The new chronic psychiatric population

Hailey, Anthea M.

doi:10.1136/jech.28.3.180

Cited by 18 publications

(11 citation statements)

References 8 publications

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“…We cannot estimate how many of the new longstay patients will be in day-hospitals, but among the new long-stay patients accumulated by l.iv.76 they constituted about 20%. A similar observation of the accumulation of long-stay patients in the day-hospitals was reported from the Camberwell area (Hailey, 1974).…”

Section: -2supporting

confidence: 79%

“…Eason & Grimes (1977) estimated, on the basis of data from the Mental Health Enquiry in England and Wales, that in 1981 the requirement of beds for care of patients with 1-12 years' duration of stay would be 51 per 100000 population, 18 per 100000 of these being for demented patients and 14 per 100000 for patients aged 65+ with other diagnoses. Hailey (1974) studied cohorts of new long-stay patients from the Camberwell area during the period 1964-72 using the cumulative psychiatric register. After 8 years of observation there were 80 new long-stay in-patients and day-patients (defined as a duration of stay of more than one year) per 100000 population.…”

Section: -2mentioning

confidence: 99%

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Long-stay patients in Danish psychiatric hospitals

Weeke¹,

Kastrup²,

Dupont³

1979

Psychol. Med.

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SynopsisThe numbers of long-stay patients in Danish psychiatric hospitals were studied, based on information from the Danish cumulative psychiatric register and from the census studies of patients in Danish psychiatric hospitals, performed at 5-year intervals since 1957.In 1977, 2079 (20%) of the in-patient population which had been admitted before 1957 were still in hospitals. This ‘old long-stay’ group has diminished exponentially, with an annual reduction of 7%.During the period 1972–6, the number of patients who, on any given day, had been in-patients or attending as day-patients for more than 1 but less than 2 years (the ‘new long-stay’) varied between 847 and 1089: an average of 20 per 100000 total population. The ratio of in-patients to day-patients was approximately 4:1.

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Section: -2supporting

confidence: 79%

Section: -2mentioning

confidence: 99%

Long-stay patients in Danish psychiatric hospitals

Weeke¹,

Kastrup²,

Dupont³

1979

Psychol. Med.

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“…In conclusion, this project, and that of Mumford et al (1975) show that token economy procedures can be introduced into typical National Health Service long-stay wards without much increase being required in staff or other resources. This is a very important observation, in view of the large number of long-stay patients who remain in our psychiatric hospitals, and in view of the accumulation of new ones (Hailey (1974)). It is hoped that projects such as this become the rule rather than the exception and become part of a coherent system of progressive rehabilitation for long-term patients; in this we wholeheartedly endorse the conclusions of M umjord et al (1975).…”

Section: Resultsmentioning

confidence: 94%

The Token Economy in the National Health Service: Possibilities and Limitations

Presly

Black²,

Gray³

et al. 1976

Acta Psychiatr Scand

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The effects after 1 year of the introduction of a token economy system into a long-term male psychiatric ward of 45 mainly schizophrenic patients are described. The main objectives were (1) to define the limits of such programmes in "average" National Health Service conditions, where additional resources in staff, finance, and facilities are very limited and (2) to introduce the principles and techniques of behaviour modification to nursing staff. The programme succeeded in reducing social withdrawal and apathy and in increasing self-care skills and involvement in constructive activity. There was no change in the level of socially embarrassing behaviour. The major limitation affecting the maintenance of the programme was found to be the rapid turnover and unpredictable changes in nursing staff. It was concluded that such programmes are feasible with very little in the way of increased resources, and that such efforts will continue to be necessary in view of the existing large numbers of long-term patients and the slow but significant accumulation of new patients.

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“…Mann & Cree (1976) have used it to describe patients who had been in hospital for more than 1 but less than 3 years arguing that studying more recently accumulated patients gives a more accurate representation of current admission and discharge policies. However, much longer intervals have been used (Affleck et al (1968), Hailey (1974)) and there is as yet no general agreement as to how new "new" long-stay patients ought to be.…”

mentioning

confidence: 99%

Social and clinical correlates of the ‘new’long‐stay

Babiker

1980

Acta Psychiatr Scand

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Out of a total admission cohort of 1,934 patients 162 and 101 patients remained continuously in hospital for 6 months and 1 year respectively. The study describes the characteristics of these patients and at each stage compares them with those who were discharged on a number of social and clinical variables. The findings confirm the importance of social factors in determining continued retention and support the suggestion of a process of early selection of "new" long-stay patients put forward by Mann & Sproule (1972). The findings are discussed and a case is argued in favour of continuing to provide such patients in hospital.

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The new chronic psychiatric population

Cited by 18 publications

References 8 publications

Long-stay patients in Danish psychiatric hospitals

Long-stay patients in Danish psychiatric hospitals

The Token Economy in the National Health Service: Possibilities and Limitations

Social and clinical correlates of the ‘new’long‐stay

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