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New long-stay patients in a psychiatric admission ward setting

Sandwell Assertive Outreach Team, 6-6a Simpson Street, Oldbury, West Midlands B69 4AL, e-mail: colin.cowan{at}smhsct.nhs.uk

Philippa Walker, Consultant Psychiatrist

Shropshire County Primary Care Trust, Market Drayton

Declaration of interest

None.

AIMS AND METHOD

This is a descriptive study of the admissions of new long-stay patients and their outcome in a district with minimal access to longer-stay inpatient beds. Cases were identified through an ongoing in-patient census and information was gathered by retrospective case-note review.

RESULTS

Thirty-nine new long-stay admissions were identified. High rates of living alone, early readmission following previous discharge and use of the Mental Health Act 1983 were noted. The 39 admissions occupied 12% of the unit’s capacity. Four patients returned to a family residence but 27 went into residential or in-patient care. Of those discharged to settings not providing patient care, 48% were readmitted in the year after discharge.

CLINICAL IMPLICATIONS

New long-stay admissions continue to absorb a high proportion of the bed resources of an in-patient unit for their numbers and these patients are at risk of unsuccessful discharge.