From discharge to follow-up: a small-scale study of medium secure provision in the independent sector.

Established following the Reed Report (1 991)recommendations, Redford Lodge is an independent psychiatric hospital offering medium secure provision for mentally ill patients and offenders. For this study social and behavioural data were collected on admission and discharge for the 166 patients admitted over the three years 1995-l! 818 and 49 discharged patients were reassessed at six-month follow-up. Predictors of length of stay, discharge and success at follow-up were examined in relation to social and demographic factors and engagement in therapy programmes. Patients' socio-demographic variables were not significantly related to their length of stay, place of discharge or success at follow-up. One predictor of progress after discharge was employment. Contact with family was identified as a significant factor associated with shorter stay and positive place of discharge but not associated with success at follow-up. Eqgagement in psychological therapies andlor group activities was directly related to length of stay, general progress and improvement in mental state but not to subsequent involvement in community services or general success in independent living at follow-up. Although the findings suggest treatment is successful, further research is needed to identify specific treatment variables that have a positive long-term effect