Despite a continued fall in total psychiatric bed numbers, there are more people aged 15 to 44 in psychiatric hospitals today than there were 10 years ago.
The increase in hospital episodes is most pronounced in young men who account for over 40% more episodes than they did a decade ago.
Very few hospital beds have been replaced by other residential provision in the community and there are now only one-third of the residential places (hospital or community) there were forty years ago.
There is great pressure on psychiatric admission beds in some parts of the country and as a result these services are spending millions of pounds admitting people to distant hospitals as'extra-contractual'referrals.
In London, one-third of in-patients on admission units, which are intended for short-stay, have been there for more than three months.
In part this, and the over-occupancy of admission units, is due to difficulty in discharging people because suitable community-based residential provision is not available.
One large group of patients who are difficult to discharge, from both short-and long-stay wards, are young men with severe mental illness and histories of violence.
Existing high-staffed, community-based hostels, which have a low proportion of unqualified staff, appear to exclude people who pose risk of acting violently. (...)
Mots-clés Pascal : Trouble psychiatrique, Santé mentale, Hôpital psychiatrique, Lit, Besoin, Homme, Organisation santé, Système santé, Royaume Uni, Europe
Mots-clés Pascal anglais : Mental disorder, Mental health, Psychiatric hospital, Bed, Need, Human, Public health organization, Health system, United Kingdom, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0040378
Code Inist : 002B18H05B. Création : 21/05/1997.