We assessed the long-stay inpatients (length of stay>6 months) from a deprived inner-city catchment area with a population of 210000 in 1993 and 1995 on a variety of measures, following up both cohorts after 24 months.
Total numbers of long-stay inpatients were reduced from 56 (26.7 per 100,000 total population) to 35 (16.7 per 100,000) between 1993 and 1995, in line with the closure of dedicated long-stay beds.
The 1995 cohort were more symptomatic according to the BPRS (t=2.8, p=0.007,95% confidence interval 18.1,3.0), more commonly detained under the Mental Health Act (X2=6.07 p=0.05) and more commonly from an ethnic minority (X2=3.7 p=0.05).
At 2 year follow-up 57% of the 993 cohort were living out of hospital, compared with 60% of the 1995 cohort.
Patients were discharged to a variety of settings, some highly supported.
For the combined sample the presence of certain challenging behaviours (absconding, disturbance at night, non-compliance with treatment and violence) predicted continuing inpatient status as did three items on the Social Behaviour Schedule (bizarre behaviour, laughing to oneself and violence).
Only five (9%) of the original sample remained inpatients for the entire four year follow-up.
Mots-clés Pascal : Evolution, Hospitalisation, Long terme, Hôpital psychiatrique, Service santé, Santé mentale, Royaume Uni, Europe, Homme
Mots-clés Pascal anglais : Evolution, Hospitalization, Long term, Psychiatric hospital, Health service, Mental health, United Kingdom, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0359926
Code Inist : 002B18H05B. Création : 14/12/1999.