Citation

Anderson RL, Lyons JS. J. Behav. Health Serv. Res. 2001; 28(1): 104-110.

Copyright

(Copyright © 2001, Association of Behavioral Healthcare Management, Publisher Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/BF02287239

PMID

11329995

Abstract

This study examined the association of clinical status to mental health service use among persons with mental illness living in residential care. Two hundred residents with a chart diagnosis of schizophrenia were randomly selected from four intermediate care facilities. The severity of psychiatric illness-community mental health (SPI-CMH) scale was used to assess clinical status and symptom severity according to three dimensions: symptoms and functioning, risk behaviors, and complication to illness. Lower levels of severity of psychiatric illness were associated with participation in workshops, family contact, and admitting to mental health problems.

RESULTS suggest that residents of the intermediate care facilities have clinical needs consistent with habilitation and rehabilitation services. While residents infrequently engage in high-risk behavior such as suicide and violence, they have considerable living skills and vocational needs. Future research should consider the relationship over time of mental health service utilization, severity of psychiatric illness, and psychosocial factors.

Language: en

Keywords

Adult; Aged; Aged, 80 and over; Female; Humans; Illinois; Intermediate Care Facilities; Male; Mental Health Services; Middle Aged; Needs Assessment; Patient Care Planning; Sampling Studies; Schizophrenia; Severity of Illness Index