{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T15:27:34Z","timestamp":1767626854985},"reference-count":10,"publisher":"Royal College of Psychiatrists","issue":"5","license":[{"start":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T00:00:00Z","timestamp":1514851200000},"content-version":"unspecified","delay-in-days":7002,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br J Psychiatry"],"published-print":{"date-parts":[[1998,11]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Twenty-eight natural and 11 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Rates of adverse events and slipping through the net\u2019 are relatively low among individuals receiving community-based services, whether intensive or standard care.<\/jats:p><\/jats:sec>","DOI":"10.1192\/bjp.173.5.376","type":"journal-article","created":{"date-parts":[[2008,10,15]],"date-time":"2008-10-15T05:40:02Z","timestamp":1224049202000},"page":"376-384","source":"Crossref","is-referenced-by-count":20,"title":["Frequency and predictors of adverse events"],"prefix":"10.1192","volume":"173","author":[{"given":"Sonia","family":"Johnson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morven","family":"Leese","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Liz","family":"Brooks","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Clarkson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hilary","family":"Guite","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Graham","family":"Thornicroft","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Holloway","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Til","family":"Wykes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"170","published-online":{"date-parts":[[2018,1,2]]},"reference":[{"key":"S0007125000261540_ref3","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1192\/S0007125000292246","article-title":"The TAPS Project. 12: Crime, vagrancy, death and readmission of the long-term mentally ill during their first year of local reprovision","volume":"162","author":"Dayson","year":"1993","journal-title":"British Journal of Psychiatry"},{"key":"S0007125000261540_ref2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.312.7030.533"},{"key":"S0007125000261540_ref1","first-page":"34","article-title":"Suicide deaths in England and Wales: trends in factors associated with suicide deaths","volume":"71","author":"Chariton","year":"1993","journal-title":"Population Trends"},{"key":"S0007125000261540_ref4","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.308.6932.813"},{"key":"S0007125000261540_ref7","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.167.5.596"},{"key":"S0007125000261540_ref5","volume-title":"Search for the Causes of Schizophrenia","volume":"Volume II","author":"Johnstone","year":"1990"},{"key":"S0007125000261540_ref6","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.166.5.654"},{"key":"S0007125000261540_ref10","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1990.01810180089012"},{"key":"S0007125000261540_ref9","volume-title":"Stata Statistical Software: Release 4.0.","year":"1995"},{"key":"S0007125000261540_ref8","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.1991.01810320088015"}],"container-title":["British Journal of Psychiatry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0007125000261540","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,10]],"date-time":"2019-05-10T20:01:52Z","timestamp":1557518512000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0007125000261540\/type\/journal_article"}},"subtitle":["PRiSM Psychosis Study 3"],"short-title":[],"issued":{"date-parts":[[1998,11]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1998,11]]}},"alternative-id":["S0007125000261540"],"URL":"https:\/\/doi.org\/10.1192\/bjp.173.5.376","relation":{},"ISSN":["0007-1250","1472-1465"],"issn-type":[{"value":"0007-1250","type":"print"},{"value":"1472-1465","type":"electronic"}],"subject":[],"published":{"date-parts":[[1998,11]]}}}