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A 10-Year Follow-Up of 55 Hospitalized Adolescents
Am J Psychiatry 1974;131:769-774.
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Psychiatric Social Worker, Lee County Mental Health Center, Cape Coral, Fla.

Associate Professor of Psychiatry, Tufts University School of Medicine, Medford, Mass.

Professor Emeritus, Simmons School of Social Work, and Consultant in Social Work, Boston State Hospital, Boston, Mass.

1974, The American Psychiatric Association

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Fifty-five young adults hospitalized for mental illness were followed up 10 years after their discharge as a sequel to three earlier follow-up studies. The majority of subjects were still poorly adjusted. The area of greatest competence was in school and work, whereas social relationships were almost universally inadequate. Pre-admission variables most predictive of good long-range outcome were "chumship" and leadership experiences and healthy parental attitudes. The only therapeutic variables related to long-range outcome were those which described degree of illness. Evidence pointed strongly to the need for postdischarge vocational services for patients and therapy for parents.

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