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Quality of Life as an Evaluative Measure in Assessing the Impact of Community Care on People with Long-Term Psychiatric Disorders

Published online by Cambridge University Press:  02 January 2018

Margaret M. Barry  and
Charles Crosby
Margaret M. Barry*
Affiliation:
School of Psychology, University of Birmingham
Charles Crosby
Affiliation:
Health Services Research Unit, Department of Psychology, University College North Wales, Bangor, Gwynnedd LL57 2D, Wales
*
Dr Margaret M. Barry, School of Psychology, University of Birmingham, Edgbaston, Birmingham B15 2TT
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Abstract

Background

The impact of community resettlement on the quality of life of people with long-term psychiatric disorders, is evaluated in a longitudinal study.

Method

A repeated measures design was used to examine the sensitivity of an adapted version of Lehman's Quality of Life Interview in evaluating change. Completed interviews were carried out with 29 of the original cohort at one year post-discharge. The relationship between quality of life and ratings of client functioning is explored.

Results

Significant changes in the objective quality of life indices include improved living conditions (F = 40.00, P < 0.001), higher levels of social contact (F = 29.52, P < 0.01) and increased leisure activities (F = 4.57, P < 0.05). Apart from increased satisfaction with living situation (F = 6.94, P < 0.01), there were no significant changes in the subjective indices. Ratings of psychiatric state and social functioning did not significantly correlate with global quality of life at one year post-discharge.

Conclusions

Concerns in relation to the sensitivity of life satisfaction ratings in evaluating programme interventions are raised.

Type
Papers
Information
The British Journal of Psychiatry , Volume 168 , Issue 2 , February 1996 , pp. 210 - 216
Copyright
Copyright © 1996 The Royal College of Psychiatrists 

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References

Andreasen, N. C. (1982) Negative symptoms in schizophrenia: Definition and reliability. Archives of General Psychiatry, 39, 784–788.Google Scholar
Baker, F. & Intagliata, J. (1982) Quality of life in the evaluation of community support systems. Evaluation and Program Planning, 5, 69–79.CrossRefGoogle ScholarPubMed
Barry, M. M., Crosby, C. & Bogg, J. (1993) Methodological issues in evaluating the quality of life of long-stay psychiatric patients. Journal of Mental Health, 2, 43–56.CrossRefGoogle Scholar
Barry, M. M. & Crosby, C. (1995) Assessing the impact of community placement on quality of life. In Community Care: Evaluation of the Provision of Mental Health Services (eds Crosby, C. & Barry, M. M.), pp. 137–168. Aldershot: Avebury.Google Scholar
Champney, T. F. & Dzurec, L. C. (1992) Involvement in productive activities and satisfaction with living situation among severely mentally disabled adults. Hospital and Community Psychiatry, 43, 899–903.Google Scholar
Cheng, S. T. (1988) Subjective quality of life in the planning and evaluation of programs. Evaluation and Program Planning, 11, 123–134.Google Scholar
Crosby, C. & Barry, M. M. (1995) Community Care: Evaluation of the Provision of Mental Health Services. Aldershot: Avebury.Google Scholar
Crosby, C., Barry, M. M., Carter, M. F., et al (1993) Psychiatric rehabilitation and community care: Resettlement from North Wales Hospital. Health and Social Care, 1, 355–363.CrossRefGoogle Scholar
Garety, P. A. & Morris, I. (1984) A new unit for long-stay psychiatric patients: Organisation, attitudes and quality of life. Psychological Medicine, 14, 183–192.Google Scholar
Hall, J. N. & Baker, R. (1983) REHAB. Aberdeen: Vine Publishing Company.Google Scholar
Krawiecka, M., Goldberg, D. & Vaughan, M. (1977) A standardised psychiatric assessment scale for rating chronic psychotic patients. Acta Psychiatrica Scandinavica, 55, 299–308.Google Scholar
Leff, J., Thornicroft, G., Coxhead, N., et al (1994) The TAPS Project. 22: A five-year follow-up of long-stay psychiatric patients discharged to the community. British Journal of Psychiatry, 165 (suppl. 25), 13–17.Google Scholar
Lehman, A. F., Ward, N. C. & Linn, L. S. (1982) Chronic mental patients: The quality of life issue. American Journal of Psychiatry, 139, 1271–1276.Google Scholar
Lehman, A. F., Possidente, S. & Hawker, F. (1986) The quality of life of chronic patients in a state hospital and in community residences. Hospital and Community Psychiatry, 37, 901–907.Google Scholar
Mitchell, D. A., Crosby, C. & Barry, M. M. (1995) Evaluation of the North Wales Resettlement Programme: Methodology and cohort description. In Community Care: Evaluation of the Provision of Mental Health Services (eds Crosby, C. & Barry, M. M.), pp. 7–57. Aldershot: Avebury.Google Scholar
Overall, J. & Gorham, D. (1962) The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799–812.CrossRefGoogle Scholar
Robinson, J. W., Thompson, T., Emmons, P., et al (1984) Towards an Architectural Definition of Normalisation. School of Architecture, University of Minnesota.Google Scholar
Rosenfield, S. (1992) Factors contributing to the subjective quality of life of the chronic mentally ill. Journal of Health and Social Behaviour, 33, 299–315.Google Scholar
Simpson, C. J., Hyde, C. E. & Farragher, E. B. (1989) The chronically mentally ill in community facilities: A study of quality of life. British Journal of Psychiatry, 154, 77–82.Google Scholar
Wing, J. K. & Brown, J. (1970) Institutionalism and Schizophrenia. London: Cambridge University Press.Google Scholar
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