North Staffordshire Community Beds Study : longitudinal evaluation of psychiatric in-patient units attached to community mental health centres. I : Methods, outcome and patient satisfaction.
Background This study evaluates two in-patient units attached to community mental health centres (CMHCs) that were designed to supplement acute in-patient care and to integrate with community-based after-care services.
Aim To examine the comparative outcome of patients with severe mental illness (SMI) admitted to the two units.
Method All patients with SMI admitted to the acute psychiatric wards serving the two CMHCs, those transferred to the community in-patient units and those admitted directly to these units (n=l 10) were compared with patients (n=67) admitted to acute wards serving two similar catchment areas without associated community beds.
Baseline clinical and social measures were made and repeated at six and 12 months.
Satisfaction with services was assessed at 12 months.
Results The experimental group showed significantly better outcomes, significant reduction in unmet need and better satisfaction with services.
Conclusions The use of the community beds appears to have significant benefits for patients with SMI.
Declaration of interest Support received from the North Staffordshire Health Authority and the North Staffordshire Combined Health Care NHS Trust.
Mots-clés Pascal : Trouble psychiatrique, Aigu, Traitement communautaire, Santé mentale, Système santé, Psychiatrie, Communauté, Angleterre, Grande Bretagne, Royaume Uni, Europe, Etude comparative, Satisfaction, Utilisateur, Analyse coût, Homme
Mots-clés Pascal anglais : Mental disorder, Acute, Community treatment, Mental health, Health system, Psychiatry, Community, England, Great Britain, United Kingdom, Europe, Comparative study, Satisfaction, User, Cost analysis, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0368467
Code Inist : 002B18I11. Création : 14/12/1999.