Hostname: page-component-745bb68f8f-mzp66 Total loading time: 0 Render date: 2025-01-10T06:28:46.509Z Has data issue: false hasContentIssue false
  • English
  • Français

Characteristics of admissions considered inappropriate by junior psychiatrists

Published online by Cambridge University Press:  02 January 2018

Peter Y. Elwood
Peter Y. Elwood*
Affiliation:
Peter Hodgkinson Centre, County Hospital, Greetwell Road, Lincoln LN2 5UA
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.
Aims and method

The aim of the study was to identify medical and socio-demographic characteristics of admissions considered inappropriate by psychiatrists. Appropriateness of admission was assessed by questionnaire. Medical and socio-demographic characteristics of each admission were obtained by case note review.

Results

Twenty-five per cent of admissions were considered inappropriate. These patients showed high levels of adverse socio-demographic characteristics and commonly were diagnosed as personality disordered or as substance misusers. Junior doctors commonly admitted patients despite considering admission inappropriate.

Clinical implications

Regular audit of the admission, process should be encouraged.

Type
Original papers
Information
Psychiatric Bulletin , Volume 23 , Issue 1 , January 1999 , pp. 34 - 37
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1999 The Royal College of Psychiatrists

References

Beck, T. J., Croudace, J., Singh, S., et al (1997) The Nottingham acute bed study: alternatives to acute psychiatric care. British Journal of Psychiatry, 170, 247–252.Google Scholar
Creed, F., Mbaya, P., Lancashire, S., et al (1997) Cost effectiveness of day and inpatient psychiatric treatment: results of a randomised controlled trial. British Medical Journal 314, 1381–1385.CrossRefGoogle ScholarPubMed
Flannigan, C. B., Glover, G. R., Wing, J. K., et al (1994) Inner London collaborative audit of admission in two health districts. III: Reasons for acute admission to psychiatric wards. British Journal of Psychiatry, 165, 750–759.Google Scholar
Goffman, E. (1961) Asylums. New York: Doubleday.Google Scholar
Goldberg, D. & Huxley, P. (1980) Mental Illness in the Community: the Pathway to Psychiatric Care. London: Tavistock.Google Scholar
Hicks, N. R. (1994) Some observations on attempts to measure appropriateness of care. British Medical Journal, 309, 730–733.Google Scholar
Hoult, J. (1986) Community care of the acutely mentally ill. British Journal of Psychiatry, 149, 137–144.Google Scholar
Kent, S. & Yellowlees, P. (1994) Psychiatric and social reasons for frequent rehospitalizatlon. Hospital and Community Psychiatry, 45, 347–350.Google Scholar
Meyerson, A. T., Moss, J. Z., Belville, R., et al (1979) Influence of experience on major clinical decisions. Archives of General Psychiatry, 36, 423–427.Google Scholar
Scambler, G. (1991) Sociology as Applied to Medicine. London: Baillière Tindall.Google Scholar
Stein, L. I. & Test, M. A. (1980) Alternative model to mental hospital treatment. I. Conceptual model, treatment program, and clinical evaluation. Archives of General Psychiatry, 37, 392–397.Google Scholar
Strumwasser, I., Paranjpe, N. V., Udow, M., et al (1991) Appropriateness of psychiatric and substance abuse hospitalization: implications for payment and utilization management. Medical Care, 29 (suppl.), S77–S90.Google Scholar
World Health Organization (1992) The Tenth Revision of the International Classification of Diseases and Related Health Problems (ICD–10). Geneva: WHO.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.