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The TAPS Project. 6: New Long-Stay Psychiatric Patients and Social Deprivation

Published online by Cambridge University Press:  02 January 2018

Graham Thornicroft ,
Olga Margolius  and
David Jones
Graham Thornicroft*
Affiliation:
Friern Hospital, Friern Barnet Road, London N11 3BP, now PRiSM, Institute of Psychiatry, De Crespigny Park, London SE5 8AF
Olga Margolius
Affiliation:
Psychology Service, Haringey Health District
David Jones
Affiliation:
Department of Social Science and Administration, London School of Economics and Political Science
*
∗Correspondence
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Abstract

The clinical and social characteristics of new long-stay (NLS) patients at Friern and Claybury hospitals are described, together with their accumulation rates within health districts in northeast London, and the associations between accumulation rates and social deprivation. There is a fourfold variation between local districts in annual accumulation rates of NLS patients (between 2.5 and 11 per 100 000 population); 0.55 of this variation is accounted for by the Jarman scores of social deprivation, and 0.81 by local rates of unemployment. Other recent British studies support this finding that measures of social deprivation can statistically explain a large proportion of the variation in treated rates of psychiatric morbidity, and may be useful in predicting needs for psychiatric services.

Type
Papers
Information
The British Journal of Psychiatry , Volume 161 , Issue 5 , November 1992 , pp. 621 - 624
Copyright
Copyright © 1992 The Royal College of Psychiatrists 

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References

Anderson, J. (1990) The TAPS Project. 1: Previous psychiatric diagnosis and current disability of long-stay psychogeriatric patients. British Journal of Psychiatry, 156, 661–666.CrossRefGoogle Scholar
Charlton, J. & Lakhani, A. (1985) Is the Jarman underprivileged area score valid? British Medical Journal, 290, 1714–1716.CrossRefGoogle ScholarPubMed
Eaton, W. W. (1974) Residence, social class and schizophrenia. Journal of Health and Social Behaviour, 15, 289–299.CrossRefGoogle ScholarPubMed
Faris, R. & Dunham, H. (1939) Mental Disorders in Urban Areas. Chicago: University of Chicago Press.Google Scholar
Giggs, J. & Cooper, J. (1987) Ecological structure and the distribution of schizophrenia and affective psychoses in Nottingham. British Journal of Psychiatry, 151, 627–633.CrossRefGoogle ScholarPubMed
Goldberg, E. & Morrison, S. (1963) Schizophrenia and social class. British Journal of Psychiatry, 109, 785–802.CrossRefGoogle ScholarPubMed
Goodman, A., Siegal, C., Craig, T., et al (1983) The relationship between socioeconomic class and prevalence of schizophrenia, alcoholism and affective disorders treated by in-patients in a suburban area. American Journal of Psychiatry, 140, 166–170.Google Scholar
Hare, E. (1956) Mental illness and social conditions in Bristol. Journal of Mental Science, 102, 349–357.CrossRefGoogle ScholarPubMed
Harrison, G., Ineichen, B. & Morgan, H. (1984) Psychiatric hospital admissions in Bristol. II Social and clinical aspects of compulsory admission. British Journal of Psychiatry, 145, 605–611.CrossRefGoogle ScholarPubMed
Hirsch, S. (1988) Psychiatric Beds and Resources: Factors Influencing Bed Use and Service Planning. London: Gaskell (Royal College of Psychiatrists).Google Scholar
Hollingshead, A. & Redlich, F. (1958) Social Class and Mental Illness. London: Wiley.CrossRefGoogle Scholar
Ineichen, B., Harrison, G. & Morgan, H. (1984) Psychiatric hospital admission in Bristol 1. Geographical and ethnic factors. British Journal of Psychiatry, 145, 500–504.CrossRefGoogle Scholar
Jarman, B. (1983) Identification of underprivileged areas. British Medical Journal, 286, 1705–1709.CrossRefGoogle ScholarPubMed
Jarman, B. (1984) Underprivileged areas: validation and distribution of scores. British Medical Journal, 289, 1587–1592.CrossRefGoogle ScholarPubMed
Jones, D. & Margolius, O. (1989) The accumulation of ‘new long stay’ patients at Claybury and Friern Hospitals. In Team for the Assessment of Psychiatric Services 4th Annual Conference Report. London: North East Thames Regional Health Authority.Google Scholar
Knapp, M., Beecham, J., Anderson, J., et al (1990) The TAPS project. 3: Predicting the costs of closing psychiatric hospitals. British Journal of Psychiatry, 157, 661–670.CrossRefGoogle ScholarPubMed
Leff, J., O'Driscoll, C., Dayson, D., et al (1990) The TAPS project. 5: The social life of long stay psychiatric patients 2, the structure of social network data. British Journal of Psychiatry, 157, 848–852.CrossRefGoogle Scholar
Link, B. & Dohrenwend, B. (1980) Formulation of hypotheses about the ratio of untreated to treated cases in the true prevalence studies of functional psychiatric disorders in adults in the United States. In Mental Illness in the United States (eds B. Dohrenwend & B. Dohrenwend). New York: Praeger.Google Scholar
Lomas, G., Ross, G., Watson, C., et al (1973) Poverty and Schizophrenia. London: Psychiatric Rehabilitation Association.Google Scholar
Mann, S. & 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, 603–616.CrossRefGoogle ScholarPubMed
Maylath, E., Weyerer, S. & Haefner, H. (1989) Spatial concentration of the incidence of treated psychiatric disorders in Mannheim. Acta Psychiatrica Scandinavica, 80, 650–656.CrossRefGoogle ScholarPubMed
O'Driscoll, C., Marshall, J. & Reed, J. (1990) Chronically ill psychiatric patients in a district general hospital unit. British Journal of Psychiatry, 157, 694–702.CrossRefGoogle Scholar
Shapiro, S., Skinner, E., Kessler, L., et al (1984) Utilisation of health and mental health services in three EGA sites. Archives of General Psychiatry, 41, 971–978.CrossRefGoogle Scholar
Sturt, E. & Wykes, T. (1986) The measurement of social behaviour in psychiatric patients: an assessment of the reliability and validity of the SBS schedule. British Journal of Psychiatry, 148, 1–11.Google Scholar
TAPS (1989) Report of the 4th Annual TAPS Conference. London: North East Thames Regional Health Authority.Google Scholar
Thornicroft, G. (1991) Social deprivation and rates of treated mental disorder: developing statistical models to predict psychiatric service utilisation. British Journal of Psychiatry, 158, 465–484.CrossRefGoogle ScholarPubMed
Weyerer, S. & Haefner, H. (1989) The stability of the ecological distribution of the incidence of treated mental disorders in the city of Mannheim. Social Psychiatry, 24, 57–62.Google ScholarPubMed
Wiersma, D., Giel, R., De Jong, A., et al (1983) Social class and schizophrenia in a Dutch cohort. Psychological Medicine, 13, 141–150.CrossRefGoogle Scholar
Wing, J., (ed.) (1989) Health Services Planning and Research. London: Gaskell.Google Scholar
Wing, J. (ed.), Cooper, J. & Sartorius, N. (1974) Measurement and Classification of Psychiatric Symptoms. Cambridge: Cambridge University Press.Google Scholar
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