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• W2284784890 abstract "-l. qSegal, S. P., Community Care and human service responsiveness, Journal: HosE1‘ta1s;&#39;11», 18-2T, 193o_ om.munit_v care for the chronic mentally iil is marred _ and perhaps jeopardized by the qdurnpin;_;” of former patients into unprepared com- munities. A “revolving door” hospital admissions poli«:y~usually associated with dumping—is also thought to unciermine patient care. While such criti- cisms may seem justified in terms of the ideals of com- munity care, further consideration should be given to specifying those factors that determine the respon- siveness of community services to the needs of former patients and to the actual role of brief hospitalization in the patient’s community care. It may be that for some patient groups, the “revolving door” facilitates better community care. Research on the care of the chronic mentally ill has focused on factors that determine a patient’s return to the mental hospital and factors related to an increase in the time a chronic patient spends in the community be- tween hospitalizations. Little effort has been directed toward an understanding of the continuing role of coi’nrn-unity-based services as social supports for the chronic patient. Perhaps because the mental hospital has served as a long-term, life-encompassing residence, we are unaccustomed to examining the adequacy of conununity services that must promote the social and psychiatric we‘;3—’oeing of former patients, who have need for far more than bed and board. As part of a iarger s‘tL:Cl_&#39; of community care (1), data were collectui on the nature of the service system and social coritext experienced by nonretarded ex- mental patients between 18 and 65 years of age living in community care facilities in California. Using survey suruple methods, 499 residents living in 234 sheltered care facilities in l57 census tracts were interviewed, as were the operators of these facilities. This article sum- The National Assoc1&#39;ation_of,_Prjvate Psychiatric ”. . . Facility operators who see themselves as more of a friend than a parent or caretaker to the former patient showed a more professional treatment orientation and seemed to run a more rofessional faciiity. Such operat rs entered the shattered care business because of past professional experience with the resident II group. . . . marizes the results of several substudies that sought to determine the responsiveness of human services to the needs of former hospital patients and the effect of rchospitalization on these former patients in community care facilities. The Responsiveness of Community-Based Services q3q wo substudics sought to determine the respon- sivenessq of community-based services. The first focused on the sheltered care, facility (‘.3 a mediator between its residents and the service community. Find« ings, reported in detail in Seval and Aviram (1), show that-services go to those who make the greatest demands for them. Facility operators who were involved in the community were more likely to get services for their res- idents than operators not so involved. Operators who hadcontact with other operators, whose residents had been in the hospital in the last year, and whose residents had been picked up by the police were more likely to use services. Better educated operators, who saw services as helpful, were more likely to makeiuse of them. ‘ i’&#39;.-l PPH J O URN.-1 L" @default.
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• W2284784890 title "Community care and human service responsiveness." @default.
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