The use of adult psychiatric day care facilities in Worcester

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.

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Why are the mentally handicapped still admitted to hospital?

Psychiatric Bulletin ◽

10.1192/pb.16.10.609 ◽

1992 ◽

Vol 16 (10) ◽

pp. 609-611 ◽

Cited By ~ 1

Author(s):

Leila B. Cooke

Keyword(s):

Long Term Care ◽

White Paper ◽

Short Term ◽

Mentally Handicapped ◽

Pattern Of Care ◽

Term Care ◽

Handicapped People ◽

Hospital Group ◽

Park Hospital

The Stoke Park Hospital Group in Bristol has been providing a service to mentally handicapped people and their families since 1909. The nature and extent of the service has changed significantly between then and now, largely due to changes in Government policy, first laid out in the 1971 white paper Better Services for the Mentally Handicapped. The changing nature of the service was highlighted in Carter's paper in 1984, in which he examined all admissions to the Group over ten years. He found an increasing use of the hospitals for short-term care, particularly for those patients with a superimposed psychiatric disorder, and a continuing, albeit reducing, demand for long-term care for some patients. He concluded that the hospital would continue to have an important role to play in the evolving pattern of care.

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Useful lessons for the provision of services in long-term care facilities in South Korea: operators’ experiences illuminate the phenomenon of working with the elderly in the field

International Journal of Qualitative Studies on Health and Well-Being ◽

10.1080/17482631.2019.1565238 ◽

2019 ◽

Vol 14 (1) ◽

pp. 1565238

Author(s):

Young Ran Tak ◽

Hae Young Woo ◽

Lee Han Yi ◽

Ah Rim Kim

Keyword(s):

South Korea ◽

Long Term Care ◽

The Elderly ◽

Term Care ◽

Care Facilities ◽

Provision Of Services

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Counselling the Relatives of the Long-Term Adult Mentally Ill

The British Journal of Psychiatry ◽

10.1192/bjp.154.6.768 ◽

1989 ◽

Vol 154 (6) ◽

pp. 768-775 ◽

Cited By ~ 45

Author(s):

Brigid MacCarthy ◽

Liz Kuipers ◽

Jane Hurry ◽

Rod Harper ◽

Alain LeSage

Keyword(s):

Family Relationships ◽

Mentally Ill ◽

Day Care ◽

Expressed Emotion ◽

Care Facility ◽

Term Care ◽

Interactive Education ◽

Severely Mentally Ill

The efficacy of implementing a clinically feasible psychosocial intervention which addresses the needs of carers of the long-term mentally ill is reported. All the relatives of patients in continuous high contact with one clinical team in a local day-care facility were offered the intervention. An interactive education session at home was followed by a monthly relatives group which aimed to reduce components of expressed emotion and to alleviate burden. Patients and relatives were assessed. The controls were the patients in contact with the other teams in the day-care facility, and their relatives. The intervention was effective at reducing EE and improving family relationships. Offering this kind of support to people who are providing long-term care for the severely mentally ill can contribute significantly to the quality of life of both supporters and patients.

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Antibiotic prescribing upon discharge from the hospital to long-term care facilities: Implications for antimicrobial stewardship requirements in post-acute settings

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2018.288 ◽

2018 ◽

Vol 40 (1) ◽

pp. 18-23 ◽

Cited By ~ 7

Author(s):

Bo R. Weber ◽

Brie N. Noble ◽

David T. Bearden ◽

Christopher J. Crnich ◽

Katherine D. Ellingson ◽

...

