The Maine and Vermont three-decade studies of serious mental illness. II. Longitudinal course comparisons

Br J Psychiatry. 1995 Sep;167(3):338-42. doi: 10.1192/bjp.167.3.338.

Abstract

Background: This paper supplements the cross-sectional outcome comparisons of the companion paper by providing a brief account of the longitudinal courses of the Maine and Vermont samples across several outcome domains.

Method: A Life Chart method was used to document changes in individual lives over the domains of residence, work, income source, and use of community resources over a 20-year period. Reliability studies between states were conducted.

Results: Throughout much of the period, more Vermont subjects lived independently, were working, and were less likely to use community resources compared to Maine subjects.

Conclusions: Differences in both policies and programmes contributed to course differences between the groups. System characteristics that may lead to better outcomes are discussed.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Activities of Daily Living / psychology
  • Adult
  • Affective Disorders, Psychotic / psychology
  • Affective Disorders, Psychotic / rehabilitation*
  • Aged
  • Combined Modality Therapy
  • Community Mental Health Services / trends*
  • Cross-Sectional Studies
  • Female
  • Health Policy / trends
  • Humans
  • Longitudinal Studies
  • Maine
  • Male
  • Middle Aged
  • Outcome and Process Assessment, Health Care
  • Personality Assessment
  • Psychotic Disorders / psychology
  • Psychotic Disorders / rehabilitation*
  • Rehabilitation, Vocational / trends
  • Retrospective Studies
  • Schizophrenia / rehabilitation*
  • Schizophrenic Psychology*
  • Social Environment
  • Vermont