The purpose, of this study was to determine the type of community resources which facilitate community adjustment and tenure for ex-mental patients. Particular emphasis was placed on the extremely visible variable of post-hospital 1iving arrangements available to mentally and/or emotionally disturbed patients. Initially, the researchers assumed that such living situations would be a decisive element in the aftercare needs of ex-mental patients. However, the study was in itself broad enough to introduce other significant factors of equal or greater importance to the target population. The study, then, attempted to assess the relative value of such interrelated activities as living situation, day treatment programs, crisis intervention, home visits, pre-hospital diagnosis and assessment, day hospitalization, brief asylum, and long-term sheltered settings to successful community adjustment for both the ex-patient and the community. Particular attention was focused on application of the findings to Region I.

"The purpose of this study is to search out and record some of the social factors which influenced the patient's premature return to the hospital from a ninety day trial visit in his community. The goal is to gather and analyze the content of the records of these patients and to examine the literature relating to the problems of schizophrenic patients after they leave the hospital. The objective is to describe some of the stresses encountered by the patient which were more than he could bear and to isolate some of the social factors which upset his balance"--Introduction. / Typescript. / "June, 1959." / "Submitted to the Graduate Council of Florida State University in partial fulfillment of the requirements for the degree of Master of Social Work." / Advisor: William L. Leap, Professor Directing Study. / Includes bibliographical references.

"The purpose was to analyze the data collected by applying a schedule to the case records of twenty white female patients who were released on trial visit from the Florida State Hospital during the period from July, 1956 through December, 1957, in order to determine whether the initial refusal of the family to accept a group of ten white female patients for trial visit influenced the length of time these mental patients remained out of the hospital during the one year trial visit period"--Introduction. / Typescript. / "June, 1959." / "Submitted to the Graduate Council of Florida State University in partial fulfillment of the requirements for the degree of Master of Social Work." / Advisor: Dorothy D. Hayes, Professor Directing Study. / Includes bibliographical references.

"The purpose of this study was to determine whether or not 82 adults who continued treatment and 42 adults who discontinued treatment at the Leon County Mental Health Clinic differed significantly when cross-tabulated with seven baseline characteristics, six agency-client descriptive items, and eight items designed to reveal 'perception of the client's problem.' It was hoped that additional knowledge of and insight into the problem of discontinuance by a study of closed adult treatment records during a period of one year would help the Clinic serve, more effectively, adult clients in Leon County"--Introduction. / Typescript. / "June, 1961." / "Submitted to the Graduate School of Florida State University in partial fulfillment of the requirements for the degree of Master of Social Work." / Advisor: Dorothy D. Hayes, Professor Directing Study. / Includes bibliographical references (leaves 63-65).

"The purpose of the study was to indicate differences of significance in the incidences of professional action between patients diagnosed as organic brain syndromes and patients diagnosed as functional psychoses. The incidences of professional action were results of expediting the recommendations of the Neuropsychiatric Therapeutic Review Committee Veterans Administration Hospital, Lenwood Division, Augusta, Georgia, for the seventy-five patients of the study sample. The two groups of patients derived from the dichotomy of the study sample on the basis of psychiatric diagnosis: twenty-four patients had established psychiatric diagnoses of organic brain syndromes, and fifty-one patients had established psychiatric diagnoses within the range of functional psychoses. Difference of significance in the incidences of professional action between the two subsamples have been studied"--Introduction. / Typescript. / "August, 1960." / "Submitted to the Graduate School of Florida State University in partial fulfillment of the requirements for the degree of Master of Social Work." / Advisor: James H. Williams, Professor Directing Study. / Includes bibliographical references (leaves 38-39).

The story of the mentally ill is a tale which is filled with unpleasant facts. Only a very few persons have even a semblance of knowledge about mental deficiencies and those citizen unfortunates who have borne, or will travail, under the throes of such a mysterious affliction. Those people who do know the narrative of the "lunatic," too often are unwilling to reveal their expertise.Therefore, the purpose of this dissertation is to follow the history of those multitudes of mentally ill persons from primitive to contemporary times. One's attention will be focused upon the diagnosis and subsequent treatment of insanity in ancient Egypt and Greece, Europe during the Dark and Middle Ages, England prior to and during the adventures at empire, colonial America, Indiana prior to and after statehood, and specifically Delaware County, Indiana from 1869 through 1927.The research has shown that ages of abuse, restraints, banishment by popular consent from society, sequestration, and indifference toward the mindless in humanity have not explained the ambiguity of mental illness, dwindled man's apprehension regarding the mentally incapacitated, or put to rest his troublesome inner thoughts.In conclusion, little has changed. In contemporary times mankind tends to waver between throwing madness wholly out of perception and out of psyche, and complying with humanitarian impulses to heal the sick souls.It appears that the treatment of the mentally ill has gone full cycle. From remote but centralized places of containment in earliest times, the mentally ill were then supported rather ineffectively at county and local places in accordance with poor law regulations. Then came the advent of state-supported hospitals to replace the often despicable county and local poor farms and jails. But today the collapse of that whole system seems virtually ready to take place as funding becomes less adequate. The feeling is that the mentally ill can better be cared for at local levels. And so once again, the "unwanted" human cargo of concern will soon be back on the serpentine path to resume the life that just a little over a century ago was thought to be grossly inhumane.

Professional literature in the past five years regarding the care and treatment of deinstitutionalized chronic mentally ill (CMI) persons has presented growing concerns that services for some CMI persons are inadequate or nonexistent. A number of previous authors have suggested that there may be a consistent, as opposed to a random, bias in the traditional mental health service delivery system whose services are contingent upon client characteristics that, in the very least, assume foresight, independence, initiative, and consistency. Lacking these qualities, clients may not seek services to which they are entitled or they may be frustrated in maintaining those services. This study provides a description of a CMI population (n = 142) that received outreach services from a small county psychiatric hospital. These clients were selected because they were evaluated as severely disturbed, potentially impulsive, and had a history of not following through with traditional mental health services, i.e., they did not make or keep prescribed appointments for therapy or education. This group served as a model against which to compare characteristics of the traditionally engaged clients. Previous authors as well as this study found that the dropout populations were younger, less compliant with prescribed anti-psychotic medication, engaged in more alcohol and drug use, were more likely to live independently and to be rehospitalized with greater frequency. Increased hospitalization also correlated with less functional independent living skills. In other reported research several variables were found to discriminate the younger CMI. This study could only confirm an increase in substance abuse although several confounding factors are discussed. Finally, the outreach program itself was examined, some services were quantified, and some were related to specific client characteristics. For instance, 40 percent of this CMI population was primarily reliant on their outreach worker for all transportation beyond walkable distances; and those clients receiving the most number of outpatient visits were those rated most rejecting of services and those with the poorest independent living skills. The treatment population was found to have reduced their total number of admissions and days hospitalized during the two-year period of investigation.

published_or_final_version / Nursing Studies / Master / Master of Nursing

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