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Evaluation of community services.
Acta Psychiatr Belg. 1986 Jul-Aug; 86(4):350-61.AP

Abstract

Implementation and expansion of community-based psychiatric services was followed by a wide range of positive and negative effects. Differences seem due to scale and speed of implementation, to proper coordination with closing down mental hospitals, but also to differences in goals and expectations as well as methods applied to reach them. An analysis of empirical evaluation studies reveals a series of conceptual and methodological difficulties. Operational research has been limited so far by the scarcity of controlled studies and especially of multicenter coordinated research. The same is true for evaluation using external criteria, for instance evaluation of utilization data, of unintentional side-effects etc. The preventive effects of community psychiatry are practically not evaluated on the levels of primary and secondary prevention. On the other hand, important studies have been made on the transfer of care from mental hospitals to alternative care, especially in nursing and boarding homes; its results reveal an important deficit of adequate care for those who have been deinstitutionalized but without profiting from the community mental health movement. The conclusions concern the reorientation of goals for community psychiatry, the priorities of care in times of limited resources, and the specifications for evaluative research in the future.

Authors

No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

3098055

Citation

Uchtenhagen, A. "Evaluation of Community Services." Acta Psychiatrica Belgica, vol. 86, no. 4, 1986, pp. 350-61.
Uchtenhagen A. Evaluation of community services. Acta Psychiatr Belg. 1986;86(4):350-61.
Uchtenhagen, A. (1986). Evaluation of community services. Acta Psychiatrica Belgica, 86(4), 350-61.
Uchtenhagen A. Evaluation of Community Services. Acta Psychiatr Belg. 1986 Jul-Aug;86(4):350-61. PubMed PMID: 3098055.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of community services. A1 - Uchtenhagen,A, PY - 1986/7/1/pubmed PY - 1986/7/1/medline PY - 1986/7/1/entrez SP - 350 EP - 61 JF - Acta psychiatrica Belgica JO - Acta Psychiatr Belg VL - 86 IS - 4 N2 - Implementation and expansion of community-based psychiatric services was followed by a wide range of positive and negative effects. Differences seem due to scale and speed of implementation, to proper coordination with closing down mental hospitals, but also to differences in goals and expectations as well as methods applied to reach them. An analysis of empirical evaluation studies reveals a series of conceptual and methodological difficulties. Operational research has been limited so far by the scarcity of controlled studies and especially of multicenter coordinated research. The same is true for evaluation using external criteria, for instance evaluation of utilization data, of unintentional side-effects etc. The preventive effects of community psychiatry are practically not evaluated on the levels of primary and secondary prevention. On the other hand, important studies have been made on the transfer of care from mental hospitals to alternative care, especially in nursing and boarding homes; its results reveal an important deficit of adequate care for those who have been deinstitutionalized but without profiting from the community mental health movement. The conclusions concern the reorientation of goals for community psychiatry, the priorities of care in times of limited resources, and the specifications for evaluative research in the future. SN - 0300-8967 UR - https://www.unboundmedicine.com/medline/citation/3098055/Evaluation_of_community_services_ DB - PRIME DP - Unbound Medicine ER -