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The Daily Living Programme

Preliminary Comparison of Community Versus Hospital-Based Treatment for the Seriously Mentally Ill Facing Emergency Admission

Published online by Cambridge University Press:  02 January 2018

M. Muijen ,
I. M. Marks ,
J. Connolly ,
B. Audini  and
G. McNamee
M. Muijen*
Affiliation:
Research and Development for Psychiatry, 134–138 Borough High Street, London SE1 1LB
I. M. Marks
Affiliation:
The Maudsley Hospital, Denmark Hill, London SE5 8AZ
J. Connolly
Affiliation:
The Maudsley Hospital, Denmark Hill, London SE5 8AZ
B. Audini
Affiliation:
The Maudsley Hospital, Denmark Hill, London SE5 8AZ
G. McNamee
Affiliation:
The Maudsley Hospital, Denmark Hill, London SE5 8AZ
*
∗Correspondence
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Abstract

Patients with a serious mental illness requiring admission were randomised to home care or standard hospital care. Over the initial 18 months, 60 patients entered each group and were studied for a mean of 10 months. Home care reduced hospital use by 80%, with patients being admitted for a mean of 14 days, compared with 72 days for the standard group, but this bed-saving made no difference in direct treatment costs. Home care offers individualised treatment, and many patients require continuing support with the emphasis on areas such as finances and housing.

Type
Papers
Information
The British Journal of Psychiatry , Volume 160 , Issue 3 , March 1992 , pp. 379 - 384
Copyright
Copyright © Royal College of Psychiatrists, 1992 

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