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Resource consumption in psychiatric intensive care: The cost of aggression

Published online by Cambridge University Press:  02 January 2018

Clive E. Hyde
Affiliation:
Department of Psychiatry, Withington Hospital, Nell Lane, Manchester M20 8LR
Colina Harrower-Wilson
Affiliation:
Department of Psychiatry, Withington Hospital, Nell Lane, Manchester M20 8LR
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Abstract

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The coils of operating a psychiatric intensive care unit (PICU) were recorded for a six-month period. There were 110 admissions and 99 discharges. Mean length of stay was 12.3 days. Total costs were £346,516 over the study period, £283.56 per patient-day. Fixed costs comprised 93% of the total, inducing nursing staff ($169,447), overheads ($77,017), medical staff ($48,819), hotel costs (£24,160) and miscellaneous (£1,750). Variable costs included special nursing, (£19,405), treatment of major self-harm (£3,024), drugs (£1,707) and staff time to manage aggressive incidents (£1,188). Reduction of the incidence of aggression could result in valuable cost savings.

Type
Original Papers
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 © Royal College of Psychiatrists, 1995

References

Baastrup, P. C., Alohfors, U. G. et al (1993) A controlled Nordic multicentre study of zuclopenthixol acetate in oil solution, haloperidol and zuclopenthixol in the treatment of acute psychosis. Acta Psychiatrica Scandinavica, 87, 4858 Google Scholar
Harrower-Wilson, C. & Hyde, C. E. (1994) Service provision for violent and aggressive patients in the North-West and Merseyside regions: a descriptive report Abstracts: Annual Meeting, Royal College of Psychiatrists, Cork, July 1994 (copies available).Google Scholar
Hyde, C. E., Harrower-Wilson, C. & Nellist, B. (1994) The Psychiatric Studies in Aggression Database. Computers in Psychiatry Group of the Royal College of Psychiatrists, Newsletter, June 1994, 8, 2. (Proceedings of the Winter Meeting of the Royal College of Psychiatrists, Software Workshop, Cafe Royal, 4 February, 1994).Google Scholar
Hyde, C. E. & Harrower-Wilson, C. (1994) Psychiatric intensive care: principles and problems. Hospital Update, 287295.Google Scholar
James, D. V., Fineberg, N. A., Shar, A. K. & Priest, R. G. (1990) An increase in violence on an acute psychiatric ward: a study of associated factors. British Journal of Psychiatry, 156, 846855.Google Scholar
Karson, C. N., McClellan, J. L. & Kashner, T. M. (1991) Assault increases the cost of care among inpatient veterans with schizophrenia Journal of Nervous and Mental Disease, 179, 702704.Google Scholar
O'Dwyer, J. M. & Mann, B. S. (1989) Psychiatric intensive care after two years. Psychiatric Bulletin, 13, 421422.Google Scholar
Omérov, M., Wistedt, B & Durling, U. (1990) Aggressive incidents and acute psychosis, the effect of Zuclopenthixol acetate, Regional symposium, World Psychiatric Association, Oslo, Norway, 23–26 August, 1990.Google Scholar
Palmstierna, T. & Wistedt, B. (1985) SOAS-Staff Observation Aggression Scale, a new psychiatric rating scale, measuring severity and frequency of aggressive behaviour. End International Congress on Psychogeriatric Medicine, Umeå, Sweden. 28–30 August, 1985.Google Scholar
Pearson, M. Wilmot, E. & Path, M. (1986) A study of violent behaviour among in-patients in psychiatric hospitals. British Journal of Psychiatry, 149, 232235.Google Scholar
Walker, Z. & Seifert, R. (1994) Violent incidents in a psychiatric intensive care unit British Journal of Psychiatry, 164, 826829.Google Scholar
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