Authors: Ilija Kljajic, NSW
Event: 2005 TheMHS Conference
Subject: Care-Full Institutions
Type of resource: Conference Presentations and Papers
Abstract: Social rejection includes admissions to psychiatric hospitals where the mission is to empower patients to recover community tenure. This was measured by successful discharges i.e. without unplanned non acute ward readmissions within 12 months. At THEMHS 1994, MQE reported an unplanned readmission rate of 8%, with minimal inpatient lengths of stay. These successes have been maintained in two subsequent outcome surveys. Similar successes reported by other institutions, allow clarification of the required substrates of successful discharge outlined below. Psychiatric hospitals of MQE’s size retain the capacity to support community case managers in their application of the preferred treatment option of “community management of psychiatric issues”, and are as such a legitimate community treatment adjunct. In consequence, psychiatric hospital admission needs to be de-stigmatised to avoid the “justification” for their further devolution. The latter risks creating the very same consequences for seriously dysfunctional psychiatric clientele that deinstitutionalization attempted to eliminate.