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Replacing the Mental Hospital

Community Provision for a District's Chronically Psychiatrically Disabled in Domestic Environments?

Published online by Cambridge University Press:  02 January 2018

David Kingdon*
Affiliation:
Bassetlaw District General Hospital, Worksop, Nottinghamshire
Douglas Turkington
Affiliation:
Bassetlaw District General Hospital, Worksop, Nottinghamshire
Katy Malcolm
Affiliation:
Bassetlaw District General Hospital, Worksop, Nottinghamshire
Krystyna Szulecka
Affiliation:
Bassetlaw District General Hospital, Worksop, Nottinghamshire
Emmett Larkin
Affiliation:
Rampton Hospital, Nottinghamshire
*
Correspondence

Extract

Eighteen long-stay patients from an old county asylum moved into hospital hostels. After 12–24 months, there were significant reductions in overall symptoms, as rated by the CPRS and the Krawiecka scale, as well as in deviant but not general behaviour, rated by the REHAB scale. Six later moved to live in supported accommodation. All relatives and patients who expressed an opinion to an independent assessor were satisfied with their present accommodation or wished to move to more independent living.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Abrahamson, D., Swatton, J. & Wills, W. (1989) Do long-stay patients want to leave hospital? Health Trends, 21, 1719.Google ScholarPubMed
Asberg, M., Montgomery, S. A., Perris, C., et al (1978) A comprehensive psychopathological rating scale. Acta Psychiathca Scandinavica (suppl. 271), 529.CrossRefGoogle Scholar
Brown, P., (1985) The Transfer of Care. New York: Routledge.Google Scholar
Curson, D. A., Patel, M., Liddle, P. F., et al (1988) Psychiatric morbidity of a long-stay hospital population with chronic schizophrenia and the implications for future community care. British Medical Journal, 297, 819822.Google Scholar
Dickey, B., Gudeman, J. E., Hallman, S., et al (1981) A follow-up of deinstitutionalised chronic patients four years after discharge. Hospital and Community Psychiatry, 32, 326330.Google Scholar
Gibbons, J. S. (1986) Care of ‘new’ long-stay patients in a district general hospital psychiatric unit. Acta Psychiathca Scandinavica, 73, 582588.Google Scholar
Hall, J. & Baker, R. (1983) REHAB. Aberdeen: Vine.Google Scholar
Jones, K. & Poletti, A. (1985) Understanding the Italian experience. British Journal of Psychiatry, 146, 341347.Google Scholar
Kingdon, D. G. & Szulecka, T. K. (1986) Establishment of a district service without psychiatric trainees. Bulletin of the Royal College of Psychiatrists, 10, 338340.Google Scholar
Kingdon, D. G. & Bake well, E. (1988) Aggressive behaviour: evaluation of a district's non-seclusion policy. British Journal of Psychiatry, 153, 631634.Google Scholar
Krawiecka, M., Goldberg, D. & Vaughan, M. (1979) A standardised psychiatric assessment scale for rating chronic patients. Acta Psychiatrica Scandinavica, 55, 299308.CrossRefGoogle Scholar
North East Thames Regional Health Authority (1990) Report of the Fourth Annual Conference of Team for the Assessment of Psychiatric Services. London: NETRHA.Google Scholar
Parry-Jones, W. L. (1988) Asylum for the mentally ill in historical perspective. Psychiatric Bulletin, 12, 407410.CrossRefGoogle Scholar
Wing, J. K. & Morris, B. (eds) (1981) Handbook of Psychiatric Rehabilitation Practice. Oxford: Oxford University Press.Google Scholar
Wing, J. K. & Furlong, R. (1987) A haven for the severely disabled within the context of a comprehensive psychiatric community service. British Journal of Psychiatry, 149, 449457.Google Scholar
World Health Organization (1978) Mental Disorders: Glossary and Guide to their Classification in Accordance with the Ninth Revision of the International Classification of Diseases (ICD–9). Geneva: WHO.Google Scholar
Zaniton, M. & Hellman, S. (1981) The complicated business of setting up residential alternatives. Hospital and Community Psychiatry, 32, 335339.Google Scholar
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