Abstract
In the past several years both researchers and clinicians have delineated the concept of the young adult chronic patient (Bachrach, 1982; Pepper, Kirshner, & Ryglewicz, 1981; Schwartz & Goldfinger, 1981) in an attempt to anticipate and define the service needs of a subgroup of chronic patients in the postdeinstitutionalization era. Authors have focused on patients’ functional disabilities (Pepper & Ryglewicz, 1984), their tendency to drift from place to place and from experience to experience (Lamb, 1982), their pervasive use of drugs and alcohol (Bergman & Harris, 1985; Safer, 1987), and their misuse and occasional abuse of the service delivery system (Pepper, Ryglewicz, & Kirshner, 1982; Schwartz & Goldfinger, 1981).
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References
Bachrach, L. L. (1982). Young adult chronic patients: An analytical review of the literature. Hospital and Community Psychiatry, 33, 189–197.
Bachrach, L. L. (1983). An overview of deinstitutionalization. New Directions for Mental Health Services, 17, 5–14.
Bachrach, L. L. (1984). The young adult chronic psychiatric patient in an era of deinstitutionalization. American Journal of Public Health, 74, 382–384.
Bachrach, L. L., Talbott, J. A., & Meyerson, A. (1987). The chronic psychiatric patient as a “difficult” patient: A conceptual analysis. New Directions for Mental Health Services, 33, 35–50.
Bergman, H., & Harris, M. (1985). Substance abuse among young adult chronic patients. Psychosocial Rehabilitation Journal, 9, 49–54.
Egri, G., & Caton, C. (1982). Serving the young adult chronic patient in the 1980s: Challenge to the general hospital. New Directions for Mental Health Services, 14, 25–31.
Friswold, B. (1987). Community living for the mentally ill: A case of illness or a case of poverty? Coalition News, (Washington, DC), 2, 3–4.
Goffman, E. (1961). Asylums. Garden City, NY: Anchor Books.
Gralnick, A. (1984). The young adult chronic patient: Review and critique of the literature. Psychiatric Hospital, 15, 199–204.
Harris, M., & Bergman, H. (1983). Youth of the’ 60s. Hospital and Community Psychiatry, 34, 1164.
Harris, M., & Bergman, H. (1984). The young adult chronic patient: Affective responses to treatment. New Directions for Mental Health Services, 21, 29–35.
Harris, M., & Bergman, H. (1985). Networking with young adult chronic patients. Psychosocial Rehabilitation Journal, 8, 28–35.
Harris, M., & Bergman, H. (1987a). Differential treatment planning for young adult chronic patients. Hospital and Community Psychiatry, 38, 638–643.
Harris, M., & Bergman, H. (1987b). Case management with the chronically mentally ill: A clinical perspective. American Journal of Orthopsychiatry, 57, 296–302.
Harris, M., Bergman, H., & Bachrach, L. L. (1986). Individualized network planning for chronic psychiatric patients. Psychiatric Quarterly, 58, 51–56.
Kanter, J. (1985a). Case management of the young adult chronic patient. New Directions for Mental Health Services, 27, 77–92.
Kanter, J. (1985b). Psychosocial assessment in community treatment. New Directions for Mental Health Services, 27, 63–75.
Lamb, H. R. (1982). Young adult chronic patients: The new drifters. Hospital and Community Psychiatry, 33, 465–468.
Lasch, C. (1978). The culture of narcissism. New York: W. W. Norton.
Levinson, D. (1978). The seasons of a man’s life. New York: Knopf.
McCarrick, A., Manderscheid, R., & Bertolucci, D. (1985). Correlates of acting-out behaviors among young adult chronic patients. Hospital and Community Psychiatry, 36, 848–853.
Meyerson, A., & Herman, G. (1987). Systems resistance to the chronic patient. New Directions for Mental Health Services, 33, 21–33.
Minkoff, K. (1982). Deinstitutionalization: Problems and prospects: Clinical implications for “new” chronic patients. Paper, presented at the Institute on Hospital and Community Psychiatry, Louisville, KY.
Pepper, B., Kirschner, M., & Ryglewicz, H. (1981). The young adult chronic patient: Overview of a population. Hospital and Community Psychiatry, 32, 463–469.
Pepper, B., & Ryglewicz, H. (1984). Treating the young adult chronic patient: An update. New Directions for Mental Health Services, 21, 5–15.
Pepper, B., & Ryglewicz, H. (1985). The developmental residence: A “missing link” for young adult chronic patients. TIE Lines, 2, 1–3.
Pepper, B., Ryglewicz, H., & Kirschner, M. (1982). The uninstitutionalized generation: A new breed of psychiatric patient. New Directions for Mental Health Services, 14, 3–14.
Rachlin, S. (1983). The influence of law on deinstitutionalization. New Directions for Mental Health Services, 17, 41–53.
Safer, D. (1987). Substance abuse by young adult chronic patients. Hospital and Community Psychiatry, 38, 511–514.
Schacter, M., & Goldberg, W. (1982). GAP: A treatment approach for the young adult chronic patient. New Directions for Mental Health Services, 14, 85–89.
Schwartz, S., & Goldfinger, S. (1981). The new chronic patient: Clinical characteristics of an emerging subgroup. Hospital and Community Psychiatry, 32, 470–474.
Sheets, J., Prevost, J., & Reihman, J. (1982). Young adult chronic patients: Three hypothesized subgroups. Hospital and Community Psychiatry, 33, 197–203.
Stein, L., & Test, M. A. (1982). Community treatment of the young adult patient. New Directions for Mental Health Services, 14, 57–67.
Test, M., Knoedler, W., Allness, D., & Burke, S. (1985). Characteristics of young adults with schizophrenic disorders treated in the community. Hospital and Community Psychiatry, 36, 853–858.
Vaughn, C., & Leff, J. (1976). The influence of family and social factors on the course of psychiatric illness. British Journal of Psychiatry, 129, 125–137.
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© 1989 Springer Science+Business Media New York
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Harris, M. (1989). The Young Chronic Patient. In: Bellack, A.S. (eds) A Clinical Guide for the Treatment of Schizophrenia. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-8979-9_13
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DOI: https://doi.org/10.1007/978-1-4757-8979-9_13
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