Hostname: page-component-745bb68f8f-grxwn Total loading time: 0 Render date: 2025-02-05T22:50:15.610Z Has data issue: false hasContentIssue false
  • English
  • Français

How many psychiatric beds: towards a needs based portfolio of residential care

Published online by Cambridge University Press:  07 July 2014

Glynn Harrison
Glynn Harrison*
Affiliation:
Department of Mental Health, University of Bristol, 41 St. Michael's Hill, Bristol BS2 8DX, UK
Get access

Extract

In theory, the utilization of health resources would vary with need. In an ideal world, health care providers would configure their resources and target their treatment programmes according to validated predictors of need. Such models would be based upon socio-demographic variables in the population known to correlate closely with psychiatric morbidity, which had been derived from large data sets having wide applicability and generalizability. They would include technology allowing locality adjustments for small areas with high densities of homelessness, residential accommodation for the severely ill, or areas with problems of substance abuse. Our ideal model would be continually monitored against reliable data derived from real time service use, fed back to providers and ‘fine tuned’ to reflect secular trends in socio-demographic risk factors and changing patterns of need.

Type
Section A: Assessing Needs for Mental Health Services
Information
Epidemiologia e psichiatria sociale. Monograph Supplement , Volume 6 , Issue S1: Monograph Supplement 1: Making Rational Mental Health Services , April 1997 , pp. 49 - 57
Copyright
Copyright © Cambridge University Press 1997

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Beck, A., Croudace, T.J., Singh, S. & Harrison, G. (in press). The Nottingham Acute Bed Use Study I. Alternatives to hospitalisation. British Journal of Psychiatry.Google Scholar
Croudace, T., Beck, A., Singh, S. & Harrison, G. (under review). The Nottingham Acute Bed Use Study. II. Prognostic factors for hospitalisation outcomes.Google Scholar
Davies, S., Payne, S. & Jenkins, J. (1994). Impact of new long-stay patients [letter]. British Journal of Psychiatry 165, 840–841.Google Scholar
Every, N.R., Larson, E.B., Litwin, P.E., Maynard, C., Fihn, S.D., Eisenberg, M.S., Hallstrom, A.P., Martin, J.S. & Weaver, W.D. (1993). The association between on-site cardiac catheterization facilities and use of coronary angiography after acute myocardial infarction. New England Journal of Medicine 329, 546–551.Google Scholar
Flannigan, C.B., Glover, G.R., Feeney, S.T., Wing, J.K., Bebbington, P.E. & Lewis, S.W. (1994a). Inner London collaborative audit of admissions in two Health Districts. I: Introduction, method and preliminary findings. British Journal of Psychiatry 165, 734–742.Google Scholar
Flannigan, C.B., Glover, G.R., Wing, J.K., Lewis, S.W., Bebbington, P.E. & Feeney, S.T. (1994b). Inner London collaborative audit of admissions in two Health Districts. Ill: Reasons for acute admissions to acute psychiatric wards. British Journal of Psychiatry 165, 750–759.Google Scholar
Glover, G.R. (1996). Using the Mental Illness Needs Index Programme. Department of Public Health, Charing Cross and Westminster Medical School: London.Google Scholar
Glover, G.R., Robin, E., Emami, J. & Arbscheibani, G.R. (1995). A Needs Index for Mental Health Care. Department of Public Health, Charing Cross and Westminster Medical School: London.Google Scholar
Harrison, G., Mason, P., Glazebrook, C., Medley, I., Croudace, T. & Docherty, S. (1994). Residence of incident cohort of psychotic patients after 13 years of follow-up. British Medical Journal 308, 813–816.CrossRefGoogle ScholarPubMed
Harrison, G., Beck, A., Croudace, T. & Singh, S. (1996). The Nottingham Acute Bed Use Study (NABUS). Department of Psychiatry, University of Nottingham and Nottingham Healthcare NHS Trust: Nottingham.Google Scholar
Hirsch, S.R. (1987). Planning for bed needs and resource requirements in acute psychiatry. Bulletin of the Royal College of Psychiatrists 11, 398–407.Google Scholar
Hollander, D. & Slater, M.S. (1994). “Sorry no beds”: a problem for acute psychiatric admissions. Psychiatric Bulletin 18, 532–534.Google Scholar
Jarman, B., Hirsch, S., White, P. & Driscoll, R. (1992). Predicting psychiatric admission rates. British Medical Journal 304, 1146–1151.Google Scholar
Mason, P., Harrison, G., Glazebrook, G., Medley, I., Dalkin, T. & Croudace, T.J. (1995). The characteristics of outcome in schizophrenia at 13 years. British Journal of Psychiatry 167, 596–603.Google Scholar
Thornicroft, G. & Strathdee, G. (1994). How many psychiatric beds? British Medical Journal 309, 970–971.Google Scholar
Thornicroft, G., Margolius, O. & Jones, D. (1992). The TAPS project 6: new long-stay psychiatric patients and social deprivation. British Journal of Psychiatry 161, 621–624.Google Scholar
Tyrer, P., Turner, R. & Johnson, A.L. (1989). Integrated hospital and community psychiatric services and use of in-patient beds. British Medical Journal 299, 298–300.Google Scholar
Wissow, L., Gittelsohn, A., Szklo, M., Starfield, B. & Mussman, M.O. (1988). Poverty, race and hospitalization for childhood asthma. American Journal of Public Health 78, 777–782.Google Scholar