Article1994

A National Audit of New Long-Stay Psychiatric Patients

Paul T. Lelliott · John Wing · Paul Clifford

93 citations0/0 files storedThe British Journal of Psychiatry

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Psychiatric care and mental health services Historical Psychiatry and Medical Practices Healthcare Decision-Making and Restraints

Abstract

BACKGROUND: This first report of a national audit of new long-stay (NLS) psychiatric patients conducted in 1992 describes the survey method and characteristics of the cohort. METHOD: Psychiatrists from 59 UK mental health services returned data on 905 patients, aged 18-64 on admission, who had been in hospital for between six months and three years. RESULTS: Two particular sub-groups were observed. Younger NLS patients (aged 18-34) were predominantly single men with schizophrenia; 43% of these had a history of serious violence, dangerous behaviour or admission to a Special Hospital and over one-third were formally detained. Older NLS patients (aged 55-67) were predominantly married or previously married women, more often with a diagnosis of affective disorder or dementia and with poor personal and social functioning; over half were at moderate or severe risk of non-deliberate self-harm. CONCLUSIONS: Despite the continued policy of bed closures and focus on care in the community, some patients admitted recently to psychiatric units in the UK still have protracted hospital stays.

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References

1974An Index of Factorial Simplicity 1970Institutionalism and Schizophrenia 1961TRENDS IN THE MENTAL HOSPITAL POPULATION AND THEIR EFFECT ON FUTURE PLANNING 1973Evaluating a community psychiatric service 1977‘New’ long-stay psychiatric patients: a national sample survey of fifteen mental hospitals in England and Wales 1972/3 1988Mentally abnormal prisoners on remand: I--Rejected or accepted by the NHS?

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1998People with schizophrenia and their families 1997Relation between bed use, social deprivation, and overall bed availability in acute adult psychiatric units, and alternative residential options: a cross sectional survey, one day census data, and staff interviews 1996The Mental Health Residential Care Study: Classification of Facilities and Description of Residents

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