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Audit of new long-stay patients in a district general hospital

Published online by Cambridge University Press:  13 June 2014

Mathew Kurian ,
Shobha George ,
Clive G Ballard ,
Ramalingam NC Mohan  and
Stuart Cumella
Mathew Kurian
Affiliation:
Worchester Royal Infirmary, New Town Branch, Worcester, England
Shobha George
Affiliation:
High Croft Hospital, Birmingham, England
Clive G Ballard
Affiliation:
University of Birmingham, Birmingham B15 2QZ, England
Ramalingam NC Mohan
Affiliation:
University of Birmingham
Stuart Cumella
Affiliation:
Department of Psychiatry, University of Birmingham, Birmingham B15 2QZ, England
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Abstract

Objective: To describe the characteristics of “new” long-stay patients in a district general hospital psychiatric unit. Method: A “new” long-stay patient was defined as a patient aged 18 or more who on the census date had been in a district general hospital psychiatric ward for longer than six months but less than six years. There was no upper age limit but patients with a primary diagnosis of dementia were excluded from the study. Information about each patient was obtained from medical and nursing cases notes. Patients were interviewed by one interviewer to determine their views on discharge from hospital. All the members of the multi-disciplinary team were interviewed by one interviewer to obtain their judgements about future accommodation needs of the patients. Results: “New” long-stay patients are typically single in their mid-forties with no supportive relatives. Most have a primary diagnosis of schizophrenia. They have a long psychiatric history and the majority had been in hospital between 6 months and three years. The principle reasons for prolonged stay were persistence of active psychotic symptomatology, schizophrenic defect state, poor social skills and antisocial behaviour. Conclusion: A group of “new” long-stay patients have accumulated in Wolverhampton district general hospital psychiatric unit, despite modern methods of treatment and the availability of a good range of rehabilitation facilities. They are a diverse group including patients with a severe schizophrenic disorders, affective disorders, personality disorders and organic disorders. Ideally, if these patients are to be placed in the community, rather than remaining as inpatients, then placement would need to be in specialised facilities like hospital hostels.

Keywords

New long-stay patientsDistrict general hospitallong term care.
Type
Practice Reviews
Information
Irish Journal of Psychological Medicine , Volume 11 , Issue 1 , March 1994 , pp. 42 - 43
Copyright
Copyright © Cambridge University Press 1994

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