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Psychiatric Service for the Elderly: How Many Beds?

Published online by Cambridge University Press:  29 January 2018

D. J. Jolley
Affiliation:
University Hospital of South Manchester; Hon. Lecturer in Psychiatry, Manchester University
Tom Arie
Affiliation:
Goodmayes Hospital, Ilford; Hon. Senior Lecturer in Psychiatry, University College Hospital Medical School

Summary

Reported here is a cohort study of five years' bed usage in the Goodmayes Psychiatric Unit for Old People. Patients first admitted in 1970 continued to use beds, by readmission or by continuing stay, over the next four years; subsequent cohorts of admissions made correspondingly extended use of beds. Bed-usage by men appears now to have stabilized, whilst for women it is still rising.

Over the first six years the bed complement was reduced by 40%, despite an increase in referrals of over 40%; this is because the Unit's style of work prevented newly admitted patients from accumulating in beds made available by deaths. It looks as if in future not only will patients who die be replaced by new female admissions but more beds will be needed for these admissions. The present bed-usage is just within the Government's recommended guidelines, and the local issues are considered in the context of national policy.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1976 

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References

Arie, T. (1970) The first year of the Goodmayes Psychiatric Service for Old People. Lancet, ii, 1179—82.Google Scholar
Arie, T. (1971) Morale and the planning of psychogeriatric services. British Medical Journal, iii, 166—70.Google Scholar
Arie, T. (1974) Day Care in geriatric psychiatry. Gerontologia Clinica, 17, 31—9.Google Scholar
Arie, T. & Dunn, T. (1973) A do-it-yourself psychiatric-geriatric joint patient unit. Lancet, ii, 1313—16.Google Scholar
Arie, T. (1976) Thoughts on rationing and responsibility. Proceedings of Symposium on ‘Brain Failure in the Elderly’, Jersey, 1975. Age and Ageing. In Press.Google Scholar
Baker, A. A. (1969) Psychiatric unit in a general hospital. Lancet, i, 1090—2.Google Scholar
Baker, A. A. (1974) Why psychogeriatrics? Lancet, i, 795—6.Google Scholar
Cooper, M. H. (1975) Rationing Medical Care. London: Croom-Helm.Google Scholar
DHSS (1970) NHS Psycho-Geriatric Assessment Units. Circular HM(70)II. London: HMSO.Google Scholar
DHSS (1971a) The Nottingham Psychiatric Case Register, 1962—1969. Statistical Report, Series No. 13. London: HMSO.Google Scholar
DHSS (1971b) Hospital Services for the Mentally Ill. Circular HM(71)97. London: HMSO.Google Scholar
DHSS (1972) Services for Mental Illness Related to Old Age. Circular HM(72)71, London: HMSO.Google Scholar
Donovan, J. F. Williams, I. E. I. & Wilson, T. S. (1971) A fully integrated psychogeriatric service. In Recent Developments in Psychogeriatrics (ed. D. W. K. Kay and A. Walk) British Journal of Psychiatry Official Publication No. 6. Ashford, Kent: Headley Bros.Google Scholar
Hawks, D. (1975) Community Care. British Journal of Psychiatry, 127, 276—85.Google Scholar
Kay, D. W. K., Beamish, P. & Roth, M. (1964) Old age mental disorders in Newcastle upon Tyne. British Journal of Psychiatry, 110, 146—58.Google Scholar
Kay, D. W. K. Bergmann, K., Foster, E. M., McKechnie, A. A. & Roth, M. (1970) Mental illness and hospital usage in the elderly. Comprehensive Psychiatry, 1, 2635.CrossRefGoogle Scholar
Mann, S. & Cree, W. (1975) The ‘new long-stay’ in mental hospitals. British Journal of Hospital Medicine, 14, 5663.Google Scholar
Owen, David MP. (1975) in House of Commons, quoted in British Medical Journal, ii, 356.Google Scholar
Parsons, P. L. (1965) Mental health of Swansea's old folk. British Journal of Preventive and Social Medicine, 14, 5663.Google Scholar
Pitt, B. (1975) Psychogeriatrics. London: Churchill Livingstone.Google Scholar
Post, F. (1972) The management and nature of depressive illness in late-life: a follow-through study. British Journal of Psychiatry, 121, 393404.Google Scholar
Robinson, R. A. (1972) Organising a psychogeriatric service. In The Elderly Mind. British Hospital Journal/ Hospital International, 22–4.Google Scholar
Roth, M. & Morrissey, J. D. (1952) Problems in the diagnosis and classification of mental disorder in old age. Journal of Mental Science, 98, 66.Google Scholar
Silverman, M. (1961) A comprehensive department of psychological medicine. British Medical Journal, ii, 698701.Google Scholar
Whitehead, J. A. (1974) Psychiatric Disorders in Old Age. London: Harvey Miller and Medcalf.Google Scholar
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