Loading…

Alternatives to psychiatric in-patient care: A case-by-case survey of clinician judgements

Acute psychiatric beds in the UK are under pressure. More beds are often called for, yet conceivably many in-patients might benefit from alternative care-settings. We studied an admissions cohort of 730 cases in four hospitals over a 5-month period. Using a structured instrument, Consultant Psychiat...

Full description

Saved in:
Bibliographic Details
Published in:Journal of mental health (Abingdon, England) England), 2001, Vol.10 (5), p.535-546
Main Author: Bartlett, John Holloway, Mark Evans, John Owen, Glynn Harrison, Christopher
Format: Article
Language:English
Subjects:
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c370t-376c403d31ae9aae48daa4c2ba77dd15947d9d227444a83c71855db7b73dccf3
cites
container_end_page 546
container_issue 5
container_start_page 535
container_title Journal of mental health (Abingdon, England)
container_volume 10
creator Bartlett, John Holloway, Mark Evans, John Owen, Glynn Harrison, Christopher
description Acute psychiatric beds in the UK are under pressure. More beds are often called for, yet conceivably many in-patients might benefit from alternative care-settings. We studied an admissions cohort of 730 cases in four hospitals over a 5-month period. Using a structured instrument, Consultant Psychiatrists recorded an opinion, on a case-by-case basis, stating whether admission was divertible or whether discharge was delayed, recommending alternative placements where applicable. One hundred and seventy-nine of 543 cases with stays completed in the study period were deemed inappropriately placed at some point (33.0%, 95% CI 29.0 to 36.9), with 112 (21%) being divertible admissions. When surveyed systematically, clinicians reported that many in-patients could benefit from alternative caresettings, the majority being community-based services, although more specialised hospital beds were also needed. Divertible admissions are judged to impose more pressure on acute beds than delayed discharges, although a small number of difficult-to-place patients with protracted stays can occupy many bed-days.
doi_str_mv 10.1080/09638230126726
format article
fullrecord <record><control><sourceid>proquest_infor</sourceid><recordid>TN_cdi_informaworld_taylorfrancis_310_1080_09638230126726</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>57390197</sourcerecordid><originalsourceid>FETCH-LOGICAL-c370t-376c403d31ae9aae48daa4c2ba77dd15947d9d227444a83c71855db7b73dccf3</originalsourceid><addsrcrecordid>eNp9kT1rHDEQhpcQQy6OW9cihKRaZ_SxKyndYfIFhjSu3CxzkjanQ7e6SFqH_ffRcQ7GAad6i_d5RmimaS4pXFFQ8BF0zxXjQFkvWf-iWVHeQwtdL182q2PZ1la-al7nvAMABqJfNXfrUFyasPh7l0mJ5JAXs_VYkjfET-2hNm4qxGByn8i6ZnbtZmmPSfKc7t1C4khM8JM3Hieym-1Pt69KftOcjRiyu3jI8-b2y-fb62_tzY-v36_XN63hEkrLZW8EcMspOo3ohLKIwrANSmkt7bSQVlvGpBACFTeSqq6zG7mR3Boz8vPmw2nsIcVfs8tl2PtsXAg4uTjnQfaCCkq1ruT7_5Kd5BqolhV8-w-4i3NdUsgDox1ToJio0NUJMinmnNw4HJLfY1oGCsPxIMPTg1Th3cNUzAbDmHAyPj9aFKTSUDF9wvw0xrTH3zEFOxRcQkx_Hf7sE-qJu3UYyvZ4u8cfPKP-AZavrcU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>215280824</pqid></control><display><type>article</type><title>Alternatives to psychiatric in-patient care: A case-by-case survey of clinician judgements</title><source>Applied Social Sciences Index &amp; Abstracts (ASSIA)</source><source>Taylor &amp; Francis</source><creator>Bartlett, John Holloway, Mark Evans, John Owen, Glynn Harrison, Christopher</creator><creatorcontrib>Bartlett, John Holloway, Mark Evans, John Owen, Glynn Harrison, Christopher</creatorcontrib><description>Acute psychiatric beds in the UK are under pressure. More beds are often called for, yet conceivably many in-patients might benefit from alternative care-settings. We studied an admissions cohort of 730 cases in four hospitals over a 5-month period. Using a structured instrument, Consultant Psychiatrists recorded an opinion, on a case-by-case basis, stating whether admission was divertible or whether discharge was delayed, recommending alternative placements where applicable. One hundred and seventy-nine of 543 cases with stays completed in the study period were deemed inappropriately placed at some point (33.0%, 95% CI 29.0 to 36.9), with 112 (21%) being divertible admissions. When surveyed systematically, clinicians reported that many in-patients could benefit from alternative caresettings, the majority being community-based services, although more specialised hospital beds were also needed. Divertible admissions are judged to impose more pressure on acute beds than delayed discharges, although a small number of difficult-to-place patients with protracted stays can occupy many bed-days.