Skip to main content
Log in

Community support services and functioning of the seriously mentally ill

  • Articles
  • Published:
Community Mental Health Journal Aims and scope Submit manuscript

Abstract

A cohort of 729 chronically mentally ill patients receiving community support services (CSS) were followed over a nine-month period. Receiving needed community support services was shown to predict change in client functioning as measured by the Global Assessment Scale (GAS) even after the initial values on the GAS, as well as demographic, psychiatric, residential and medication maintenance variables were considered. Adequacy of social support from family, friends and others also contributed to predicting change in global functioning of the CSS patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • Anthony, W. A. & Blanch, A. (1989). Research on community support services: What have we learned?Psychosocial Rehabilitation Journal, 12, 55–81.

    Google Scholar 

  • Bachrach, L. L. (1982) Assessment of outcomes in community support systems: Results, problems and limitations.Schizophrenia Bulletin, 8, 39–61.

    Google Scholar 

  • Bachrach, L. L. (1983). New directions in deinstitutionalization planning. In L. L. Bachrach (Ed.),New directions in mental health services: Deinstitutionalization (pp. 93–106, San Francisco, CA: Jossey-Bass, Inc.

    Google Scholar 

  • Baker, F. (1988) Case study: An approach to evaluating state-funded community support services for the chronically mentally ill. In L. Blackwell & L. K. Cartwright (Eds.)Program consultation with human service programs: A clinical perspective (pp. 155–163). Oakland, CA: Third Party Publishing Company.

    Google Scholar 

  • Baker, F., Burns, T. F., Libby, M., & Intagliata, J. (1985). The impact of life events on chronic mental patients.Hospital & Community Psychiatry, 36, 299–301.

    Google Scholar 

  • Baker, F., & Douglas, C. (1990). Housing environments and community adjustment of severely mentally ill persons.Community Mutual Health Journal, 26, 497–505.

    Google Scholar 

  • Baker, F. & Intagliata, J. (1982). Quality of life in the evaluation of community support systems.Evaluation and Program Planning, 5, 69–79.

    Google Scholar 

  • Baker, F., & Intagliata, J. (1983).CSS evaluation final report. Submitted to the New York State Office of Mental Health. Albany, NY.

  • Baker, F., & Intagliata, J. (1984a). The New York state community support system.Hospital & Community Psychiatry, 35, 39–44.

    Google Scholar 

  • Baker, F., & Intagliata, J. (1984b). Rural community support services for the chronically mentally ill.Journal of Rural Community Psychology, 5, 13–14.

    Google Scholar 

  • Baker, F., & Intagliata, J. (1992). Case Management In R. P. Liberman (Ed.),Handbook of psychiatric rehabilitation (pp. 213–243). New York: Macmillan.

    Google Scholar 

  • Baker, F., Jodrey, D., & Intagliata, J. (1992). Social support and quality of life of community support clients.Community Mental health Journal, 28, 397–411.

    Google Scholar 

  • Baker, F., Jodrey, D., & Morell, M. (1979)Evaluation of a case management training program: Final report. New York: New York School of Psychiatry.

    Google Scholar 

  • Beard, J. H., Malamud, T. J., & Rossman, E. (1978). Psychiatric rehabilitation and long-term rehospitalization rates: The findings of two research studies.Schizophrenia Bulletin, 4, 622–635.

    Google Scholar 

  • Endicott, J., Spitzer, R. L., Fleiss, J. L., & Cohen, J. (1976). The global assessment scale.Archives of General Psychiatry, 33, 766–771.

    Google Scholar 

  • Goldberg, S. C., Schooler, N. R., Hogarty, G. E., & Roper, M. (1977). Prediction of relapse in schizophrenic outpatients treated by drug and sociotherapy.Archives of General Psychiatry, 34, 171–184.

    Google Scholar 

  • Hogarty, G. E. (1977). Treatment & course of schizophrenia.Schizophrenia Bulletin, 3, 587–599.

    Google Scholar 

  • Intagliata, J., & Baker, F. (1984). A comparative analysis of the young adult chronic patients in New York State's community support system.Hospital & Community Psychiatry, 35, 45–50.

    Google Scholar 

  • Lamb, H. R. (1979). Staff burnout in work with long term patients.Hospital & Community Psychiatry, 30, 396–398.

    Google Scholar 

  • Mosher, L. R., & Keith, S. J. (1980). Psychosocial treatment: Individual, group, family, and community support approaches.Schizophrenia Bulletin, 6, 10–41.

    Google Scholar 

  • Nelson, G., Hall, G. B., Squire, D. & Walsh-Bowers, R. T. (1992). Social network transactions psychiatric patients.Social Science & Medicine, 34, 433–445.

    Google Scholar 

  • New York State Office of Mental Health. (1978):Request for Proposal: Community support system services. Albany: Author.

    Google Scholar 

  • Schulberg, H. C., & Bromet, E. (1981). Strategies for evaluating the outcome of community services for the chronically mentally ill.American Journal of Psychiatry, 138, 930–935.

    Google Scholar 

  • Tessler, R. C. & Goldman, H. H. (1982).The chronically mentally ill: Assessing community support programs. Cambridge, MA: Ballinger.

    Google Scholar 

  • Test, M. A. (1981). Effective community treatment of the chronically mentally ill: What is necessary?Journal of Social Issues, 37, 71–86.

    Google Scholar 

  • Test, M. A. (1992). Training in community living. In R. P. Liberman (Ed.).Handbook of psychiatric rehabilitation (pp. 153–170). New York: Macmillan.

    Google Scholar 

  • Test, M. A., & Stein, L. I. (1977). Use of special living arrangements: A model for decision-making.Hospital and Community Psychiatry, 28, 608–610.

    Google Scholar 

  • Test, M.A., & Stein, L. I. (1978) Community treatment of the chronic patient: Research overview.Schizophrenia Bulletin, 4, 260–264.

    Google Scholar 

  • Weiss, R. S. (1974) The provisions of social relationships. In F. Rubin (Ed.)Doing unto others. (pp. 17–26) Englewood Cliffs, NJ: Prentice Hall.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Johns Hopkins University

Rights and permissions

Reprints and permissions

About this article

Cite this article

Baker, F., Jodrey, D., Intagliata, J. et al. Community support services and functioning of the seriously mentally ill. Community Ment Health J 29, 321–331 (1993). https://doi.org/10.1007/BF00761030

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00761030

Keywords

Navigation