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Triage in mental health – a new model for acute in-patient psychiatry

  • Gary Inglis (a1) and Martin Baggaley (a2)
Abstract
Aims and Method

In-patient psychiatric care needs urgent improvement and development. A new model of psychiatric care (triage) has been used for 6 months across an adult psychiatric service covering a London borough.

Results

Preliminary results show that the new model has reduced bed occupancy, leading to more-efficient throughput, with positive feedback from patients and staff. Important factors contributing to these positive changes include a whole-systems approach, senior medical input 6 days a week, creative use of information technology and a highly skilled multidisciplinary team.

Clinical Implications

The introduction of the new model has resulted in a more-efficient use of beds. Further evaluation will enable us to assess the impact on other parts of the service. As with all innovations, the improvements must be sustained once the initial enthusiasm has passed.

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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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Department of Health (1999) The National Service Framework for Mental Health. Modern Standards and Service Models for Mental Health. London: Department of Health.
Department of Health (2000) The NHS Plan: A Plan for Investment, a Plan for Reform. London: Department of Health.
Department of Health (2002) Acute Inpatient Provision Care Provision: Mental Health Policy Implementation Guide. London: Department of Health.
Greengross, P., Hollander, D. & Stanton, R. (2000) Pressure on adult psychiatric beds. Results of a national questionnaire survey. Psychiatric Bulletin, 24, 5456.
Griffiths, H. (2002) Acute wards: problems and solutions: their fall and rise. Psychiatric Bulletin, 26, 428430.
Muijen, M. (1999) Acute hospital care: ineffective, inefficient and poorly organised. Psychiatric Bulletin, 23, 257259.
Powell, R., Hollander, D. & Tobinasky, R. (1995) Crisis in admission beds. A four-year survey of the state of Greater London's acute psychiatric units. British Journal of Psychiatry, 167, 765769.
Royal College of Psychiatrists (1998) Not Just Bricks and Mortar (Council Report CR62). London: Royal College of Psychiatrists.
Sainsbury Centre for Mental Health (2002) An Executive Briefing on Adult Acute Inpatient Care for People with Mental Health Problems. London: The Sainsbury Centre for Mental Health.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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Triage in mental health – a new model for acute in-patient psychiatry

  • Gary Inglis (a1) and Martin Baggaley (a2)
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