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The Oxford Service for the Young Adult Chronically Mentally Ill

  • G. P. Pullen (a1)
Extract

Oxfordshire is a pleasant, prosperous county dominated by the City where about one third of its 480,000 population lives. Oxford itself has nearly 15,000 students attending the University or Polytechnic. The active rehabilitation of long-stay patients was started in Oxford over 25 years ago, with the result that by 1986 there were only 40 non-dementing psychiatric-in-patients with a current admission of five or more years. This successful programme of rehabilitation, now virtually completed, was achieved by creating a wide range of sheltered work and other activities, and by the provision since 1963 of over 40 group homes and hostels by the Oxford Group Homes Organisation. However, many psychiatric illnesses still have a chronic and relapsing course; 65% of all admissions, aged 18 to 65 to the Oxford District mental illness units in 1982 and 1983, were readmissions. For those diagnosed as suffering from schizophrenia the figure rises to 80%. In 1972 and 1973 Mann & Cree surveyed 400 ‘new’ long-stay patients (current admission one to five years, aged 18 to 65) in 15 hospitals in England and Wales. They found a rate of 25 per 100,000 population and concluded that for about one third continuing hospital care was the only realistic option. If the remainder were to leave hospital, hostels providing a high level of support would be needed. The recent 1982 survey of ‘new chronic’ in-patients in 14 Scottish psychiatric hospitals still showed a rate of 17.2 per 100,000 population, of whom only 38% were not thought to be in need of continuing hospital care.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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1 Mann, S. A. & Cree, W. (1976) ‘New’ long-stay psychiatric patients: A national sample survey of fifteen mental hospitals in England and Wales 1972/3. Psychological Medicine, 6, 603616.
2 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.
3 Goldberg, D. P., Bridges, K. Cooper, W., 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.
4 Gibbons, J. S. (1986) Care of ‘new’ long-stay patients in a District General Hospital psychiatric unit: The first two years of a hospital-hostel. Acta Psychiatrica Scandinavica. 73, 582588.
5 Kolakowska, T., Williams, A. D., Arden, M., Reveley, M. A., Jambor, K., Gelder, M. G. & Mandelbrote, B. M. (1985) Schizophrenia with good and poor outcome: (1) Early clinical features, responses to neuroleptics and signs of organic dysfunction. British Journal of Psychiatry, 146, 229239.
6 Wing, J. K. & Morris, B. (1981) Handbook of Psychiatric Rehabilitation Practice. Oxford: Oxford University Press.
7 Hirsch, S. R. (1983) Bed requirements for acute psychiatric units: the concept of a norm. The Bulletin of the Royal College of Psychiatrists, 7, 118122.
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BJPsych Bulletin
  • ISSN: 0140-0789
  • EISSN: 2514-9954
  • URL: /core/journals/bjpsych-bulletin
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The Oxford Service for the Young Adult Chronically Mentally Ill

  • G. P. Pullen (a1)
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