BOARDING HOMES & RELAPSE IN CHRONIC SCHIZOPHRENICS

这是对社会关系的探索性研究。 气候-寄宿家庭的社会环境，人- 环境适宜，与慢性精神分裂症患者复发有关。档案 关于患者特征的数据将收集在1000多个 研究对象。这项调查的对象包括以下患者 25岁和60岁被诊断为慢性精神分裂症的人 在1985年1月期间从一家大型州立医院出院 和1987年1月。 确定环境的主要结果衡量标准 影响复发的将是以社区为导向的计划 由MoOS and Associates开发的环境量表(COPE)， 1974年。第二个衡量标准是设施特点 调查问卷(FCQ)将用于评估各种 住宅服务对象和工作人员的人口学特征 设施以及之前的各种计划特点 被证明对计划的有效性很重要。 需要检验的中心假设是：两者之间的协方差 特定的患者变量(年龄、发病年龄、依从性 精神药物治疗，既往住院总人数， 来自家庭成员的表达情感和社交技能)和 以社区为基础的精神治疗机构社会环境 变量；参与、支持、自发性、自主性、实用性 定向、愤怒和攻击性、秩序和组织， 计划清晰度和员工控制(来自COPE)将占到 慢性阻塞性肺疾病复发率的很大一部分差异 从西部州立医院出院的精神分裂症患者 学习期间。这些关系将在结构上进行测试 使用LISREL计算机程序的方程模型。

This is an exploratory study of the relationship between social climate-social environment of boarding homes, person- environment fit, and relapse of chronic schizophrenics. Archival data on patient characteristics will be collected on over 1,000 subjects. Subjects in this investigation include patients between 25 and 60 with a primary diagnosis of chronic schizophrenia who were discharges from a large state hospital between January 1985 and January 1987. The primary outcome measure for determining environmental influence on relapse will be the Community-Oriented Programs Environment Scale (COPES) developed by Moos and Associates, 1974. A secondary measure, the Facilities Characteristics Questionnaire (FCQ) will be administered to assess various demographic characteristics of clients and staff in residential facilities as well as various program characteristics previously shown to be important to program effectiveness. The central hypothesis to be tested is: The covariance among specific patient variables (age, age of onset, compliance with psychotropic regimen, total number of previous admissions, expressed emotion from family members, and social skills) and community-based psychiatric treatment facility social climate variables; involvement, support, spontaneity, autonomy, practical orientation, anger and aggression, order and organization, program clarity, and staff control (from COPES) will account for a significant portion of the variance in relapse rates in chronic schizophrenics discharged from Western State Hospital during the study period. These relationships will be tested in a structural equation model using the LISREL computer program.