Alternative to Mental Hospital Treatment: I. Conceptual Model, Treatment Program, and Clinical Evaluation

Stein, Leonard I.

doi:10.1001/archpsyc.1980.01780170034003

Cited by 1,902Psychiatric care and mental health servicesHistorical Psychiatry and Medical PracticesSchizophrenia research and treatment

Alternative to Mental Hospital Treatment: I. Conceptual Model, Treatment Program, and Clinical Evaluation

Stein, Leonard I.·1980·Archives of General Psychiatry

DOI 10.1001/archpsyc.1980.01780170034003

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Abstract

A conceptual model for the development of community-based treatment programs for the chronically disabled psychiatric patient was developed, and the results of a controlled study and follow-up are reported. A community-treatment program that was based on the conceptual model was compared with conventional treatment (ie, progressive short-term hospitalization plus aftercare). The results have shown that use of the community program for 14 months greatly reduced the need to hospitalize patients and enhanced the community tenure and adjustment of the experimental patients. When the special programming was discontinued, many of the gains that were attained deteriorated, and use of the hospital rose sharply. The results suggest that community programming should be comprehensive and ongoing.

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Authors: Stein, L. I.
Affiliations: University of Wisconsin–Madison (US)
Corresponding author: Stein, Leonard I.
ORCID: Stein, Leonard I.
Venue: Archives of General Psychiatry
Publisher: American Medical Association (AMA)
Published: 1980-04-01
Volume: 37
Issue: 4
Pages: 392
ISSN: 0003-990X (ISSN-L)
DOI: 10.1001/archpsyc.1980.01780170034003
OpenAlex: W2018237572
Cited by: 1,902
References: 22
Citations by year: 2026: 12 · 2025: 15 · 2024: 24 · 2023: 16 · 2022: 28 · 2021: 44 · 2020: 24 · 2019: 47 · 2018: 36 · 2017: 68 · 2016: 29 · 2015: 34 · 2014: 27 · 2013: 52 · 2012: 61
FWCI: 24.36
Type: journal article
Language: en
Open access: closed
Locations: Archives of General Psychiatry (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
Social Sciences › Psychology › Clinical Psychology › Historical Psychiatry and Medical Practices
Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
Keywords: deinstitutionalization, psychiatric hospitalization, follow-up care, communal land tenure, relapse, conceptual model
MeSH terms: Adult, Mental Disorders, Chronic Disease, Community Mental Health Services, Employment, Hospitals, Psychiatric, Hospitals, State, Humans, Middle Aged, Models, Theoretical, Outcome and Process Assessment, Health Care, Personal Satisfaction, Self Concept, Social Adjustment

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Alternative to Mental Hospital Treatment: I. Conceptual Model, Treatment Program, and Clinical Evaluation

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