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Measuring Quality of Life in Secure Care: Comparison of Mentally Ill and Personality Disordered Patients

Author

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  • Mark Swinton

    (Ashworth Hospital Authority, Maghull, Liverpool)

  • Joseph Oliver

    (School of Psychiatry and Behavioural Sciences, University of Manchester)

  • Julie Carlisle

    (Ashworth Hospital, Maghull, Liverpool)

Abstract

Improving quality of life for patients is emerging as a legitimate goal for UK inpatient forensic mental health services. The Lancashire Quality of Life Profile (LQOLP), which has been used widely to measure well-being in community settings, was trialed on an inpatient population being cared for under conditions of high security. Two groups of male patients, drawn from within the same institution but with markedly different clinical conditions, i.e. schizophrenia (N = 47) and personality disorder (N=48), were interviewed using the LQOLP. Although both groups had been cared for under largely similar environmental conditions over similar lengths of time (9.5 years), the subjective global well-being of the two groups differed systematically as did other objective and subjective well-being measures. However, analysis found that the variations in global well-being could not be attributed readily to factors covered by the interview, including either current mood or personality. Possible reasons for these findings and implications for the use of the LQOLP under conditions of high security are discussed.

Suggested Citation

  • Mark Swinton & Joseph Oliver & Julie Carlisle, 1999. "Measuring Quality of Life in Secure Care: Comparison of Mentally Ill and Personality Disordered Patients," International Journal of Social Psychiatry, , vol. 45(4), pages 284-291, December.
    • Handle: RePEc:sae:socpsy:v:45:y:1999:i:4:p:284-291
    DOI: 10.1177/002076409904500407
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    References listed on IDEAS

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    1. Baker, Frank & Intagliata, James, 1982. "Quality of life in the evaluation of community support systems," Evaluation and Program Planning, Elsevier, vol. 5(1), pages 69-79, January.
    2. Lehman, Anthony F., 1983. "The effects of psychiatric symptoms on quality of life assessments among the chronic mentally ill," Evaluation and Program Planning, Elsevier, vol. 6(2), pages 143-151, January.
    3. Keith Bridges & Peter Huxley & Joe Oliver, 1994. "Psychiatric Rehabilitation: Redefined for the 1990s," International Journal of Social Psychiatry, , vol. 40(1), pages 1-16, March.
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    Cited by:

    1. Frank Holloway, 1999. "Special Edition: Quality of Life and Mental Health Services," International Journal of Social Psychiatry, , vol. 45(4), pages 235-237, December.

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