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The Evaluation of a Hostel Ward

A Controlled Study using Modified Cost-Benefit Analysis

Published online by Cambridge University Press:  02 January 2018

C. Hyde
Affiliation:
Withington Hospital
K. Bridges
Affiliation:
Manchester Royal Infirmary
D. Goldberg*
Affiliation:
University of Manchester
K. Lowson
Affiliation:
North West Regional Health Authority
C. Sterling
Affiliation:
Withington Hospital
B. Faragher
Affiliation:
Withington Hospital
*
Withington Hospital, West Didsbury, Manchester M20 8LR

Abstract

A controlled modified cost-benefit evaluation of a hostel ward caring for new long-stay patients is described and results are presented for the first two years. In some respects the residents of the hostel ward had fewer psychotic impairments than those remaining on the wards of the district general hospital, mainly because the latter seem to continue to acquire such defects, while the former have remained relatively unchanged. The hostel ward residents also develop superior domestic skills, use more facilities in the community, and are more likely to be engaged in constructive activities than controls. These advantages were not purchased at a price, since the cost of providing this form of care for these patients has cost less than care provided by the district general hospital.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1987 

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References

Bewley, T. H., Biand, M., Mechen, D. & Walch, E. (1981) ‘New chronic’ patients. British Medical Journal, 283, 11611164.Google Scholar
Folston, M. F., Folstein, S. E. & McHugh, P. R. (1975) MiniMental State; a practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatric Research, 12, 189198.Google Scholar
Glass, N. J. & Goldberg, D. (1977) Cost-benefit analysis and the evaluation of psychiatric services. Psychological Medicine, 7, 701707.Google Scholar
Goldberg, D. (1983) Measurement of the benefits in psychiatry. In Measuring the Social Benefits of Medicine (ed. G. Teeling Smith). London: Office of Health Economics.Google Scholar
Goldberg, D. & Jones, R. (1980) The costs and beneflts of psychiatric care. In The Social Consequences of Psychiatric Illness (eds L. Robins, P. Clayton & J. Wing). New York: Brunner/Mazel.Google Scholar
Goldberg, D., Jones, R., Bridges, K., Cooper, C., Hyde, C., Sterling, C. & Wyatt, R. (1985) Douglas House: a new type of hostel ward for chronic psychotic patients. British Journal of Psychiatry, 147, 383388.Google Scholar
Hewett, S. (1979) Somewhere to live. In Alternative Patterns of Residential Care for Discharged Psychiatric Patients (ed. R. Olsen). London; British Association of Social Workers.Google Scholar
Hewett, S., Ryan, P. & Wing, J. K. (1975) Living without the mental hospitals. Journal of Social Policy, 4, 391404.CrossRefGoogle Scholar
Howat, J. G. M. & Kontny, E. L. (1982) The outcome for discharged Nottingham long-stay in-patients. British Journal of Psychiatry, 141, 590594.Google Scholar
Jablensky, A., Schwarz, P. & Tomov, T. (1980) WHO collorative study on impairments and disabilities associated with schizophrenic disorders. Acta Psychiatrica Scandinavica, suppl. 285, 152159.Google Scholar
Krawiecka, M., Goldberg, D. & Vaughan, M. (1977) A standardised psychiatric assessment scale for rating chronic psychotic patients. Acta Psychiatrica Scandinavica, 55, 299308.Google Scholar
Levene, L. S., Donaldson, L. J. & Brandon, S. (1985) How likely is it that a district health authority can close its large mental hospitals? British Journal of Psychiatry, 147, 150155.Google Scholar
McCreadie, R. G., Wilson, D. A. & Burton, L. L. (1983) The Scottish survey of ‘new chronic’ in-patients. British Journal of Psychiatry, 143, 564571.CrossRefGoogle Scholar
Mann, S. & Cree, W. (1976) ‘New’ long-stay psychiatric patients: a national survey of fifteen mental hospitals in Englimd and Wales 1972/3. Psychological Medicine, 6, 603616.Google Scholar
Ryan, P. (1979) Residential care for the mentally disabled. In Community Care for the Mentally Disabled (ed. J. K. Wing & R. Olsen). London: Oxford University Press.Google Scholar
Ryan, P. & Wing, J. K. (1979) Patterns of residential care. In Alternative Patterns of Residential Care for Discharged Psychiatric Patients (ed. R. Olsen). London: British Association of Social Workers.Google Scholar
Wing, T. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
Wykes, T. (1982) A hostel-ward for ‘new’ long-stay patients: an evaluation study of ‘a ward in a house’. In Long-Term Community Care Experience in a London Borough (ed. J. K. Wing). Psychological Medicine, Monograph Supplement 2, 5597.Google Scholar
Wykes, T. & Wing, J. K. (1982) A ward in a house: accommodation for ‘new’ long-stay patients. Acta Psychiatrica Scandinavica, 65, 315330.Google Scholar
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