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Results Considering CPQ to be the golden standard, the staff's evaluations of patients' readiness to be deinstitutionalized were more accurate [F(2,268) = 51.67, p < 0.001], while relatives had exactly opposite views [F(2,231) = 4.13, p = 0.017]. In general relatives expressed more optimistic estimations than patients or staff; however their enthusiasm was diminished [x2(2) = 8.86, p = 0.012], if the patients had already tried and failed to live outside the institution. Patients who were confined by court order felt less ready to go out than patients who were voluntarily committed [x2(6) = 16.43, p = 0.012]. Finally, when staff suggested the restrictiveness of a structure, they took more in account their own evaluations about the patients' readiness, his/her age and the duration of his/her last hospitalization, than the patients' or their relatives' views.

Patients' readiness for deinstitutionalization: objective evaluation vs. subjective views of staff, relatives and patients themselves