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Outcome of acute psychiatric in-patient care where there are no crisis or home treatment teams

  • Polash Shajahan (a1) and Mark Taylor (a2)
Abstract
Aims and Method

To examine the pathways and outcomes of in-patient care in our locality before crisis teams were introduced details of all emergency referrals to psychiatry were recorded and all admissions to hospital were assessed within 24 h of admission and discharge.

Results

Over a 6-month period, 88% (n=1852) of calls to the duty psychiatrist occurred between 09.00 and 01.00 h. Referrals from accident and emergency and general practice represented the majority of calls (80%); 40% of patients were admitted. Highest admission rates were for patients who were psychotic, suicidal or depressed. Admission led to improvement in all symptoms.

Clinical Implications

In-patient care is a valuable resource for stabilising patients who are acutely ill. Routine monitoring of unscheduled activity can inform service delivery.

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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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Commander, M. & Disanyake, L. (2006) Impact of function alised community mental health teams on in-patient care. Psychiatric Bulletin, 30, 213215.
Director of Public Health (2005) The Health of the People within the Lanarkshire NHS Board Area. Annual Report, pp. 5356. NHS Lanarkshire.
Glover, G., Arts, G. & Babu, K. (2006) Crisis resolution/home treatment teams and psychiatric admission rates in England. British Journal of Psychiatry, 189, 441445.
Gould, M., Theodore, K., Pilling, S., et al (2006) Initial treatment phase in early psychosis: can intensive home treatment prevent admission? Psychiatric Bulletin, 30, 243246.
Holloway, F. (2006) Acute in-patient psychiatry: dedicated consultants if we must but not a specialty. Psychiatric Bulletin, 30, 402403.
Lelliot, P., Bennet, H., McGeorge, M., et al (2006) Accreditation of acute in-patient mental health services. Psychiatric Bulletin, 30, 361363.
Priebe, S., Jones, G., McCabe, R., et al (2006) Effectiveness and costs of acute day hospital treatment compared with conventional in-patient care. British Journal of Psychiatry, 188, 243249.
Quirk, A. & Lelliott, P. (2004) What do we know about life on acute psychiatric wards in the UK? Areview of the research evidence. Social Science and Medicine, 53, 15651574.
Thompson, A., Shaw, M., Harrison, G., et al (2004) Patterns of hospital admission for adult psychiaitric illness in England: analysis of Hospital Episode Statistics data. British Journal of Psychiatry, 185, 334341.
Zung, W. (1965) A self rating depression scale. Archives of General Psychiatry, 12, 6370.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Outcome of acute psychiatric in-patient care where there are no crisis or home treatment teams

  • Polash Shajahan (a1) and Mark Taylor (a2)
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