TY  - JOUR
PY  - 1998//
TI  - Frequency and predictors of adverse events. PRiSM Psychosis Study. 3
JO  - British journal of psychiatry
A1  - Johnson, S.
A1  - Leese, M.
A1  - Brooks, L.
A1  - Clarkson, P.
A1  - Guite, H.
A1  - Thornicroft, G.
A1  - Holloway, F.
A1  - Wykes, T.
SP  - 376
EP  - 384
VL  - 173
IS  - 
N2  - BACKGROUND: Community care has been criticised as a hazardous policy associated with high rates of adverse events. There is little research evidence as to the truth of this claim. METHOD: Best available evidence from public records, interviews, case notes, key workers and general practitioners was assembled to establish: (a) which of the 514 subjects initially identified as having psychotic illnesses had died during an average follow-up of 4.9 years; (b) care currently received by all 286 subjects originally selected for interview; and (c) rates of major adverse events and of admission for these 286 individuals. RESULTS: Twenty-eight natural and II unnatural deaths had occurred. Among subjects still living at the end of the follow-up, 84% were in contact with specialist mental health services and 11% only with primary care services. Rates of serious violence, imprisonment and homelessness were relatively low. Forty-one per cent had been admitted at least once during a mean follow-up of 3.2 years and 20% at least once under the Mental Health Act. After adjustment, there were no significant differences between standard and intensive care sectors. CONCLUSIONS: Rates of adverse events and 'slipping through the net' are relatively low among individuals receiving community-based services, whether intensive or standard care.<p /> <p>Language: en</p>
LA  - en
SN  - 0007-1250
UR  - http://dx.doi.org/
ID  - ref1
ER  -