Hostname: page-component-586b7cd67f-dsjbd Total loading time: 0 Render date: 2024-11-23T02:51:10.048Z Has data issue: false hasContentIssue false
  • English
  • Français

The outcome of treatment in hostels

Published online by Cambridge University Press:  13 June 2014

Rob Macpherson ,
Kelwyn Williams ,
Helen Elliot ,
Anne-Marie Brewer  and
Tom McGee
Rob Macpherson
Affiliation:
Wotton Lawn, Horton Road, Gloucester GL1 3WL, England
Kelwyn Williams
Affiliation:
18 Denmark Road, Gloucester GL1 3H7, England
Helen Elliot
Affiliation:
Laurel House, 29/31 Alexandra Road, Gloucester GL1 30R, England
Anne-Marie Brewer
Affiliation:
Severn NHS Trust, Rikenel, Gloucester GL1 1LY, England
Tom McGee
Affiliation:
SHWZ, Phoenix Surgery, Circencester, Gloucestershire, England
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives: This paper aimed to examine the outcome of hostel treatment including the effect on hospitalisation rates.

Methods: The work of the four medium/long term Gloucester hostels developed between 1983 and 1993, to provide 24-hour nursed care to ‘new long stay’ patients in Gloucester is described.

Results: Fifty-eight patients with predominately severe mental illness were admitted to the hostels up to 1999, and demographic/illness data is presented. Mean duration of hostel stay was 4.8 years, and one third of patients were readmitted to hospital (most briefly) during their hostel admission, one patient 11 times. Thirty-four patients were discharged from hostels, 29 to less dependent settings, but four referred to hospital care. There was a significant reduction in the number of admissions and duration of hospitalisation in the time between discharge from the hostel to the present or death, as compared with the same time frame for each individual prior to entering the hostel system.

Conclusions: The data adds further support to the potential value of 24 hour nursed care for patients with severe mental illness.

Type
Brief report
Information
Irish Journal of Psychological Medicine , Volume 21 , Issue 2 , June 2004 , pp. 53 - 56
Copyright
Copyright © Cambridge University Press 2004

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

1.The National Service Framework for Mental Health. Department of Health: HMSO, 1999Google Scholar
2.Mann, S, Cree, W. New long stay patients: A national survey of 15 mental hospitals in England and Wales 1972/3. Psychological Medicine 1976; 6: 603–616.CrossRefGoogle Scholar
3.Shepherd, G, King, C, Fowler, D. Outcome in hospital hostels. Psychiatric Bulletin 1994;18:609–612.CrossRefGoogle Scholar
4.Macpherson, R, Butler, J. Effect of treatment in an active rehabilitation hostel on the need for hospital treatment. Psychiatric Bulletin 1999; 23: 594–597.CrossRefGoogle Scholar
5.Cournos, F. The impact of environmental factors on outcome in residential programmes. Hospital and Community Psychiatry 1987; 38: 848–852.Google Scholar
6.Macpherson, R, Jerrom, W. Review of 24 hour nursed care. Adv Psychiatric Treatment 1999;5:146–153.CrossRefGoogle Scholar
7.Macpherson, R, Jerrom, W, Alexander, M. A survey of patient and keyworker satisfaction with the Gloucester mental health rehabilitation service. J Mental Health 1998; 7(4): 367–374.CrossRefGoogle Scholar
8.Shepherd, G. The “ward in the home”. Residential care for the severely disabled. Community Mental Health J 1995; 31: 53–69.CrossRefGoogle Scholar
9.Shepherd, G. Psychiatric rehabilitation for the 1990s. Community Care – people leaving long stay hospitals. In: Watts, FN, Bennett, DH (eds). London: Routledge, 1991Google Scholar
10.Shepherd, G, Muijen, M, Dean, R, Cooney, M. Residential care in hospital and community – quality of care and quality of life. Br J Psychiatry 1996; 168: 448–456.CrossRefGoogle ScholarPubMed
11.Allen, C, Gillespie, LR, Hall, JN. A comparison of practices, attitudes and interactions in two established units for people with psychiatric disability. Psych Med 1989; 19: 459–467.CrossRefGoogle ScholarPubMed