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Article | March 01, 1984

The Impact of Discharge Planning on Chronic Schizophrenic Patients

Carol L. M. Caton; Jill M. Goldstein; Oscar Serrano; Rose Bender

Psychiatric Services 1984; doi:

New York State Psychiatrid Institute; Physicians and Surgeons, Columbia University, 722 West 168 Street, New York, New York 10032

New York State Psychiatrid Institute; Physicians and Surgeons, Columbia University, 722 West 168 Street, New York, New York 10032; Health Insurance Plan of Greater New York

New York State Psychiatrid Institute; Physicians and Surgeons, Columbia University, 722 West 168 Street, New York, New York 10032; New York State Psychiatric Institute

1984 by the American Psychiatric Association

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Abstract

The authors studied the discharge planning process at four inpatient facilities and its impact on 119 chronic schizophrenic patients over a one-year period. Adequacy of discharge planning varied significantly among the inpatient units; the authors attributed this variance to communication between inpatient and outpatient staff, staff-patient ratios, and staffeffort. Overall, staff were most thorough in planning drug treatment andaftercare and least thorough in planning living arrangements in the community. The autborsfound that adequacy of discharge planning for after care treatment as well as patients' economic situations significantly influenced both treatment compliance at three-month f ollow-up and rates of early rehospitalization.

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