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‘Elderly graduates’ and a hospital closure programme

Maudsley Hospital, Denmark Hill, London SE5 8AZ

Joan Rutherford, Consultant Psychiatrist

Ridgewood Centre, Frimley, Surrey GU16 5QE

Jerome Carson

Department of Psychology, Institute of Psychiatry, De Crespigny Park London SE5 8AF

Lynda Dunn

Department of Psychology, Institute of Psychiatry

A sample of 49 ‘elderly graduate’ residents of a hospital designated for closure were surveyed in 1987 and followed up five years later. Twenty-two patients (45%) had died: the mortality rate was much lower than that predicted by the regional health authority and approximated to that of the general population. All but one of the survivors was living in supported accommodation at the time of follow-up. The majority were satisfied with the move and were receiving an appropriate level of care. However there was significant unmet need for structured activities and companionship. During the follow-up period the survivors had declined in functioning.

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