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From a group of 299 schizophrenic patients discharged after a study of short-term drug action, 254 were living in the community a year following initial discharge from the hospital. These expatients were evaluated to assess their community adjustment and to determine the relationship between aspects of each individual's premorbid history and course of illness with subsequent community adjustment. While most of the expatients were functioning at a social level comparable to their own "best former" level, only 11 percent could be described as functioning as well as the average person in the community. A number of background, psychiatric history, and environmental factors were found to be related to community adjustment; of these, the characteristics of the environment to which the patient was discharged seemed especially significant.
Schooler et al. (Wed,) studied this question.