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Therapeutic community provision at regional and district levels

Published online by Cambridge University Press:  02 January 2018

Steffan Davies ,
Penelope Campling  and
Kerry Ryan
Steffan Davies
Affiliation:
Francis Dixon Lodge, Gipsy Lane, Leicester LE5 5OD
Penelope Campling*
Affiliation:
Francis Dixon Lodge, Gipsy Lane, Leicester LE5 5OD
Kerry Ryan
Affiliation:
Francis Dixon Lodge, Gipsy Lane, Leicester LE5 5OD
*
∗Correspondence
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Abstract

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Aims and method

The aim of the study was to investigate changes in service utilisation following therapeutic community treatment for patients with severe personality disorder. The study examined service usage, in the form of acute psychiatric admissions, of a series of 52 admissions to a residential therapeutic community in the three years before and year after admission.

Results

There was a reduction in the mean duration of acute psychiatric admissions after treatment, this was greater for extra-contractual referral patients than local district patients.

Clinical Implications

This study replicates results from previous studies. It also suggests that more accessible local services may be able to intervene earlier in patients' psychiatric careers preventing heavy use of acute services. We argue for greater provision of therapeutic community treatment for severe personality disorder.

Type
Original papers
Information
Psychiatric Bulletin , Volume 23 , Issue 2 , February 1999 , pp. 79 - 83
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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