Care models for discharged psychiatric patients

BMJ 1998;317:283 ( 25 July )

Letters

Care models for discharged psychiatric patients

Community based care is superior to conventional care

Authors' reply

Community based care is superior to conventional care

The first 150 words of the full text of this article appear below.

EDITOR $---$ Tyrer et al's conclusion that aftercare for psychiatric patients with severe mental illness by community teams hasa similar outcome to that by hospitals is surprising until oneappreciates the rudimentary form of community intervention thatthey used in the study.¹ The two methods of follow up theycompared seem to have many similarities, except that the communityfollow up was provided by a team based outside the hospital. Thisis not really community treatment $---$ two styles of intervention werecompared that were not distinct in terms of the care and treatmentgiven to the patients. This may be why Tyrer et al found no substantialdifference in outcome between the two approaches. Tyrer himselfhas recently described this kind of community treatment as profligateand little short of disastrous.²

Community based care is superior to conventional care in cost benefit terms if the treatment is similar to . . . [Full text of this article]

CiteULike

Complore

Connotea

Del.icio.us Add to Digg

Digg

Technorati What's this?

Relevant Article

Randomised controlled trial of two models of care for discharged psychiatric patients: Peter Tyrer, Kathryn Evans, Naresh Gandhi, Alwyn Lamont, Phil Harrison-Read, and Tony Johnson
BMJ 1998 316: 106-109. [Abstract] [Full Text] [PDF]