Skip to main content
×
×
Home

Out-of-area placements: implications of psychiatric services in learning disability

  • Ipsita Mitra (a1) and Regi Alexander (a2)
Abstract
Aims and Method

With an absence of appropriate residential services, people with learning disabilities are often placed outside their local areas and there is regularly no dialogue between the relevant health authorities prior to a placement being made. This survey from Leicestershire explored this issue by focusing on the catchment area covered by one consultant psychiatrist. Practice standards were formulated and compliance with these was examined.

Results

A total of 29 patients were identified as ‘out-of-area’ placements. They had high psychiatric morbidity, exhibited significant degrees of aggression and needed a high level of professional input. The suggested practice standards were met by less than 10%.

Clinical Implications

In parts of the country where a large number of ‘specialist’ residential homes have opened, there has been an unplanned increase in the workload of local learning disability/ mental health services. This can compromise patient care and there is an urgent need for health authorities to address this issue.

  • View HTML
    • Send article to Kindle

      To send this article to your Kindle, first ensure no-reply@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about sending to your Kindle. Find out more about sending to your Kindle.

      Note you can select to send to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

      Find out more about the Kindle Personal Document Service.

      Out-of-area placements: implications of psychiatric services in learning disability
      Available formats
      ×
      Send article to Dropbox

      To send this article to your Dropbox account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Dropbox.

      Out-of-area placements: implications of psychiatric services in learning disability
      Available formats
      ×
      Send article to Google Drive

      To send this article to your Google Drive account, please select one or more formats and confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your <service> account. Find out more about sending content to Google Drive.

      Out-of-area placements: implications of psychiatric services in learning disability
      Available formats
      ×
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
Hide All
Cooray, S. & Tyrer, P (2000) Utility of an ICD–10/ DSM–IV based multiaxial classificatory system for people with developmental disabilities. NADD (National Association For The Dually Diagnosed) International Conference IV Proceedings, 14–17 June 2000, New York.
Department of Health (1999) Modern Standards and Service Models. Mental Health National Service Framework. London: HMSO.
Forsyth, B. & Winterbottom, P. (2002) Beds, budgets and burdens: learning disability expenditure v. workload across English health authorities. British Journal of Psychiatry, 181, 200207.
Glover, G, Bindman, J. (2001) Out of area hospitalizations – the view from current routine statistics. Psychiatric Bulletin, 25, 376378.
North and Mid Hampshire Health Authority and Hampshire County Council Social Services (2001) Joint Working Protocol for Cross Border Placements of People with a Learning Disability. Basingstoke: North and Mid Hampshire Health Authority and Hampshire County Council Social Services.
Yudofsky, S. C., Silver, J. M., Jackson, W., et al (1986) The Overt Aggression Scale: an operationalized rating scale for verbal and physical aggression. American Journal of Psychiatry, 143, 3539.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Full text views

Total number of HTML views: 0
Total number of PDF views: 4 *
Loading metrics...

Abstract views

Total abstract views: 30 *
Loading metrics...

* Views captured on Cambridge Core between 2nd January 2018 - 21st July 2018. This data will be updated every 24 hours.

Out-of-area placements: implications of psychiatric services in learning disability

  • Ipsita Mitra (a1) and Regi Alexander (a2)
Submit a response

eLetters

No eLetters have been published for this article.

×

Reply to: Submit a response


Your details


Conflicting interests

Do you have any conflicting interests? *