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Socio-economic deprivation and admission rates to secure forensic psychiatry services

  • Jeremy W. Coid (a1)
Abstract

Annual admission rates from the North-East Thames Region to maximum- and medium-secure forensic psychiatry services demonstrated a highly significant correlation with social deprivation measured at district health authority level using the Jarman UPA 8. There were specific associations with the number of unemployed persons, overcrowded households, and persons from ethnic minorities in the districts studied. There was a 10-fold difference in treated prevalence rates across the region, indicating that certain purchasing authorities may be seriously underfunded to meet the needs of their catchment area populations for secure forensic psychiatry services. Further research is required into the nature of the association between admissions to these services and social deprivation. It is readily apparent that a new formula is required for the allocation of resources in the face of such wide disparities in demand from different geographical locations.

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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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Davies, S., Thornicroft, G., Leese, M., et al (1996) Ethnic differences in risk of compulsory psychiatric admission among representative cases of psychosis in London. British Medical Journal, 312, 533536.
Harrison, G., Owens, D., Holton, A., et al (1988) A prospective study of severe mental disorder in Afro-Caribbean patients. Psychological Medicine, 8, 643657.
Hirsch, S. (1988) Psychiatric Beds and Resources: Factors Influencing Bed Use and Service Planning. London: Gaskell.
Ineichen, B., Harrison, G. & Morgan, H. G. (1984) Psychiatric hospital admissions in Bristol. 1. Geographical and ethnic factors. British Journal of Psychiatry, 145, 600611.
Jarman, B., Hirsch, S., White, P., et al (1992) Predicting psychiatric admission rates. British Medical Journal, 304, 11461151.
Johnson, S. & Lelliott, P. (1997) Mental health services in London: Evidence from Research and Routine Data. In London's Mental Health, The Report to the King's Fund Commission (eds Johnson, S., Ramsay, R., Thornicroft, G., C. et al). London: King's Fund.
Mcreadie, R. G., Leese, M., Tilak-Singh, D., et al (1997) Nithsdale, Nunhead and Norwood: similarities and differences in prevalence of schizophrenia and utilisation of services in rural and urban areas. British Journal of Psychiatry, 170, 3136.
McGovern, D. & Cope, R. (1987) The compulsory detention of males of different ethnic groups, with special reference to offender patients. British Journal of Psychiatry, 150, 505512.
Moodley, P. & Thornicroft, G. (1988) Ethnic groups and compulsory detention. Medicine, Science and the Law, 28, 324328.
Murphy, E., Coid, J. & Boa, W. (1997) Security cheques. Health Service Journal 9 January, 2829.
Murray, K. (1996) The use of beds in NHS medium secure units in England. Journal of Forensic Psychiatry, 7, 504524.
Owens, D., Harrison, G. & Boot, D. (1991) Ethnic factors in voluntary and compulsory admissions. Psychological Medicine, 21, 185196.
Thornicroft, G. (1991) Social deprivation and rates of treated mental disorder. Developing statistical models to predict psychiatric service utilisation. British Journal of Psychiatry, 158, 475484.
Thornicroft, G., Margolius, O. & Jones, D. (1992) The TAPS project. 6: New long-stay psychiatric patients and social deprivation. British Journal of Psychiatry, 161, 621624.
Wessely, S. C., Castle, D., Douglas, A. J., et al (1994) The criminal careers of incident cases of schizophrenia. Psychological Medicine, 24, 483502.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Socio-economic deprivation and admission rates to secure forensic psychiatry services

  • Jeremy W. Coid (a1)
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