Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-12-01T07:21:13.812Z Has data issue: false hasContentIssue false
  • English
  • Français

Socio-economic deprivation and admission rates to secure forensic psychiatry services

Published online by Cambridge University Press:  02 January 2018

Jeremy W. Coid
Jeremy W. Coid*
Affiliation:
Academic Section of Forensic Psychiatry, 2 Crozier Terrace, London E9 6BE
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Annual admission rates from the North-East Thames Region to maximum- and medium-secure forensic psychiatry services demonstrated a highly significant correlation with social deprivation measured at district health authority level using the Jarman UPA 8. There were specific associations with the number of unemployed persons, overcrowded households, and persons from ethnic minorities in the districts studied. There was a 10-fold difference in treated prevalence rates across the region, indicating that certain purchasing authorities may be seriously underfunded to meet the needs of their catchment area populations for secure forensic psychiatry services. Further research is required into the nature of the association between admissions to these services and social deprivation. It is readily apparent that a new formula is required for the allocation of resources in the face of such wide disparities in demand from different geographical locations.

Type
Original Papers
Information
Psychiatric Bulletin , Volume 22 , Issue 5 , May 1998 , pp. 294 - 297
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1998 The Royal College of Psychiatrists

References

Davies, S., Thornicroft, G., Leese, M., et al (1996) Ethnic differences in risk of compulsory psychiatric admission among representative cases of psychosis in London. British Medical Journal, 312, 533–536.Google Scholar
Harrison, G., Owens, D., Holton, A., et al (1988) A prospective study of severe mental disorder in Afro-Caribbean patients. Psychological Medicine, 8, 643–657.Google Scholar
Hirsch, S. (1988) Psychiatric Beds and Resources: Factors Influencing Bed Use and Service Planning. London: Gaskell.Google Scholar
Ineichen, B., Harrison, G. & Morgan, H. G. (1984) Psychiatric hospital admissions in Bristol. 1. Geographical and ethnic factors. British Journal of Psychiatry, 145, 600–611.CrossRefGoogle Scholar
Jarman, B., Hirsch, S., White, P., et al (1992) Predicting psychiatric admission rates. British Medical Journal, 304, 1146–1151.Google Scholar
Johnson, S. & Lelliott, P. (1997) Mental health services in London: Evidence from Research and Routine Data. In London's Mental Health, The Report to the King's Fund Commission (eds Johnson, S., Ramsay, R., Thornicroft, G., C. et al). London: King's Fund.Google Scholar
Mcreadie, R. G., Leese, M., Tilak-Singh, D., et al (1997) Nithsdale, Nunhead and Norwood: similarities and differences in prevalence of schizophrenia and utilisation of services in rural and urban areas. British Journal of Psychiatry, 170, 31–36.Google Scholar
McGovern, D. & Cope, R. (1987) The compulsory detention of males of different ethnic groups, with special reference to offender patients. British Journal of Psychiatry, 150, 505–512.Google Scholar
Moodley, P. & Thornicroft, G. (1988) Ethnic groups and compulsory detention. Medicine, Science and the Law, 28, 324–328.Google Scholar
Murphy, E., Coid, J. & Boa, W. (1997) Security cheques. Health Service Journal 9 January, 28–29.Google Scholar
Murray, K. (1996) The use of beds in NHS medium secure units in England. Journal of Forensic Psychiatry, 7, 504–524.Google Scholar
Owens, D., Harrison, G. & Boot, D. (1991) Ethnic factors in voluntary and compulsory admissions. Psychological Medicine, 21, 185–196.CrossRefGoogle ScholarPubMed
Thornicroft, G. (1991) Social deprivation and rates of treated mental disorder. Developing statistical models to predict psychiatric service utilisation. British Journal of Psychiatry, 158, 475–484.Google Scholar
Thornicroft, G., Margolius, O. & Jones, D. (1992) The TAPS project. 6: New long-stay psychiatric patients and social deprivation. British Journal of Psychiatry, 161, 621–624.Google Scholar
Wessely, S. C., Castle, D., Douglas, A. J., et al (1994) The criminal careers of incident cases of schizophrenia. Psychological Medicine, 24, 483–502.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.