Psychiatric Bulletin (2007) 31: 436. doi: 10.1192/pb.31.11.436
© 2007 The Royal College of Psychiatrists
Specialist beds for learning disability
Vikram Palanisamy, Specialist Registrar in Learning Disability
Cheshire and Wirral Partnership NHS Foundation Trust, Ashton House
Hospital, Wirral CH43 5SR, email:
drpvikram{at}yahoo.com
Mahesh M. Odiyoor, Specialist Registrar in Learning Disability
Calderstones NHS Trust
Lyall & Kelly (Psychiatric Bulletin, August 2007, 31,
297-300) looked at patterns of
admission for people with learning disability to specialist psychiatric beds
and highlighted the lack of community resources as a cause of delayed
discharge. We performed a survey of patterns of admission and characteristics
of patients admitted to a 12-bedded specialist learning disability unit. This
unit serves a population of 380 000. Thirty-six people were admitted over a
period of 2 years and accounted for 42 admissions; 25 patients (69%) had mild,
5 (14%) moderate and 6 (17%) severe learning disability. Sixteen (38%)
admissions were regarded as having delayed discharges. The mean duration of
admission was 210 days but when the duration of delayed discharge was excluded
this dropped to 103 days. Our experience suggests that a lack of community
resources leading to delayed discharges might be more widespread.
Related articles in PB:
- Specialist psychiatric beds for people with learning disability
- Ros Lyall and Maria Kelly
PB 2007 31: 297-300.
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