Acute psychiatric beds : distribution and staffing in NSW and ACT.
This study examined the availability and staffing of acute psychiatry beds in NSW and ACT. « Gazetted » acute psychiatry hospitals (which take compulsory admissions under mental health law) were polled directly for bed numbers, occupancy and staffing for the year 1990-1991.
The NSW Department of Health provided beds numbers for non-gazetted and private hospitals.
Socio-demographic determinants of acute admission rates were measured.
Acute « gazetted » beds averaged 13.2 per 100,000 population but ranged from 6.9 to 49.1 per 100,000 when cross-regional flows were considered. « Non-gazetted » beds raised the provision to 15.5 per 100,000 and private beds raised provision further to 24.5 per 100,000.
Inner metropolitan provision was higher than rural or provincial provision.
Nursing staffing of gazetted units was reasonably uniform, although smaller units had significantly more nurses per bed.
Medical staffing was highly variable and appears determined by staff availability.
The average provision of acute psychiatric beds approximates lowest levels seen in international models for psychiatric services.
Average occupancy rates suggest that there is not an overall shortfall of acute psychiatric beds, but uneven bed distribution creates barriers to access.
Referral of patients to remote hospitals is not related to actual bed provision in the regions, but appears to reflect attitudes to ensuring local care.
Recommendations about current de facto standards are made.
Mots-clés Pascal : Trouble psychiatrique, Aigu, Service santé, Hospitalisation, Urgence psychiatrique, Admission hôpital, Accessibilité, Soin, Organisation santé, Santé mentale, Australie, Océanie, Homme, Personnel sanitaire, Disponibilité
Mots-clés Pascal anglais : Mental disorder, Acute, Health service, Hospitalization, Psychiatric emergency, Hospital admission, Accessibility, Care, Public health organization, Mental health, Australia, Oceania, Human, Health staff, Availability
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0538135
Code Inist : 002B18H05B. Création : 01/03/1996.