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Open all hours: extending the role of the psychiatric day hospital

  • Judy Harrison (a1), Amanda Poynton (a1), John Marshall (a1), Richard Gater (a1) and Francis Creed (a1)...
Abstract
Aims and method

From March 1997, the acute day hospital in Central Manchester was extended to 24 hours, seven days a week, with patients treated entirely at home if preferred. The development and organisation of the new service are described. Preliminary evaluation data include service activity for the first 12 months and comparison with a consecutive series of in-patients during the first three months.

Results

There was an increase in the number of patients treated in the first year (n=214). Sixty-two per cent of patients suffered from schizophrenia, psychotic depression or bipolar disorder. Patients treated by the new service in the first three months (n=43) were more likely than in-patients (n=37) to have problems eating or drinking and to present with suicide risk, whereas the inpatients were more likely to have had adverse past experiences of services and to show behavioural disturbances.

Clinical implications

The findings support the continued development of 24–hour alternatives to inpatient care, while emphasising that those requiring inpatient care have different presentations and needs.

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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.
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References
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Creed, F., Black, D., Anthony, P., et al (1990) Randomised controlled trial of day patient versus in-patient psychiatric treatment. British Medical Journal, 300, 1033 1037.
Creed, F., Mbaya, P., Lancashire, S., et al (1997) Cost effectiveness of day and in-patient psychiatric treatment. British Medical Journal, 314, 1381 1385.
Ford, R., Duncan, G., Warner, L., et al (1998) One-day survey by the Mental Health Act Commission of acute adult psychiatric in-patient wards in England and Wales. British Medical Journal, 317, 1279 1283.
Marks, I., Connolly, J., Muijen, M., et al (1994) Home-based versus hospital-based care for people with serious mental illness. British Journal of Psychiatry, 165, 179 194.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Open all hours: extending the role of the psychiatric day hospital

  • Judy Harrison (a1), Amanda Poynton (a1), John Marshall (a1), Richard Gater (a1) and Francis Creed (a1)...
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