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In-patient psychiatric rehabilitation services: survey of service users in three metropolitan boroughs

  • Colin Cowan (a1), Alan Meaden (a2), Martin Commander (a2) and Tom Edwards (a3)
Abstract
Aims and method

To examine care pathways and characteristics of service users across a range of in-patient rehabilitation settings: community, long-term complex care and high-dependency rehabilitation.

Results

Significant differences were found for service users in the different units with respect to duration of stay, length of history, number of admissions, community team, physical health, social functioning, history of aggression and perceived risk if discharged.

Clinical implications

Community service provision may not adequately meet the needs of the most disabled and access to appropriate move-on facilities for rehabilitation in-patients is insufficient. Remedying this requires collaboration between policy makers, commissioners and clinicians to ensure access to a comprehensive range of services.

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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.
Corresponding author
Colin Cowan (colin.cowan@ntw.nhs.uk)
Footnotes
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Declaration of interest

None.

Footnotes
References
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1 Holloway, F. The Forgotten Need for Rehabilitation in Contemporary Mental Health Services. A Position Statement from the Executive Committee of the Faculty of Rehabilitation and Social Psychiatry, Royal College of Psychiatrists. Royal College of Psychiatrists, 2005 (http://www.rcpsych.ac.uk/pdf/frankholloway_oct05.pdf).
2 Wolfson, P, Holloway, F, Killaspy, H. Enabling Recovery for People with Complex Mental Health Needs. A Template for Rehabilitation Services. Royal College of Psychiatrists, 2009 (http://www.rcpsych.ac.uk/pdf/fr_rs_1_forwebsite.pdf).
3 Killaspy, H, Harden, C, Holloway, F, King, M. What do mental health rehabilitation units do and what are they for? A national survey in England. J Ment Health 2005; 14: 157–65.
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7 Office of National Statistics. Population and Vital Statistics by Area of Usual Residence in the United Kingdom, 2006. ONS, 2008.
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10 Commander, M, Rooprai, D. Survey of long-stay patients on acute psychiatric wards. Psychiatr Bull 2008; 32: 380–3.
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14 Royal College of Psychiatrists, Mental Health Network, NHS Confederation and London School of Economics and Political Science. Mental Health and the Economic Downturn: National Priorities and NHS Solutions (Occasional Paper OP70). Royal College of Psychiatrists, 2009 (http://www.rcpsych.ac.uk/files/pdfversion/OP70.pdf).
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BJPsych Bulletin
  • ISSN: 1758-3209
  • EISSN: 1758-3217
  • URL: /core/journals/bjpsych-bulletin
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In-patient psychiatric rehabilitation services: survey of service users in three metropolitan boroughs

  • Colin Cowan (a1), Alan Meaden (a2), Martin Commander (a2) and Tom Edwards (a3)
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