Observational studySocial psychiatry and psychiatric epidemiology2014
Is psychiatric residential facility discharge possible and predictable? A multivariate analytical approach applied to a prospective study in Italy.
Observational study in Social psychiatry and psychiatric epidemiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.
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Who cites it
11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.
- The Effectiveness of Mental Health Rehabilitation Services: A Systematic Review and Narrative Synthesis.Frontiers in psychiatry · 2020Pooled it
- Mental health supported accommodation services: a systematic review of mental health and psychosocial outcomes.BMC psychiatry · 2018Pooled it
- Experiences and expectations of residents and professionals of supported accommodations for people with serious mental disorders in Portugal.Social psychiatry and psychiatric epidemiology · 2025Article
- Moving from supported to independent living: what are the barriers and facilitators for individuals with psychosis?Social psychiatry and psychiatric epidemiology · 2024Article
- Quality of residential facilities in Italy: satisfaction and quality of life of residents with schizophrenia spectrum disorders.BMC psychiatry · 2022Article
- DAily time use, Physical Activity, quality of care and interpersonal relationships in patients with Schizophrenia spectrum disorders (DiAPASon): an Italian multicentre study.BMC psychiatry · 2020Article
- Community-care unit model of residential mental health rehabilitation services in Queensland, Australia: predicting outcomes of consumers 1-year post discharge.Epidemiology and psychiatric sciences · 2020Article
- Using Group Concept Mapping to Develop a Conceptual Model of Housing and Community-Based Residential Settings for Adults With Severe Mental Illness.Frontiers in psychiatry · 2020Article
- Factors Associated with Long-Stays in an Italian Psychiatric Intensive Treatment Facility: 1-Year Retrospective Observational Analysis.The Psychiatric quarterly · 2019Observational
- Development and Validation of the Health of the Nation Outcome Scales-Residential Facility (HoNOS-RF).The Psychiatric quarterly · 2018Article
- What Works? Toward a New Classification System for Mental Health Supported Accommodation Services: The Simple Taxonomy for Supported Accommodation (STAX-SA).International journal of environmental research and public health · 2018Article
Corrections and comments
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Authors and funding
13 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA growing number of severely ill patients require long-term care in non-hospital residential facilities (RFs). Despite the magnitude of this development, longitudinal studies surveying fairly large resident samples and yielding important information on this population have been very few.
aimsThe aims of the study were (1) to describe the socio-demographic, clinical, and treatment-related characteristics of RF patients during an index period in 2010; (2) to identify predictors and characteristics associated with discharge at the 1-year follow-up; (3) to evaluate clinicians' predictions about each patient's likelihood of home discharge (HD).
methodsA prospective observational cohort study was conducted involving all patients staying in 23 medium-long-term RFs of the St John of God Order with a primary psychiatric diagnosis. A comprehensive set of socio-demographic, clinical, and treatment-related information was gathered and standardized assessments (BPRS, HONOS, PSP, PHI, SLOF, RBANS) were administered to each participant. Logistic regression analyses were run to identify independent discharge predictors.
resultsThe study involved 403 patients (66.7% male), with a mean age of 49 years (SD = 10). The participants' average illness duration was 23 years; median value for length of stay in the RF was 2.2 years. The most frequent diagnosis was schizophrenia (67.5%). 104 (25.8%) were discharged: 13.6% to home, 8.2% to other RFs, 2.2% to supported housing, and 1.5% to prison. Clinicians' predictions about HD were generally erroneous.
conclusionsVery few patients were discharged to independent accommodations after 1 year. The main variables associated with a higher HD likelihood were: illness duration of <15 years and effective social support during the previous year. Lower severity of psychopathology and higher working skill levels were also associated with a significantly greater HD likelihood.
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