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The British Journal of Psychiatry 149: 449-457 (1986)
© 1986 The Royal College of Psychiatrists

A haven for the severely disabled within the context of a comprehensive psychiatric community service

JK Wing and R Furlong

The priorities accorded severely disabled or disturbed long-stay patients in Regional and District planning strategies vary enormously. A scheme to cater for the needs of this group is described. The scheme includes: non-stigmatising housing; a domestic regime, daytime occupation and leisure activities offering forms of enabling and caring that foster the highest possible levels of functioning; a secure home; private and peaceful outdoor space; and graduated steps towards independence that allow for the possibility of relapse. The central concept is the establishment of a Community for people with severe difficulties in making social contacts. The importance of integrating the scheme into a comprehensive District psychiatric service is emphasised.


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Copyright © 1986 The Royal College of Psychiatrists.