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Long-stay Patients in a Psychiatric Day Hospital

A Case Note Review

Published online by Cambridge University Press:  02 January 2018

G. McGrath*
Affiliation:
University Hospital of South Manchester
D. Tantam
Affiliation:
University Hospital of South Manchester
*
Department of Psychiatry, University Hospital of South Manchester, Nell Lane, West Didsbury, Manchester M20 8LR

Abstract

The case notes of all non-psychogeriatric patients attending the Psychiatric Day Hospital at the University Hospital of South Manchester during one week in October 1982 were reviewed. Clinical, demographic, social and occupational data were gathered for all patients, and their attendance at the day hospital monitored for the year following the census period. No significant differences between patients could be found on any of the factors that it was predicted would distinguish short from long-stay patients. The best predictor of length of day hospital attendance in the current admission was the total quantity of previous hospital treatment whether as an in-patient or a day-patient. It is concluded that in the day hospital studied all patients had similar characteristics, and the majority could be seen as ‘new long-stay’ patients. The implications of this finding are discussed.

Type
Research Article
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

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References

Bender, M. (1983) For what and for whom? Community Care, January 13, 2021.Google Scholar
Cross, K. W., Hassal, C. & Gath, D. (1972) Psychiatric day care: the new chronic population? British Journal of Preventive and Social Medicine, 26, 199204.Google Scholar
Department of Health and Social Security (1975) Better Services for the Mentally III, (Cmnd 6233). HMSO.Google Scholar
Department of Health and Social Security (1985) Mental Illness: Policies for Prevention, Treatment and Care. DHSS Circular dated September 1985.Google Scholar
Edwards, C. A. Carter, J. (1979) Day Services and the Mentally 111. In Community Care for the Mentally Disabled. Wing, J. K. & Olsen, R. eds, Oxford University Press.Google Scholar
Gath, D., Hassal, C. & Cross, K. W. (1973) Whither Psychiatric Day Care? A Study of Day Patients in Birmingham. British Medical Journal, 1, 9498.Google Scholar
Hassal, C, Gath, D. & Cross, K. W. (1972) Psychiatric day care in Birmingham. British Journal of Preventive and Social Medicine, 26, 112120.Google Scholar
Herz, M. I., Endicott, J. & Spitzer, R. L. (1971) Day versus inpatient hospitalisation: a controlled study. American Journal of Psychiatry, 127, 13711382.Google Scholar
Herz, M. I., Endicott, J. & Spitzer, R. L. (1977) Brief hospitalisation: a two-year follow up. American Journal of Psychiatry, 134, 502507.Google Scholar
Herz, M. I., Endicott, J. & Spitzer, R. L. et al (1976) Brief versus standard hospitalisation: the families. American Journal of Psychiatry, 133, 795801.Google Scholar
North West Regional Health Authority (1986) Mental Illness Services; Short-term Strategy for Run Down of Large Hospitals. NWRHa Planning Document. Manchester.Google Scholar
Pryce, I. G. (1962) an expanding ‘stage army’ of long stay psychiatric day patients. British Journal of Psychiatry, 141, 595601.Google Scholar
Pryce, I. Baughan, C. A., Jenkins, T. D. O. & Venkatesan, B. (1983) a study of long attending psychiatric day patients and the services provided for them. Psychological Medicine, 13, 875884.Google Scholar
Royal College of Psychiatrists (1980) Psychiatric Rehabilitation in the 1980s. Report of the Working Party on Rehabilitation of the Social and Community Psychiatry Section.Google Scholar
Vaughan, P. J. (1983a) The disordered development of day care in psychiatry. Health Trends, 15, 9194.Google Scholar
Vaughan, P. (1983b) Day care or confusion? Bulletin of the Royal College of Psychiatrists, 7, 184185.Google Scholar
Vaughan, P. (1985) Developments in psychiatric day care. British Journal of Psychiatry, 147, 14.Google Scholar
Wilkinson, G. (1984) Day care for patients with psychiatric disorders. British Medical Journal, 288, 17101712.CrossRefGoogle ScholarPubMed
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