</description><identifier>ISSN: 0963-8237</identifier><identifier>EISSN: 1360-0567</identifier><identifier>DOI: 10.1080/09638230126726</identifier><language>eng</language><publisher>London: Informa UK Ltd</publisher><subject>Admissions ; Alternatives ; Biological and medical sciences ; England ; Inpatient care ; Institution therapy. Inpatient treatment ; Judgments ; Medical sciences ; Mental health care ; Patient admissions ; Patients ; Psychiatric hospitals ; Psychiatrists ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Treatments</subject><ispartof>Journal of mental health (Abingdon, England), 2001, Vol.10 (5), p.535-546</ispartof><rights>2001 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2001</rights><rights>2001 INIST-CNRS</rights><rights>Copyright Carfax Publishing Company Oct 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c370t-376c403d31ae9aae48daa4c2ba77dd15947d9d227444a83c71855db7b73dccf3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,4009,27902,27903,27904,30978,30979</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=1107890$$DView record in Pascal Francis$$Hfree_for_read</backlink></links><search><creatorcontrib>Bartlett, John Holloway, Mark Evans, John Owen, Glynn Harrison, Christopher</creatorcontrib><title>Alternatives to psychiatric in-patient care: A case-by-case survey of clinician judgements</title><title>Journal of mental health (Abingdon, England)</title><description>Acute psychiatric beds in the UK are under pressure. More beds are often called for, yet conceivably many in-patients might benefit from alternative care-settings. We studied an admissions cohort of 730 cases in four hospitals over a 5-month period. Using a structured instrument, Consultant Psychiatrists recorded an opinion, on a case-by-case basis, stating whether admission was divertible or whether discharge was delayed, recommending alternative placements where applicable. One hundred and seventy-nine of 543 cases with stays completed in the study period were deemed inappropriately placed at some point (33.0%, 95% CI 29.0 to 36.9), with 112 (21%) being divertible admissions. When surveyed systematically, clinicians reported that many in-patients could benefit from alternative caresettings, the majority being community-based services, although more specialised hospital beds were also needed. Divertible admissions are judged to impose more pressure on acute beds than delayed discharges, although a small number of difficult-to-place patients with protracted stays can occupy many bed-days.</description><subject>Admissions</subject><subject>Alternatives</subject><subject>Biological and medical sciences</subject><subject>England</subject><subject>Inpatient care</subject><subject>Institution therapy. Inpatient treatment</subject><subject>Judgments</subject><subject>Medical sciences</subject><subject>Mental health care</subject><subject>Patient admissions</subject><subject>Patients</subject><subject>Psychiatric hospitals</subject><subject>Psychiatrists</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Treatments</subject><issn>0963-8237</issn><issn>1360-0567</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kT1rHDEQhpcQQy6OW9cihKRaZ_SxKyndYfIFhjSu3CxzkjanQ7e6SFqH_ffRcQ7GAad6i_d5RmimaS4pXFFQ8BF0zxXjQFkvWf-iWVHeQwtdL182q2PZ1la-al7nvAMABqJfNXfrUFyasPh7l0mJ5JAXs_VYkjfET-2hNm4qxGByn8i6ZnbtZmmPSfKc7t1C4khM8JM3Hieym-1Pt69KftOcjRiyu3jI8-b2y-fb62_tzY-v36_XN63hEkrLZW8EcMspOo3ohLKIwrANSmkt7bSQVlvGpBACFTeSqq6zG7mR3Boz8vPmw2nsIcVfs8tl2PtsXAg4uTjnQfaCCkq1ruT7_5Kd5BqolhV8-w-4i3NdUsgDox1ToJio0NUJMinmnNw4HJLfY1oGCsPxIMPTg1Th3cNUzAbDmHAyPj9aFKTSUDF9wvw0xrTH3zEFOxRcQkx_Hf7sE-qJu3UYyvZ4u8cfPKP-AZavrcU</recordid><startdate>2001</startdate><enddate>2001</enddate><creator>Bartlett, John Holloway, Mark Evans, John Owen, Glynn Harrison, Christopher</creator><general>Informa UK Ltd</general><general>Taylor &amp; Francis</general><general>Informa Healthcare</general><general>Taylor &amp; Francis Ltd</general><scope>IQODW</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>2001</creationdate><title>Alternatives