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Psychiatric Bulletin (1999) 23: 79-83. doi: 10.1192/pb.23.2.79
© 1999 The Royal College of Psychiatrists
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Therapeutic community provision at regional and district levels

Steffan Davies, Senior Registrar, Forensic Psychiatry, Penelope Campling, Consultant Psychotherapist* and Kerry Ryan, Audit Assistant

Francis Dixon Lodge, Gipsy Lane, Leicester LE5 5OD

* Correspondence

Aims and method The aim of the study was to investigate changes in service utilisation following therapeutic community treatment for patients with severe personality disorder. The study examined service usage, in the form of acute psychiatric admissions, of a series of 52 admissions to a residential therapeutic community in the three years before and year after admission.

Results There was a reduction in the mean duration of acute psychiatric admissions after treatment, this was greater for extra-contractual referral patients than local district patients.

Clinical implications This study replicates results from previous studies. It also suggests that more accessible local services may be able to intervene earlier in patients' psychiatric careers preventing heavy use of acute services. We argue for greater provision of therapeutic community treatment for severe personality disorder.




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S. DAVIES and P. CAMPLING
Therapeutic community treatment of personality disorder: service use and mortality over 3 years' follow-up
The British Journal of Psychiatry, January 1, 2003; 182 (44): s24 - s27.
[Abstract] [Full Text] [PDF]


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Copyright © 1999 The Royal College of Psychiatrists.