Implementation and effectiveness of a bed reduction project

D. A. Bigelow, Bentson McFarland, M. J. Gareau, D. J. Young

Research output: Contribution to journalArticle

14 Scopus citations


A legislative mandate to shift a cohort of patients from the state hospital into intensive community treatment created an opportunity to explore questions about the impact of intensive community treatment on hospital utilization and quality of life. Information on prior and subsequent hospital utilization was taken from the state client information system. Information on community services and quality of life was obtained by interviewing clients in their homes, interviewing others who knew the clients, and by making direct observations of the clients' circumstances. Twenty-five of the intensively served clients were interviewed two to three months after discharge, as were 17 comparable clients who did not receive the intensive services. Clients did, in fact, receive more and better community services, their quality of life was better, and hospital utilization was dramatically reduced for both the targeted clients and the entire county catchment area.

Original languageEnglish (US)
Pages (from-to)125-133
Number of pages9
JournalCommunity Mental Health Journal
Issue number2
Publication statusPublished - 1991
Externally publishedYes


ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

Cite this

Bigelow, D. A., McFarland, B., Gareau, M. J., & Young, D. J. (1991). Implementation and effectiveness of a bed reduction project. Community Mental Health Journal, 27(2), 125-133.