AIM: to investigate the efficacy of community care over inpatient care, followed by aftercare
METH: a comparison was made of 2 group of 65 individuals, one group was recieving inpatient care plus aftercare (control group), the other was recieving training in community living, which included developing social support networks, reducing dependency on family/institutions etc.
RESULT:during the first 12 months, 58 of the control group were readmitted to hospital whilst only 12 of the community living group were readmitted. However, when the programme ended, the gains were gradually lost.
CONC: The patients in the community programme were not cured, but were able to survive in the community, owing to the avalibility of supporters and carers during the programme
EVAL: this study made it clear that a considerable financial and personnel investment is required for community care to be effective long term. This is a political issue that needs to be adressed nationally.
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