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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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References

Affleck, J. W. & McGuire, R. J. (1984) The measurement of psychiatric rehabilitation status: a review of the needs and a new scale. British Journal of Psychiatry, 145, 517525.CrossRefGoogle Scholar
Carson, J. Shaw, L. & Wills, W. (1989) Which patients first: a study from the closure of a large psychiatric hospital. Health Trends, 21, 117121.Google Scholar
Curson, D. A. Patel, M. Liddle, P. F. et al (1988) Psychiatric morbidity of a longstay hospital population with chronic schizophrenia and implications for future community care. British Medical Journal, 297, 819822.CrossRefGoogle Scholar
General Register Office (1981) Census 1981, Scotland: Preliminary Report. Edinburgh: HMSO.Google Scholar
Griffiths, R. (1988) Community Care: Agenda for Action. London: HMSO.Google Scholar
Krawiecka, M. Goldberg, D. & Vaughan, M. (1977) A standardised psychiatric assessment scale for rating psychiatric patients. Acta Psychiatrica Scandinavica, 55, 299308.CrossRefGoogle Scholar
Livingston, M. G. & Bryson, A. (1989) The Glasgow rehabilitation survey. British Journal of Psychiatry, 154, 620624.CrossRefGoogle ScholarPubMed
McCreadie, R. G. & McCannell, E. (1989) The Scottish survey of new chronics: five-year follow-up. British Journal of Psychiatry, 155, 348351.CrossRefGoogle ScholarPubMed
McCreadie, R. G. Wilson, A. O. A. & Burton, L. L. (1983) The Scottish survey of new chronic in-patients. British Journal of Psychiatry, 143, 564571.CrossRefGoogle Scholar
McCreadie, R. G. Robinson, A. D. T. & Wilson, A. O. A. (1984) The Scottish survey of chronic day-patients. British Journal of Psychiatry, 145, 626630.CrossRefGoogle ScholarPubMed
McCreadie, R. G. Affleck, J. W. & Robinson, A. D. T. (1985 a) The Scottish Survey of psychiatric and rehabilitation support services. British Journal of Psychiatry, 147, 289294.CrossRefGoogle ScholarPubMed
McCreadie, R. G. Robinson, A. D. T. & Wilson, A. O. A. (1985 b) The Scottish survey of new chronic inpatients: two-year follow-up. British Journal of Psychiatry, 147, 637640.CrossRefGoogle ScholarPubMed
McCreadie, R. G. Affleck, J. W. McKenzie, Y., et al (1987) A comparison of scales for assessing rehabilitation patients. British Journal of Psychiatry, 151, 520522.CrossRefGoogle ScholarPubMed
McCreadie, R. G. Pieri, L. F. & McGuire, R. J. (1988) The Scottish survey of chronic day-patients: three-year follow-up. British Journal of Psychiatry, 153, 174177.CrossRefGoogle Scholar
Owens, D. C. & Johnstone, E. C. (1980) The disabilities of chronic schizophrenia: their nature and the factors contributing to their development. British Journal of Psychiatry, 136, 384395.CrossRefGoogle Scholar
Wing, J. K. (1986) The cycle of planning and evaluation. In The Provision of Mental Health Services in Britain: The Way Ahead (eds Wilkinson, G. & Freeman, H.). London: Gaskell/The Royal College of Psychiatrists.Google Scholar
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia. Cambridge: Cambridge University Press.CrossRefGoogle Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases. Geneva: WHO.Google Scholar
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