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The TAPS Project 40: quality of care provisions for the elderly mentally ill
 — traditional vs alternative facilities
Author(s)Walter Wills, Noam Trieman, Julian Leff
Corporate AuthorTeam for the Assessment of Psychiatric Services (TAPS), University Department of Psychiatry, Royal Free Hospital Medical School
Journal titleInternational Journal of Geriatric Psychiatry, vol 13, no 4, April 1998
Pagespp 225-234
KeywordsPsychogeriatric patients ; Psychogeriatric units ; House removal ; Nursing homes ; Care homes ; Quality of life ; Personnel ; Job satisfaction ; Barnet.
AnnotationSeven hospital wards are compared with four community settings, in relocating psychogeriatric patients from Friern Hospital, north London. Each facility was assessed for policy and programme, social climate and physical characteristics. Staff attitudes in regard to their tasks, training needs and job satisfaction were also explored. Community settings were superior to hospital wards in providing more privacy for the residents, and were better equipped with physical amenities and safety features. There were relatively small differences in the way staff perceived the social climate in community homes and in hospital: the former were regarded as encouraging greater independence. Hospital care staff were more likely to express dissatisfaction with pay, working conditions and social status, while community staff were more dissatisfied with the quality of co-operation between staff members. Clients transferred to social services facilities had a higher level of functioning and needed less on-site medical care. The shift towards a less medical model of care in community based homes appears to be beneficial to psychogeriatric patients, provided that current and prospective physical needs of residents are adequately addressed. (RH).
Accession NumberCPA-980508003 A
ClassmarkLF:E: LDM: TNH: LHB: KW: F:59: QM: WL5: 82L4

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