This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Leff, J. Search for Related Content PubMed PubMed Citation Articles by Leff, J. Social Bookmarking                         What's this?

Problems of Transformation

Friern Hospital, Friern Barnet Road, London N11 8BP, UK

Despite the progressive reduction over many years in patient populations of psychiatric hospitals in America and many European countries, there have been few attempts to evaluate this policy. The Team for the Assessment of Psychiatric Services (TAPS) was established to monitor and evaluate the closure of two large psychiatric hospitals in North London. A number of important problems have been identified in the course of the TAPS research programme. These include: the inertia of the planning process, the selection of the best patients first for discharge at the expense of the more disabled, the accumulation of new long-stay patients entering the admission wards of psychiatric hospitals, the policy of introducing patients into the community as unobtrusively as possible, and the difficulties of deinstitutionalis ing staff. Despite these problems, evidence is presented that discharge of long-stay patients into the community has been relatively successful.

International Journal of Social Psychiatry, Vol. 38, No. 1, 16-23 (1992)
DOI: 10.1177/002076409203800103


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?