to psychiatric in-patient care: A case-by-case survey of clinician judgements</title><author>Bartlett, John Holloway, Mark Evans, John Owen, Glynn Harrison, Christopher</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-376c403d31ae9aae48daa4c2ba77dd15947d9d227444a83c71855db7b73dccf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Admissions</topic><topic>Alternatives</topic><topic>Biological and medical sciences</topic><topic>England</topic><topic>Inpatient care</topic><topic>Institution therapy. Inpatient treatment</topic><topic>Judgments</topic><topic>Medical sciences</topic><topic>Mental health care</topic><topic>Patient admissions</topic><topic>Patients</topic><topic>Psychiatric hospitals</topic><topic>Psychiatrists</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bartlett, John Holloway, Mark Evans, John Owen, Glynn Harrison, Christopher</creatorcontrib><collection>Pascal-Francis</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Journal of mental health (Abingdon, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bartlett, John Holloway, Mark Evans, John Owen, Glynn Harrison, Christopher</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Alternatives to psychiatric in-patient care: A case-by-case survey of clinician judgements</atitle><jtitle>Journal of mental health (Abingdon, England)</jtitle><date>2001</date><risdate>2001</risdate><volume>10</volume><issue>5</issue><spage>535</spage><epage>546</epage><pages>535-546</pages><issn>0963-8237</issn><eissn>1360-0567</eissn><abstract>Acute psychiatric beds in the UK are under pressure. More beds are often called for, yet conceivably many in-patients might benefit from alternative care-settings. We studied an admissions cohort of 730 cases in four hospitals over a 5-month period. Using a structured instrument, Consultant Psychiatrists recorded an opinion, on a case-by-case basis, stating whether admission was divertible or whether discharge was delayed, recommending alternative placements where applicable. One hundred and seventy-nine of 543 cases with stays completed in the study period were deemed inappropriately placed at some point (33.0%, 95% CI 29.0 to 36.9), with 112 (21%) being divertible admissions. When surveyed systematically, clinicians reported that many in-patients could benefit from alternative caresettings, the majority being community-based services, although more specialised hospital beds were also needed. Divertible admissions are judged to impose more pressure on acute beds than delayed discharges, although a small number of difficult-to-place patients with protracted stays can occupy many bed-days.</abstract><cop>London</cop><pub>Informa UK Ltd</pub><doi>10.1080/09638230126726</doi><tpages>12</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0963-8237
ispartof Journal of mental health (Abingdon, England), 2001, Vol.10 (5), p.535-546
issn 0963-8237
1360-0567
language eng
recordid cdi_informaworld_taylorfrancis_310_1080_09638230126726
source Applied Social Sciences Index & Abstracts (ASSIA); Taylor & Francis
subjects Admissions
Alternatives
Biological and medical sciences
England
Inpatient care
Institution therapy. Inpatient treatment
Judgments
Medical sciences
Mental health care
Patient admissions
Patients
Psychiatric hospitals
Psychiatrists
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Treatments
title Alternatives to psychiatric in-patient care: A case-by-case survey of clinician judgements
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-21T09%3A38%3A57IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_infor&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Alternatives%20to%20psychiatric%20in-patient%20care:%20A%20case-by-case%20survey%20of%20clinician%20judgements&rft.jtitle=Journal%20of%20mental%20health%20(Abingdon,%20England)&rft.au=Bartlett,%20John%20Holloway,%20Mark%20Evans,%20John%20Owen,%20Glynn%20Harrison,%20Christopher&rft.date=2001&rft.volume=10&rft.issue=5&rft.spage=535&rft.epage=546&rft.pages=535-546&rft.issn=0963-8237&rft.eissn=1360-0567&rft_id=info:doi/10.1080/09638230126726&rft_dat=%3Cproquest_infor%3E57390197%3C/proquest_infor%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c370t-376c403d31ae9aae48daa4c2ba77dd15947d9d227444a83c71855db7b73dccf3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=215280824&rft_id=info:pmid/&rfr_iscdi=true