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A survey of patients from five health districts receiving special care in the private sector

  • Jeremy W. Coid (a1)
Extract

There has been a rapid growth in the number of patients receiving secure and special care in private hospitals, although their overall numbers are still comparatively small. The behavioural modification unit at St Andrews Hospital, Northampton, has the largest concentration of detained patients outside the National Health Service (NHS), but there are plans to increase the number of beds at Kneesworth House, Royston, Herts, and Stockton Hall, Yorkshire. St Andrews Hospital has been run as a charitable trust but Kneesworth House and Stockton Hall are currently owned by a private French company, Generale de Santé division of Generale d'Eau, together with Langton House, Dorset, which provides places for disturbed adolescents. Marks & Thornicroft (1990) noted that recent entrants into the private sector have been from private for profit rather than voluntary non-profit providers, catering for what are seen as “market niches” such as eating disorders, impotence, alcohol or substance abuse, and stress reactions. They criticise these developments, claiming that few people benefit and that the “bull market” in private hospital development challenges the catchment area concept and seems to be producing a two-tier system of psychiatric care in Britain.

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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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Butler Report (1975) Report on the Committee on Mentally Abnormal Offenders. London: HMSO.
Coid, J. W. (1988) Mentally abnormal offenders on remand I. Rejected or accepted by the NHS? II. Comparison of services provided by Oxford and Wessex Regions. British Medical Journal, 296, 17791784.
Day, K. (1988) A hospital-based treatment programme for male mentally handicapped offenders. British Journal of Psychiatry, 153, 635644.
Inter-Regional Technical Committee (1982) Psychiatric Care in Eight Regional Areas. Statistics from Eight Psychiatric Case Registers in Great Britain 1976–1981. University of Southampton.
Marks, I. & Thornicroft, G. (1990) Editorial. Private inpatient psychiatric care. British Medical Journal, 300, 892.
Marshall, M. (1989) Collected and neglected: are Oxford hostels for the homeless filling up with disabled psychiatric patients? British Medical Journal, 299, 706709.
Mental Health Act Commission (1989) Third Biennial Report 1987–1989. London: HMSO.
O'Grady, , (1990) The complimentary roles of regional and local service provision for psychiatric patients. Health Trends, 22, 1416.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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A survey of patients from five health districts receiving special care in the private sector

  • Jeremy W. Coid (a1)
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