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Small supportive treatment units and the problem of recidivism in indigent chronic schizophrenic patients
Authors:Dr. Efrain A. Gomez M.D.
Affiliation:(1) Albert Einstein College of Medicine, Bronx, New York;(2) Department of Psychiatry, the Hospital of Albert Einstein Medical College, USA
Abstract:This is a report of a three and a half-year follow up of uprooted chronic schizophrenics, who had become disposition problems at the time of discharge from a state psychiatric hospital. One group of 14 was discharged to themselves, another in small supporting units to share living quarters with fellow patients. The results are encouraging and may throw some light into the problem of recidivisim. All patients were diagnosed chronic schizophrenic. They had multiple hospitalizations, came from the same catchment area, and were followed by the same therapist in the same hospital setting.Patients who shared living quarters with other patients did better in terms of post hospitalization adjustment, reduced readmission and subsequent time spent in hospital, employment and self-responsibility compared to patients living alone.
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