{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,6]],"date-time":"2026-03-06T07:01:34Z","timestamp":1772780494582,"version":"3.50.1"},"reference-count":23,"publisher":"Royal College of Psychiatrists","issue":"4","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":7946,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1996,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>The reduction of beds in long-stay hospitals has led to concerns over the quality of care offered to the remaining residents as well as that provided in the community. This study seeks to compare the quality of care and quality of life (reported satisfaction) from residents in both types of setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A cross-sectional comparison was made of community residential homes and hospital wards drawn randomly from lists provided by local authorities in the outer London area. Samples were drawn from all the main provider types (local authority, housing association, private and joint NHS\/voluntary sector). Measures were taken of the quality of the physical environment, staff and resident characteristics, external management arrangements and internal management regimes, resident satisfaction and staff stress. Direct observations were also made of the amount and quality of staff-resident interactions.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In general, the most disabled residents were found to be still living in hospital in the worst conditions and receiving the poorest quality of care. Although there were some problems with missing data, hospital residents also seemed most dissatisfied with their living situation. There were few differences between community providers regarding either the quality of care provided or the levels of reported satisfaction. Quality of care in the community homes seemed to be much more determined by the personality and orientation of project leaders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Purchasers and providers still need to give attention to the problems of selectively discharging the most able residents to the community, leaving the most disabled being looked after in progressively deteriorating conditions. All residential providers need to review their internal management practices and try to ensure that residents are offered, as far as possible, the opportunity to make basic choices about where and how they will live. Staff training and quality assurance practices need to be reviewed in order to improve the direct quality of care offered to the most disabled individuals.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.168.4.448","type":"journal-article","created":{"date-parts":[[2008,10,15]],"date-time":"2008-10-15T05:35:17Z","timestamp":1224048917000},"page":"448-456","source":"Crossref","is-referenced-by-count":53,"title":["Residential Care in Hospital and in the Community \u2013 Quality of Care and Quality of Life"],"prefix":"10.1192","volume":"168","author":[{"given":"Geoff","family":"Shepherd","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matt","family":"Muijen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Dean","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Cooney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000076613_ref21","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.154.1.77"},{"key":"S0007125000076613_ref18","doi-asserted-by":"publisher","DOI":"10.1007\/BF02188980"},{"key":"S0007125000076613_ref3","volume-title":"Survey of English Mental Illness Hospitals.","author":"Davidge","year":"1993"},{"key":"S0007125000076613_ref15","first-page":"5","article-title":"The social care directive: development of a quality of life profile for use in community services for the mentally ill","volume":"3","author":"Oliver","year":"1991","journal-title":"Social work and Social Services Review"},{"key":"S0007125000076613_ref20","volume-title":"Inside Residential Care \u2013 The Realities of Hospital versus Community Settings.","author":"Shepherd","year":"1995"},{"key":"S0007125000076613_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3956(75)90026-6"},{"key":"S0007125000076613_ref7","volume-title":"Who is Providing What? \u2013 Information about UK Residential Care Provision for People with Mental Health Problems.","author":"Faulkner","year":"1992"},{"key":"S0007125000076613_ref13","article-title":"The TAPS Project: evaluating community placement of long-stay psychiatric patients","volume":"162","author":"Leff","year":"1993","journal-title":"British Journal of Psychiatry"},{"key":"S0007125000076613_ref4","doi-asserted-by":"publisher","DOI":"10.1002\/gps.930081004"},{"key":"S0007125000076613_ref22","volume-title":"Minnesota Studies in Vocational Rehabilitation: Monograph 22.","author":"Weiss","year":"1967"},{"key":"S0007125000076613_ref1","volume-title":"Making a Reality of Community Care.","year":"1986"},{"key":"S0007125000076613_ref16","volume-title":"Making Community Mental Teams Work.","author":"Onyett","year":"1994"},{"key":"S0007125000076613_ref2","first-page":"117","article-title":"Which patients first: a study from the closure of a large psychiatric hospital","volume":"21","author":"Carson","year":"1989","journal-title":"Health Trends"},{"key":"S0007125000076613_ref17","volume-title":"The Report of the Inquiry into the Care and Treatment of Christopher Clunis.","author":"Ritchie","year":"1994"},{"key":"S0007125000076613_ref5","volume-title":"NHS and Community Care Act.","year":"1990"},{"key":"S0007125000076613_ref6","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1976.01770060086012"},{"key":"S0007125000076613_ref9","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700003196"},{"key":"S0007125000076613_ref14","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.161.6.802"},{"key":"S0007125000076613_ref10","volume-title":"Asylums: Essays on the Social Situation of Mental Patients and other Inmates.","author":"Goffman","year":"1961"},{"key":"S0007125000076613_ref12","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.157.5.661"},{"key":"S0007125000076613_ref19","doi-asserted-by":"publisher","DOI":"10.1017\/S003329170003213X"},{"key":"S0007125000076613_ref11","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700021644"},{"key":"S0007125000076613_ref23","volume-title":"Long Term Community Care: Experience in a London Borough. Psychological Medicine.","author":"Wykes","year":"1982"}],"container-title":["British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125000076613","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,12]],"date-time":"2019-05-12T22:07:56Z","timestamp":1557698876000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125000076613\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,4]]},"references-count":23,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1996,4]]}},"alternative-id":["S0007125000076613"],"URL":"https:\/\/doi.org\/10.1192\/bjp.168.4.448","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,4]]}}}