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Patterns of Care in a District General Hospital Psychiatric Department

Published online by Cambridge University Press:  02 January 2018

R. E. Lawrence ,
S. Cumella  and
J. A. Robertson
R. E. Lawrence*
Affiliation:
University of Birmingham
S. Cumella
Affiliation:
Mental Health Unit, Central Birmingham Health Authority
J. A. Robertson
Affiliation:
Kidderminster District General Hospital, Bewdley Road, Kidderminster
*
∗Department of Psychiatry, University of Birmingham, Vincent Drive, Edgbaston, Birmingham B15 2TT
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Abstract

A survey of all admissions of patients under the age of 65 during the first 6 years of a District General Psychiatric Department without mental-hospital support is reported. Three high-uptake groups of in-patients were defined; the long-stay (12 months or more), the medium-stay (6–12 months), and the revolving-door group (more than three admissions in any period of 12 months). Identifying characteristics which distinguish between these groups were examined. During a 7-year period there was no accumulation of long-stay patients, and a striking lack of schizophrenic patients who remained in hospital for more than 6 months or who had more than three admissions in any twelve-month period. This was not accounted for by drift of the high-uptake groups out of contact with the service, but may be related both to the style of service provision and to the socially cohesive nature of the area under study. Local variation should be given due importance when community services are being developed.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 152 , Issue 2 , February 1988 , pp. 188 - 195
Copyright
Copyright © Royal College of Psychiatrists, 1988 

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