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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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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]
Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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DbLabel: Psychology and Behavioral Sciences Collection
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AccessLevel: 6
PubType: Academic Journal
PubTypeId: academicJournal
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  Data: The Maine and Vermont three-decade studies of serious mental illness. I. Matched comparison of cross-sectional outcome.
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Desisto%2C+Michael+J%2E%22&quot;&gt;Desisto, Michael J.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Harding%2C+Courtenay+M%2E%22&quot;&gt;Harding, Courtenay M.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22McCormick%2C+Rodney+V%2E%22&quot;&gt;McCormick, Rodney V.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ashikaga%2C+Takamaru%22&quot;&gt;Ashikaga, Takamaru&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Brooks%2C+George+W%2E%22&quot;&gt;Brooks, George W.&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22DeSisto%2C+M+J%22&quot;&gt;DeSisto, M J&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Harding%2C+C+M%22&quot;&gt;Harding, C M&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22McCormick%2C+R+V%22&quot;&gt;McCormick, R V&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Ashikaga%2C+T%22&quot;&gt;Ashikaga, T&lt;/searchLink&gt; (AUTHOR)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Brooks%2C+G+W%22&quot;&gt;Brooks, G W&lt;/searchLink&gt; (AUTHOR)
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  Data: &lt;searchLink fieldCode=&quot;JN&quot; term=&quot;%22British+Journal+of+Psychiatry%22&quot;&gt;British Journal of Psychiatry&lt;/searchLink&gt;. Sep95, Vol. 167, p331-338. 8p. 4 Charts.
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Mental+illness%22&quot;&gt;Mental illness&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Mental+health+services%22&quot;&gt;Mental health services&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Medical+rehabilitation%22&quot;&gt;Medical rehabilitation&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Health+outcome+assessment%22&quot;&gt;Health outcome assessment&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Community+life%22&quot;&gt;Community life&lt;/searchLink&gt;
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  Data: &lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Maine%22&quot;&gt;Maine&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;DE&quot; term=&quot;%22Vermont%22&quot;&gt;Vermont&lt;/searchLink&gt;
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: &lt;bold&gt;Background: &lt;/bold&gt;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.&lt;bold&gt;Method: &lt;/bold&gt;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.&lt;bold&gt;Results: &lt;/bold&gt;Vermont subjects alive at follow-up (n = 180) were more productive (P &lt; 0.0009), had fewer symptoms (P &lt; 0.002), better community adjustment (P &lt; 0.001) and global functioning (P &lt; 0.001) than Maine subjects (n = 119).&lt;bold&gt;Conclusions: &lt;/bold&gt;Outcome differences may be due to Vermont&#39;s model programme and a policy of allowing an earlier opportunity for community life. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of British Journal of Psychiatry is the property of Cambridge University Press and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1192/bjp.167.3.331
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 8
        StartPage: 331
    Subjects:
      – SubjectFull: Mental illness
        Type: general
      – SubjectFull: Mental health services
        Type: general
      – SubjectFull: Medical rehabilitation
        Type: general
      – SubjectFull: Health outcome assessment
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      – SubjectFull: Community life
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      – SubjectFull: Maine
        Type: general
      – SubjectFull: Vermont
        Type: general
    Titles:
      – TitleFull: The Maine and Vermont three-decade studies of serious mental illness. I. Matched comparison of cross-sectional outcome.
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            NameFull: Brooks, George W.
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            – D: 01
              M: 09
              Text: Sep95
              Type: published
              Y: 1995
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              Value: 167
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