scholarly journals Who uses a day hospital and for how long?

1989 ◽  
Vol 13 (2) ◽  
pp. 62-65
Author(s):  
M. Conway ◽  
I. A. Davidson ◽  
M. E. Dewey
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Mentally Ill ◽  
Day Care ◽  
Regional Variation ◽  
Psychiatric Care ◽  
Essential Element ◽  
Day Hospital ◽  
Mentally Disordered ◽  
Care Facilities

The dichotomy caused by the National Health Service Act, Section 28, which split the responsibility for the mentally disordered between the Minister of Health and local authorities has remained with us. Along with a separate GP service this dichotomy has caused inconsistencies, confusion and overlap in day care facilities. Although psychiatric day care has now become accepted as an essential element in the comprehensive psychiatric care of the mentally ill, its development has been unplanned and there is a great regional variation (Vaughan, 1983).

The future of services for the chronically mentally ill: a priority case?

1993 ◽  
Vol 17 (10) ◽  
pp. 582-585 ◽  
Author(s):  
Som D. Soni ◽  
Rafeek F. Mahmood ◽  
Anant Shah
Keyword(s):  
Mental Illness ◽  
National Health Service ◽  
Health Service ◽  
Royal College ◽  
Mentally Ill ◽  
Psychiatric Care ◽  
Economic Cost ◽  
High Quality ◽  
High Prevalence

Research into delivery of psychiatric care has shown that the chronic mentally ill (CMI) patients continue to pose major difficulties not only in terms of economic cost to patients, their families and the state but also in the ability of authorities to provide adequate facilities in the community. The latter is especially important now because of rapid discharge of patients into the community from long-stay wards of mental hospitals, often with little rehabilitative preparation and even less consideration of the effects of the environment into which they are relocated. Although follow-up in some cases has been of exceptionally high quality, a majority have filtered through the network into inadequate residence; this surely is unacceptable. The high prevalence of mental illness among the homeless and the difficulties of providing care for them by an inflexible health service have been highlighted by a recent report of the Royal College of Psychiatrists (Bhugra et al, 1991). This paper attempts to define the possible adverse consequences of the recent reorganisation of National Health Service (NHS) on the care of the chronic mentally ill.

scholarly journals Improving psychiatric day hospital attendance - a Liverpool intervention study

1991 ◽  
Vol 15 (8) ◽  
pp. 471-472
Author(s):  
G. T. Ridley ◽  
K. Clare ◽  
M. E. Dewey ◽  
I. A. Davidson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Psychiatric Disorders ◽  
Mentally Ill ◽  
Day Care ◽  
Intervention Study ◽  
Essential Element ◽  
Day Hospital

In spite of the somewhat disordered development of day care for the mentally ill, the Psychiatric Day Hospital (PDH) has become accepted as an essential element in the mental health services. Several recent studies have defined a role for the PDH in the management of more acute psychiatric disorders (Creedet al, 1989), and this is likely to become increasingly important with the continuing reduction in the availability of in-patient facilities.

scholarly journals The use of adult psychiatric day care facilities in Worcester

1990 ◽  
Vol 14 (4) ◽  
pp. 200-202
Author(s):  
Margaret du Feu
Keyword(s):  
Mentally Ill ◽  
Day Care ◽  
White Paper ◽  
Day Hospital ◽  
Short Term ◽  
Term Care ◽  
Care Facilities ◽  
Provision Of Services ◽  
Day Hospitals

The 1975 White Paper Better Services for the Mentally Ill recognises different roles for day hospitals, day centres and the voluntary sector in the provision of psychiatric day care. Two broad client groups, needing short-term support or long-term care, are described. However, Vaughn (1983 and 1985) and Wilkinson (1984) have reviewed lack of co-ordinated planning in the provision of services and the placement of clients. Carter (1981) in a major survey of day care, showed that in many cases it was difficult to differentiate between day hospital and day centre services or client groups.

scholarly journals Scottish rehabilitation services: eight year follow-up

1993 ◽  
Vol 17 (6) ◽  
pp. 341-344
Author(s):  
Robin G. McCreadie ◽  
Douglas J. Williamson ◽  
Lesley J. Robertson
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Mentally Ill ◽  
Support Services ◽  
Psychiatric Rehabilitation ◽  
Rehabilitation Services ◽  
Local Authorities

A survey of Scottish psychiatric rehabilitation and support services, carried out in 1983 (McCreadie et al, 1985), found that although there were wide between-hospital differences, the National Health Service in Scotland was making considerable efforts to provide services for the long-term mentally ill. However, services provided by local authorities were seriously deficient.

