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H. Richard Lamb, MD

Arch Gen Psychiatry. 1979;36(2):129-134.

Abstract
• One-hundred and one residents of a board-and-care home housing psychiatric patients were studied. Of these, 92% were diagnosed as psychotic; 42% have lived there five years or more; and 32% have overt major psychopathologic characteristics. Nine of ten have never lived alone or failed in their last attempt.

A relationship was found between use of a community social rehabilitation program and its distance and provision of transportation. Sixty-one percent have had contact with community vocational rehabilitation but only 12% are still involved. Half of them have no goals for changing anything in their lives; 95% use community facilities, mostly eating places and supermarkets.

Board-and-care homes offer an asylum from life's pressures, a degree of structure, and some treatment, especially medication supervision. For many long-term patients they have taken over the functions of the state hospital.

Author Affiliations
From the Department of Psychiatry, University of Southern California School of Medicine, Los Angeles.

Footnotes
Accepted for publication May 10, 1978.

Reprint requests to Department of Psychiatry, University of Southern California School of Medicine, 1934 Hospital PI, Los Angeles, CA 90033 (Dr Lamb).

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