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Open all hours: extending the role of the psychiatric day hospital

Published online by Cambridge University Press:  02 January 2018

Judy Harrison ,
Amanda Poynton ,
John Marshall ,
Richard Gater  and
Francis Creed
Judy Harrison*
Affiliation:
Department of Psychiatry, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL
Amanda Poynton
Affiliation:
Department of Psychiatry, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL
John Marshall
Affiliation:
Department of Psychiatry, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL
Richard Gater
Affiliation:
Department of Psychiatry, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL
Francis Creed
Affiliation:
Department of Psychiatry, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL
*
∗Correspondence
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Abstract

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Aims and method

From March 1997, the acute day hospital in Central Manchester was extended to 24 hours, seven days a week, with patients treated entirely at home if preferred. The development and organisation of the new service are described. Preliminary evaluation data include service activity for the first 12 months and comparison with a consecutive series of in-patients during the first three months.

Results

There was an increase in the number of patients treated in the first year (n=214). Sixty-two per cent of patients suffered from schizophrenia, psychotic depression or bipolar disorder. Patients treated by the new service in the first three months (n=43) were more likely than in-patients (n=37) to have problems eating or drinking and to present with suicide risk, whereas the inpatients were more likely to have had adverse past experiences of services and to show behavioural disturbances.

Clinical implications

The findings support the continued development of 24–hour alternatives to inpatient care, while emphasising that those requiring inpatient care have different presentations and needs.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 23 , Issue 7: The Journal of Trends in Psychiatric Practice , July 1999 , pp. 400 - 404
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

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