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The National Survey of PICU and Low Secure Services: 1. Patient characteristics

Published online by Cambridge University Press:  19 January 2007

Stephen Pereira ,
Paul Dawson  and
May Sarsam
Stephen Pereira
Affiliation:
Honorary Senior Lecturer in Psychiatry, Goodmayes Hospital, Barley Lane, Essex, UK
Paul Dawson
Affiliation:
Research Psychologist, Goodmayes Hospital, Barley Lane, Essex, UK
May Sarsam
Affiliation:
Research Psychologist, Goodmayes Hospital, Barley Lane, Essex, UK
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Abstract

Background: Low Secure Mental Health Services provide care for highly disturbed psychiatric patients. Little is known about the characteristics of such patients in the UK.

Aims: To perform the first UK wide survey developing a national data set of low secure services.

Method: A cross-sectional census day postal survey design was employed.

Results: A total of 307 units were identified this comprised 170 Psychiatric Intensive Care Unit (PICU) housing 1,242 patients and 137 Low Secure Units (LSUs) treating 1,583 patients. The majority of patients in Low Secure care were male, white, single, unemployed and with a diagnosis of schizophrenia. Complex needs, violence and forensic histories were common. There was a clear overrepresentation of black ethnic patients.

Conclusions: Patients in Low Secure Services shared many characteristics. However, there were important differences between PICU and LSU patients. The overrepresentation of black ethnic groups is concern that requires NHS action to ensure that the specific needs of black patients are met.

Keywords

Psychiatric intensive carelow secure servicespatient characteristics
Type
Research Article
Information
Journal of Psychiatric Intensive Care , Volume 2 , Issue 1 , June 2006 , pp. 7 - 12
Copyright
© 2006 NAPICU

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References

Arseneault, L., Cannon, M., Poulton, R., Murray, R., Caspi, A. and Moffitt, T.E. (2002) Cannabis use in adolescents and risk for adult psychosis: longitudinal prospective study. British Medical Journal. 325: 1212–1213.Google Scholar
Audini, B. and Lelliott, P. (2002) Age, gender and ethnicity of those detained under Part II of the Mental Health Act 1983. British Journal of Psychiatry. 180: 222–226.Google Scholar
Barlow, K., Grenyer, B. and Ilkiw-lavalle, O. (2000) Prevalence and precipitants of aggression in psychiatric inpatient units. Australian and New Zealand Journal of Psychiatry. 34: 967–974.Google Scholar
Barnaby, B., Drummond, C., McCloud, A., Burns, T. and Omu-N. (2003) Substance misuse in psychiatric inpatients: comparison of a screening questionnaire survey with case notes. British Medical Journal. 327: 783–784.Google Scholar
Beer, D., Pereira, S. and Paton, C. (2001) Psychiatric intensive care; development and definition. In: Beer, D., Pereira, P. and Paton, C. (Eds) Psychiatric Intensive Care. London: Greenwich Medical Media.
Bhui, K. and Sasidharan, S.P. (2003) Should there be separate psychiatric services for ethnic minority groups? British Journal of Psychiatry. 182: 10–12.Google Scholar
Department of Health (2002) National Minimum Standards for General Adult Services in Psychiatric Intensive Care Units (PICU) and Low Secure Environments, (Eds Pereira, S. and Clinton, C.). Mental Health Policy Implementation Guide. Department of Health.
Department of Health (2005) Delivering Race Equality in Mental Health Care: An Action Plan for Reform Inside and Outside Services and the Government's Response to the Independent Inquiry into the Death of David Bennett. London: Department of Health.
Department of Health and Home Office (1992) Review of Health and Social Services for Mentally Disordered Offenders and Other Requiring Similar Services (Reed Report). London: DoH/Home Office.
Department of Health and Social Services (1974) Revised Report for the Working Party on Security in NHS Psychiatric Hospitals (The Glancy Report). London: DHSS.
Dix, R. (2005) Psychiatric intensive care and low secure units past, present and future – introducing the Journal of Psychiatric Intensive Care. Journal of Psychiatric Intensive Care. 1(1): 1–2.Google Scholar
Exworthy, T. (2000) Secure psychiatric services. Current Opinion in Psychiatry. 13: 581–585.Google Scholar
Lelliott, P., Wing, J. and Clifford, P. (1994) A national audit of new long-stay psychiatric patients I: method and description of the cohort. British Journal of Psychiatry. 165: 160–169.Google Scholar
Office of National Statistics (2002) Projections for Ethnicity in London Boroughs from the 2001 Census (unpublished report).
Pereira, S.M., Sarsam, M., Bhu, K. and Paton, C. (2005a) The London Survey of Psychatric Intensive Care Units: psychiatric intensive care; patient characteristics and paty-ways for admission and discharge. Journal of Psychiatric Intensive Care. Cambridge University Press. (1): 17–24.Google Scholar
Pereira, S.M., Sarsam, M., Bhu, K. and Paton, C. (2005) The London Survey of Psychatric Intensive Care Units: service provision andoperational characteristics of National Health Service Units. Journal of Psychiatric Intensive Care. Cambridge University Press. (1): 7–15.Google Scholar
Pereira, S. and Clinton, C. (2003) Dual Diagnosis Good practice guide. Mental Health Policy Implementation Guide.
Sharpley, M., Hutchinson, G., Mckenzie, K. and Murray, R.M. (2001) Understanding the excess of psychosis among the African-Caribbean population in England: review of current hypotheses. British Journal of Psychiatry – Supplementum. 40: s60–s68.Google Scholar