Keyword(s):

Hospital Readmission ◽

Long Term Care ◽

Antibiotic Prescription ◽

Antibiotic Prescribing ◽

Day Hospital ◽

Post Discharge ◽

Term Care ◽

Increased Risk ◽

Care Facilities

AbstractObjectiveTo quantify the frequency and outcomes of receiving an antibiotic prescription upon discharge from the hospital to long-term care facilities (LTCFs).DesignRetrospective cohort study.SettingA 576-bed, academic hospital in Portland, Oregon.PatientsAdult inpatients (≥18 years of age) discharged to an LTCF between January 1, 2012, and June 30, 2016.MethodsOur primary outcome was receiving a systemic antibiotic prescription upon discharge to an LTCF. We also quantified the association between receiving an antibiotic prescription and 30-day hospital readmission, 30-day emergency department (ED) visit, and Clostridium difficile infection (CDI) on a readmission or ED visit at the index facility within 60 days of discharge.ResultsAmong 6,701 discharges to an LTCF, 22.9% were prescribed antibiotics upon discharge. The most prevalent antibiotic classes prescribed were cephalosporins (20.4%), fluoroquinolones (19.1%), and penicillins (16.7%). The medical records of ~82% of patients included a diagnosis code for a bacterial infection on the index admission. Among patients prescribed an antibiotic upon discharge, the incidence of 30-day hospital readmission to the index facility was 15.9%, the incidence of 30-day ED visit at the index facility was 11.0%, and the incidence of CDI on a readmission or ED visit within 60 days of discharge was 1.6%. Receiving an antibiotic prescription upon discharge was significantly associated with 30-day ED visits (adjusted odds ratio [aOR], 1.2; 95% confidence interval [CI], 1.02–1.5) and with CDI within 60 days (aOR, 1.7; 95% CI, 1.02–2.8) but not with 30-day readmissions (aOR, 1.01; 95% CI, 0.9–1.2).ConclusionsAntibiotics were frequently prescribed upon discharge to LTCFs, which may be associated with increased risk of poor outcomes post discharge.

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Three psychiatric day centres in a London borough

Psychiatric Bulletin ◽

10.1192/pb.16.9.540 ◽

1992 ◽

Vol 16 (9) ◽

pp. 540-542

Author(s):

Martin W. Orrell ◽

Sonia Johnson

Keyword(s):

Term Treatment ◽

Day Hospital ◽

Principal Function ◽

Short Term ◽

Short Term Treatment ◽

London Borough ◽

Substantial Body ◽

Admission Ward ◽

Day Hospitals

Research on day care has tended to focus on the day hospitals rather than day centres. A substantial body of work has evaluated the success of the day hospital as an alternative to the acute admission ward (Herz et al, 1971; Creed et al, 1989). But many day hospitals appear to have taken on long-term supports, the role envisaged for the day centres, as their principal function, rather than short-term treatment (Pryce, 1982; McGrath & Tantam, 1987): for example, Pryce draws attention to the accumulation of long-stay psychiatric day patients in a day hospital in South Glamorgan, where 67% of patients have been attending for between two and 17 years.

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Perceptions of Mental Health Clinicians Working in Long-Term Care Facilities During the COVID-19 Pandemic

Innovation in Aging ◽

10.1093/geroni/igab046.772 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 202-202

Author(s):

Rachel Ward ◽

Savannah Rose ◽

Lisa Lind ◽

Roma Hanks ◽

Lisa Brown

Keyword(s):

Mental Health ◽

Long Term Care ◽

Cognitive Status ◽

Mental Health Clinicians ◽

Term Care ◽

Care Facilities ◽

Provision Of Services ◽

Negative Effect ◽

The Impact

Abstract During the COVID-19 pandemic, mental health clinicians were initially not considered essential workers, and most were prevented from entering long-term care (LTC) facilities. This study investigated the perceptions and experiences of licensed clinicians who were providing services in LTC settings before and during the pandemic. Respondents included 126 clinicians from 31 states who completed a 90-item survey to assess the impact of COVID-19. Visitor restrictions were perceived to have had a negative effect on patients' emotional, behavioral, and cognitive status. The pandemic adversely impacted clinicians financially, personally, and emotionally, with more than half (67%) reporting that they experienced burnout. This study found that the COVID-19 pandemic adversely impacted clinicians working in LTC settings, their patients' wellbeing, and the delivery of mental health services. Understanding the impact that the COVID-19 pandemic has had on LTC patients and clinicians alike has implications for the provision of services during future pandemics.

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Who uses a day hospital and for how long?

Psychiatric Bulletin ◽

10.1192/pb.13.2.62 ◽

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).

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