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The Journal of Applied Behavioral Science
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Closing the Gaps: The Effectiveness of Linking Programs Connecting Chronic Mental Patients from the Hospital to the Community

Sarah Rosenfield

Rutgers University, New Brunswick, New Jersey 08901.

Carol Caton

College of Physicians and Surgeons, Columbia University, New York, New York 10032.

Gideon Nachumi

Manhattan Psychiatric Center, Ward's Island, New York 10035.

Edwin Robbins

Bellevue Hospital, 1st Avenue and 27th Street, New York, New York 10016.

The research reported in this article tested the effectiveness of a linking program between city hospitals and community treatment programs in reducing the rehospitalization of mental patients following discharge. The authors proposed that the nature of the relationships between the liaison teams of such programs and those providing aftercare services is essential to providing a continuity ofcare and thus to lowering rates ofofrehospitalization. Two liaison teams were evaluated, one of which had more positive and ongoing relationships with providers of community services to mentalpatients. The program with the more positive and continuous relationships was predicted and found to be more effective in reducing rehospitalization rates for chronic mental patients. Testing a case management/ primary therapist adaptation by the less effective program demonstrated that patient or staff characteristics did not account for the differences between the programs'effectiveness.

The Journal of Applied Behavioral Science, Vol. 22, No. 4, 411-423 (1986)
DOI: 10.1177/002188638602200405


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