Crisis in admission beds : a four-year survey of the bed state of Greater London's acute psychiatric units.
This study was carried out to measure bed occupancy in Greater London's psychiatric units, in response to the apparent shortage of admission beds.
The bed occupancy of London's 54 National Health Service (NHS) acute psychiatric units within 29 districts was ascertained by telephone on 16 bank holidays covering the period 1990-93.
The mean occupancy level for all London over the 4 years was 97.54% (95% CI=0.94%). The number of beds occupied in inner London was significantly greater (99.79 ± 1.11%) than in outer London (95.1 ± 1.49%) (t=3.85, d.f.=462, P<0.001).
Bed occupancy for inner London units was = 100% on over 49% of occasions.
There has been a steady decline in the number of beds over the four-year period.
There was a clear correlation between occupancy levels and the Jarman UPA8 Underprivilege Score (r=0.504) and between bed provision and the UPA8 (r=0.67).
Occupancy rates have become unacceptably high and require careful monitoring.
Corrective action may be required in order to prevent a breakdown in services.
Mots-clés Pascal : Urgence psychiatrique, Admission hôpital, Taux, Milieu urbain, Etude longitudinale, Royaume Uni, Europe, Politique sanitaire, Santé mentale, Homme, Taux occupation
Mots-clés Pascal anglais : Psychiatric emergency, Hospital admission, Rate, Urban environment, Follow up study, United Kingdom, Europe, Health policy, Mental health, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0040091
Code Inist : 002B18H05B. Création : 01/03/1996.