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Article   |    
A Treatment Outcome Study of Community-Based Residential Care
William B. Hawthorne; William Fals-Stewart; James B. Lohr
Psychiatric Services 1994; doi:
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Principal funding for this study was provided by a grant from the Vista Hill Foundation. The study was also supported in part by Alpha House grant AH62301 awarded to Dr. Fals-Stewart and a VA merit review award to Dr. Lohr.

Community Research Foundation and Vista Hill Community Treatment Systems; 444 Camino Del Rio South, Suite 219, San Diego, California 92108

San Diego Veterans Affairs Medical Center

San Diego VA Medical Center

1994 by the American Psychiatric Association

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Abstract

Objective: The authors describe two psychosocially oriented community residential facilities for patients with persistent and severe mental disorders and multiple failures at community tenure, and they report a retrospective study designed to evaluate treatment outcomes of program residents. Methods: The study employed a retrospective single-group repeated-measures design to evaluate 104 patients who completed the one-year follow-up. One-year mean number of admissions to and days in a bospital or crisis center during the two years before program entry were compared with mean admissions and days for the follow-up year; employment status, living status, and Global Assessment of Functioning (GAF) Scale scores at program entry and at one-year follow-up were also compared. Thirteen sociodemographic and clinical variables were individually tested for association with outcome. Results: Hospital and crisis center admissions and days were significantly reduced during the follow-up year. At one-year follow-up, a significantly greater proportion of patients were employed and living independently, and fewer were homeless. GAF scores were significantly higher. No significant correlations between outcome and socio-demographic and clinical variables were found. Conclusions: Despite design limitations of the study, the findings suggest that psychosocial residential treatment models can offer cost-effective and clinically efficacious care to persistently mentally ill patients.

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