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The Scottish Survey of Old Long-Stay In-patients

Published online by Cambridge University Press:  02 January 2018

R. G. McCreadie*
Affiliation:
Crichton Royal Hospital, Dumfries DG1 4TG
Mary Stewart
Affiliation:
Royal Edinburgh Hospital, Edinburgh EH10 5HF
Lesley Robertson
Affiliation:
Crichton Royal Hospital, Dumfries DG1 4TG
J. M. Dingwall
Affiliation:
Dykebar Hospital, Paisley PA2 7DE
*
* Correspondence

Abstract

A total of 2605 old long-stay patients, defined as those admitted to hospital before the age of 65 years and in hospital more than six years, were identified in psychiatric hospitals serving 83% of the Scottish population. The bed occupancy was 59 per 100 000 of the general population, with a range among hospitals of 19–123 per 100 000. Of all patients, 64% were schizophrenic and 15% had organic brain disease; most patients were male, single and over 60 years of age; 41 % had been in hospital more than 30 years; 61 % had either florid psychotic symptoms or symptoms of a deficit state in marked or severe degree, and the rehabilitation potential for 70% was low. An increasing prevalence of deficit symptoms in schizophrenics was associated with increasing length of stay in hospital; the difference was most marked between those admitted before and after 1953.

Type
Research Article
Copyright
Copyright © Royal College of Psychiatrists, 1991 

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