Aftercare services for discharged mental patients : an initial assessment of the services offered by the After Care Clinic to patients discharged from Riverview Hospital
Bibliographic record
Abstract
There has been a growing trend to discharge patients from mental hospitals after short periods of hospitalization. These discharged patients may have unresolved problems and need continuing service in the community if they are to maintain their level of social functioning. The After Care Clinic in Burnaby was formed to provide continuing service to the patient. However there is much concern about the high readmission rates to the hospital and the adequacy of the aftercare services. The present study is a pilot study to examine the services provided by the After Care Clinic. The researchers reviewed aftercare literature and utilized hospital records. Information was obtained from questionnaires to patients, clinic staff and other agency staff. Prom these sources the social, work, and home needs of patients and the treatment given were examined. Opinions about the aftercare services and possible improvements were also examined in an attempt to assess the adequacy of the services provided by the After Care Clinic. The findings showed a large number of patient needs and nominal service given. Treatment was medically oriented with brief supportive therapy. Only one person in the sample of 45 saw a social worker. The staff of the clinic and other agencies were aware of the lack of services for the discharged patient but differed in their perception of their roles and their expectations of an adequate service. The clinic staff thought that responsibility for aftercare services should be shared between hospital and community agencies. However community agencies felt that the hospital should assume responsibility. These findings indicate the present gaps in the aftercare services and the need, for responsibility and leadership. It seemed, apparent that it should be the role of the mental health branch to take responsibility for leadership in the development of a coordinated and comprehensive aftercare service.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.008 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.002 | 0.001 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".