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H. Richard Lamb, MD; Victor Goertzel, PhD

Arch Gen Psychiatry. 1971;24(1):29-34.

Abstract
This study measures the effect of a high-expectation and a low-expectation environment on discharged long-term mental patients randomly assigned to one of two community settings. The high-expectation setting includes a halfway house, a daytreatment center, and a rehabilitation workshop. It demands much in the way of mobility, planning, and accepting responsibility. Low-expectation patients go to boarding homes where docility is valued and little initiative is expected. The boardinghome group is not really in the community. It is like a small ward moved to a community setting. The high-expectation group has a higher rehospitalization rate, but a longer time out of the hospital with a higher level of instrumental performance. The high-expectation group is less segregated, is less likely to be labeled as deviate, and is less stigmatized.

Author Affiliations
San Mateo, Calif

From the Psychiatric Rehabilitation Service, County of San Mateo, San Mateo, Calif.

Footnotes
Accepted for publication March 18, 1970.

An earlier version of this paper was read before the Society for the Study of Social Problems, San Francisco, Sept 1, 1969.

Reprint Requests to Chief, Psychiatric Rehabilitation Service, County of San Mateo, 220 W 20th Ave, San Mateo, Calif 94402 (Dr. Lamb).

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