Integrated hospital and community psychiatric services and use of inpatient beds

The impact of introducing a divisional psychiatric service based in the community in Nottingham in 1981 on adult psychiatric admissions (patients aged 15-65) was examined with data from the Nottingham case register. During 1980-5 the number of psychiatric admissions fell significantly (4.5% a year)...

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Bibliographic Details
Published in:BMJ 1989-07, Vol.299 (6694), p.298-300
Main Authors: Tyrer, P., Turner, R., Johnson, A. L.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Bed Occupancy - statistics & numerical data
Catchment Area (Health)
Communities
Community Mental Health Services - organization & administration
Community psychiatry
England
General practice
Health security
Hospital admissions
Hospital beds
Hospitals, Psychiatric - statistics & numerical data
Humans
Mental Disorders - therapy
Middle Aged
Patient Admission - statistics & numerical data
Personality disorders
Psychiatric hospitals
Psychiatric services
Psychiatric social work
Time Factors
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Summary:The impact of introducing a divisional psychiatric service based in the community in Nottingham in 1981 on adult psychiatric admissions (patients aged 15-65) was examined with data from the Nottingham case register. During 1980-5 the number of psychiatric admissions fell significantly (4.5% a year) compared with the national figures (0.46% a year). Admissions were reduced most for the diagnoses of affective psychosis and neurotic and personality disorders. The average duration of admission fell by 3.6% a year, and use of inpatient beds fell by 37.5%. Integrating hospital and community psychiatric services by creating sectors is a viable and economically feasible way of improving psychiatric services.
ISSN:0959-8138
1468-5833
1756-1833
DOI:10.1136/bmj.299.6694.298