Psychiatric Out-Patients in Plymouth—An Area Service Analysed

1965 ◽  
Vol 111 (470) ◽  
pp. 10-17 ◽  
Author(s):  
Neil Kessel ◽  
Christine Hassall ◽  
Robert Blair ◽  
John M. Gilroy ◽  
Francis Pilkington ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Mental Hospital ◽  
Psychiatric Care ◽  
Community Care ◽  
Psychiatric Patients ◽  
Patient Department

Out-patient services in Britain for psychiatric patients have expanded enormously under the National Health Service. Well over half a million patients are seen at clinics annually. Concomitant with this increase the out-patient department has changed in function. No longer is it principally concerned with providing follow up and support for discharged mental hospital in-patients; instead, because of the greatly increased demand for psychiatric care for less severe disorders and under the influence of the movement for community care it now should play a part not at all subservient to the in-patient department. The clinic, properly run, should be an arena of treatment in its own right.

The effect of podiatric day care surgery on the need for National Health Service chiropody treatment

The Foot ◽  
1994 ◽  
Vol 4 (3) ◽  
pp. 155-158 ◽  
Author(s):  
Ian S. Hood ◽  
Timothy E. Kilmartin ◽  
David R. Tollafield
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Day Care ◽  
Day Care Surgery ◽  
Care Surgery

scholarly journals Review of twenty-four-hour nursed care

1999 ◽  
Vol 5 (2) ◽  
pp. 146-153 ◽  
Author(s):  
Rob Macpherson ◽  
Bill Jerrom
Keyword(s):  
Nursing Home ◽  
National Health Service ◽  
Health Service ◽  
Residential Care ◽  
Psychiatric Care ◽  
Group Home ◽  
Psychiatric Nursing ◽  
Unit Size ◽  
Model Of Care ◽  
Direct Management

Twenty-four-hour nursed care refers to a model of psychiatric care which in fact varies quite significantly from unit to another. This sort of residential care unit has also been called the “hospital hostel” (Goldberg et al, 1985), “ward in a house” (Wykes & Wing, 1982), “psychiatric nursing home” and in some cases “staffed group home”. Although the unit size, staffing structures and ratios, and the degree of direct management within the National Health Service (NHS) vary, this model of care has some quite specific characteristics, which have been summarised by Shepherd et al (1994) as follows:

scholarly journals Invited commentary on The mental health of prisoners

2003 ◽  
Vol 9 (3) ◽  
pp. 200-201
Author(s):  
Tony Maden
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
National Health Service ◽  
Health Service ◽  
Task Force ◽  
Mentally Disordered Offenders ◽  
Home Office ◽  
Mentally Disordered ◽  
Department Of Health ◽  
The Government

Psychiatrists have always been concerned about the mental health of prisoners. If they did not devote much energy to their treatment, it was only because they had more-pressing problems, including how to squeeze ten patients into nine beds. In any case, it was someone else's job to look after prisoners. Luke Birmingham's article (Birmingham, 2003, this issue) could not be more timely, as this situation has now changed. With the publication of The Future Organisation of Prison Healthcare (Prison Service & NHS Executive Working Group, 1999), and the creation of a joint Department of Health and Home Office task force, the Government has made it clear that the problem of mentally disordered offenders belongs to the National Health Service (NHS). There is a plan, there is a partnership and there are targets. Can those of us who have been worrying about prisoners with mental illness sit back and relax, as the solution unfolds?

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