. J Geront 1974; 29: 315–21.
20.Heller, T. The effects of involuntary residential relocation; a review. Am J Community Psychol 1982; 10: 471–92.
21.Forttrell, E. Violent behavour by psychiatric patients. Br J Hosp Med 1981; 25: 2836.
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Irish Journal of Psychological Medicine
  • ISSN: 0790-9667
  • EISSN: 2051-6967
  • URL: /core/journals/irish-journal-of-psychological-medicine
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