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The Maine and Vermont three-decade studies of serious mental illness. I. Matched comparison of cross-sectional outcome.

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Bibliographic Details
Title: The Maine and Vermont three-decade studies of serious mental illness. I. Matched comparison of cross-sectional outcome.
Authors: Desisto, Michael J., Harding, Courtenay M., McCormick, Rodney V., Ashikaga, Takamaru, Brooks, George W., DeSisto, M J (AUTHOR), Harding, C M (AUTHOR), McCormick, R V (AUTHOR), Ashikaga, T (AUTHOR), Brooks, G W (AUTHOR)
Source: British Journal of Psychiatry. Sep95, Vol. 167, p331-338. 8p. 4 Charts.
Subjects: Mental illness, Mental health services, Medical rehabilitation, Health outcome assessment, Community life
Geographic Terms: Maine, Vermont
Abstract: Background: This study compared long-term outcome of serious mental illness in two states using a matched design to assess psychiatric rehabilitation programmes; Vermont subjects participated in a model psychiatric rehabilitation programme, while the Maine group received more traditional care.Method: Maine and Vermont subjects (n = 269) were matched by age, sex, diagnosis, and chronicity. Demographic, illness, and life history information were abstracted from hospital records by clinicians blind to outcome. DSM-III criteria were applied retrospectively. Outcome was assessed by clinicians blind to history.Results: Vermont subjects alive at follow-up (n = 180) were more productive (P < 0.0009), had fewer symptoms (P < 0.002), better community adjustment (P < 0.001) and global functioning (P < 0.001) than Maine subjects (n = 119).Conclusions: Outcome differences may be due to Vermont's model programme and a policy of allowing an earlier opportunity for community life. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
Description
Abstract:<bold>Background: </bold>This study compared long-term outcome of serious mental illness in two states using a matched design to assess psychiatric rehabilitation programmes; Vermont subjects participated in a model psychiatric rehabilitation programme, while the Maine group received more traditional care.<bold>Method: </bold>Maine and Vermont subjects (n = 269) were matched by age, sex, diagnosis, and chronicity. Demographic, illness, and life history information were abstracted from hospital records by clinicians blind to outcome. DSM-III criteria were applied retrospectively. Outcome was assessed by clinicians blind to history.<bold>Results: </bold>Vermont subjects alive at follow-up (n = 180) were more productive (P < 0.0009), had fewer symptoms (P < 0.002), better community adjustment (P < 0.001) and global functioning (P < 0.001) than Maine subjects (n = 119).<bold>Conclusions: </bold>Outcome differences may be due to Vermont's model programme and a policy of allowing an earlier opportunity for community life. [ABSTRACT FROM AUTHOR]
ISSN:00071250
DOI:10.1192/bjp.167.3.331