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Abrahamson accommodation activities admission aftercare approach assessment Audit Commission beds behaviour British Journal British Medical Journal carers chronic clients clinical CMHCs community mental health community psychiatric nurses community services CPNs day centres deinstitutionalization despite difficulties disabled discharge experience facilities federal functioning funds Goodmayes group homes handicap health authority homeless hostel housing important inpatient institutional intervention Journal of Psychiatry Lancet living London long-stay patients long-term mental illness Medicaid mental health problems mental health services mental hospitals mentally ill individuals MHMRA needs normalization occupational therapy outpatient planning population practice practitioners primary professionals programmes psychiatric hospitals psychiatric nurses psychiatric patients psychiatric rehabilitation psychiatric services psychosis psychotherapy residential residents responsibility role schizophrenia schizophrenic patients serious mental illnesses skills Social Psychiatry social services social workers specialist staff staffing Tarrant County therapist therapy treatment unit ward Weller