Hostname: page-component-669899f699-rg895 Total loading time: 0 Render date: 2025-04-24T23:36:29.614Z Has data issue: false hasContentIssue false
  • English
  • Français

The Scottish Survey of ‘New Chronic’ Inpatients

Published online by Cambridge University Press:  29 January 2018

Robin G. McCreadie ,
A. Oliver A. Wilson  and
Leslie L Burton
Robin G. McCreadie
Affiliation:
Crichton Royal Hospital, Dumfries, Scotland DG1 4TG
A. Oliver A. Wilson
Affiliation:
Crichton Royal Hospital
Leslie L Burton
Affiliation:
Bangour Village Hospital, Broxburn, Midlothian, Scotland, EH52 6LW
Get access Rights & Permissions [Opens in a new window]

Summary

All ‘new chronics' (N = 571), defined as patients aged 18–64 years in hospital more than one but less than six years, were identified in 14 psychiatric hospitals serving 56 per cent of the Scottish population. The bed occupancy was 20/100,000 of the general population (range between hospitals 12–29/100,000). First admissions (5.8 beds/100,000) were clearly distinguished from re-admissions. Although for the whole group schizophrenia was the most common diagnosis the majority of first admissions had organic brain disease. First admissions were more disabled and most were well placed in hospital. Thirty-eight per cent of all patients did not need inpatient care; 20 per cent could have been accommodated in staffed hostels. Widespread differences, especially in numbers, found between hospitals may have been due in part to different attitudes among staff towards the prospect of patients' discharge.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 143 , Issue 6 , December 1983 , pp. 564 - 571
Copyright
Copyright © 1983 The Royal College of Psychiatrists 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Affleck, J. W. & McGuire, R. J. (1982) The Morningside Rehabilitation Status Scale. In preparation.Google Scholar
Anonymous (1979) Tardive dyskinesia. Lancet, ii, 447–8.Google Scholar
Banker, I. E. (1980) Social and clinical correlates of the ‘new’ long-stay. Acta Psychiatrica Scandinavica, 61, 365–75.Google Scholar
Bewley, T. H., Bland, J. M., Ilo, M., Walch, E. & Wilungton, G. (1975) Census of mental hospital patients and life expectancy of those unlikely to be discharged. British Medical Journal, 271, 671–5.Google Scholar
Bewley, T. H., Mechen, D. & Walch, E. (1981) ‘New chronic’ patients. British Medical Journal, 283, 1161–4.CrossRefGoogle ScholarPubMed
Early, D. F. & Nicholas, M. (1981) Two decades of change: Glenside Hospital population surveys 1960–80. British Medical Journal, 282, 1446–9.Google Scholar
Fottrell, E., Peermohamed, R. & Kothari, R. (1975) Identification and definition of long-stay mental hospital population. British Medical Journal, iv, 675–7.Google Scholar
General Register Office, Scotland (1981) Census 1981, Scotland: Preliminary Report. Edinburgh: Her Majesty's Stationery Office.Google Scholar
Hassall, C. (1978) A description of long-term patients from the Worcester case register. In Report of a Symposium on Chronic Mental Illness. London: Mental Health Division, Department of Health and Social Security.Google Scholar
McCreadie, R. G. (1980) Clinical and social aspects of long-stay psychiatric patients. Health Bulletin, 38, 70–5.Google Scholar
McDonald, C., Behl, N. & Sudhakar, P. (1982) Recalcitrant behaviour problems. In Rehabilitation in Psychiatric Practice (ed McCreadie, R. G.). London: Pitman.Google Scholar
Magnus, R. V. (1967) The new chronics. British Journal of Psychiatry, 113, 555–6.Google Scholar
Mann, S. A. & Cree, W. (1976) ‘New’ long-stay psychiatric patients: a national sample survey of fifteen mental hospitals in England and Wales 1972/3. Psychological Medicine, 6, 603–16.Google Scholar
Mindham, R. H. S., Gaind, R., Anstee, B. H. & Rimmer, L. (1972) Comparison of amantadine, orphenadrine and placebo in the control of phenothiazine–induced parkinsonism. Psychological Medicine, 2, 406–13.Google Scholar
Scottish Health Services Common Services Agency (1979) Scottish Mental Health Inpatient Statistics, 1979. Edinburgh: Scottish Home and Health Department.Google Scholar
Wilson, A. O. A. (1982) New long-stay psychiatric patients: possible implications for hospital planning. Proceedings of World Congress of Social Psychiatry (1981). In Press.Google Scholar
World Health Organisation (1978) Mental Disorders: Glossary and guide to their classification in accordance with the Ninth Revision of the International Classification of Diseases. Geneva: World Health Organisation.Google Scholar
Wykes, T. (1982) A hostel ward for ‘new’ long-stay patients: an evaluative study of a ‘ward in a house’. In Long-term Community Care: Experience in a London Borough. (ed. Wing, J. K.). Psychological Medicine, Monograph Supplement 2. Cambridge: University Press.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.