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A new specialty of acute in-patient psychiatry?

  • Hugh Middleton (a1)
Extract

Luiz Dratcu makes a case for a new specialty of acute inpatient psychiatry; Frank Holloway argues otherwise. In neither instance are the arguments at all surprising, and in both they are eloquently expressed. The case for a new specialty is based upon recognition of a continuing need for acute psychiatric in-patient services, and recognition that these services require particular skills and facilities which are likely to be most efficiently and effectively provided when interests and activities are focused upon them. The case against does not deny the need for attention to widely acknowledged shortcomings of many acute psychiatric in-patient services, but it does ask the questions ‘what should constitute a specialty?’ and ‘what benefit would flow from having a specialty and for whom?’

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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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Braithwaite, T. (2006) The Search for Acute Solutions. Improving the Quality of Care in Acute Psychiatric Wards. London: Sainsbury Centre for Mental Health.
Department of Health (2002) Adult Acute Inpatient Care Provision: Mental Health Policy Implementation Guide. London: Department of Health.
Dratcu, L., Grandison, A. & Adkin, A. (2003) Acute hospital care in inner London: splitting from mental health services in the community. Psychiatric Bulletin, 27, 8386.
Garcia, I., Kennet, C., Quraishi, M., et al (2005) Acute Care 2004: A National Survey of Adult Psychiatric Wards in England. London: Sainsbury Centre for Mental Health.
Mental Health Act Commission (2005) In Place of Fear? Eleventh Biennial Report (2003–2005). London: TSO (The Stationery Office).
Rix, S. & Sheppard, G. (2003). Acute wards: problems and solutions: implementing real change in acute in-patient care – more than just bringing in the builders … Psychiatric Bulletin, 27, 108111.
Royal College of Psychiatrists & National Institute for Mental Health in England (2005) New Ways of Working for Psychiatrists: Enhancing Effective, Person-Centred Services through New Ways of Working in Multidisciplinary and Multi-Agency Contexts. London: Department of Health.
Sainsbury Centre for Mental Health (1998) Acute Problems. A Survey of the Quality of Care in Acute Psychiatric Wards. London: Sainsbury Centre for Mental Health.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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A new specialty of acute in-patient psychiatry?

  • Hugh Middleton (a1)
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