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Restrictiveness of Care Among the Severely Mentally Disabled
William A. Hargreaves; Jessica Gaynor; Paul Ransohoff; C. Clifford Attkisson
Psychiatric Services 1984; doi:
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Psychiatry Program Evaluation, 1490 Fifth Avenue, California 94143

University of California, San Francisco

1984 by the American Psychiatric Association

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Abstract

Restrictiveness of care was assessed among 286 severely mentally disabled individuals known to an urban community mental health center. By examining dinical records, the authors rated each subject for each month during a period of up to 85 months on four dimensions of restrictiveness: physical freedom, time constraints, legal status, and conservatorship. The maximum restrictiveness experienced by most of the subjects was high, reflecting periodic involuntary hospitalization. The average restrictiveness they experienced, however, was well below the level represented by state hospital care. Thus the authors suggest that the average restrictiveness experienced by this population has been reduced since the initiation of deinstitutionalization.

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