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The New Long Stay in an Inner City Service: a Tale of Two Cohorts

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  • Frank Holloway
  • Til Wykes
  • Edward Petch
  • Kelly Lewis-Cole

Abstract

We assessed the long-stay inpatients (length of stay >6 months) from a deprived inner-city catchment area with a population of 210000 in 1993 and 1995 on a variety of measures, following up both cohorts after 24 months. Total numbers of long-stay inpatients were reduced from 56 (26.7 per 100,000 total population) to 35 (16.7 per 100,000) between 1993 and 1995, in line with the closure of dedicated long-stay beds. The 1995 cohort were more symptomatic according to the BPRS (t= 2.8, P = 0.007, 95% confidence interval 18.1, 3.0), more commonly detained under the Mental Health Act (χ 2 = 6.07 p = 0.05) and more commonly from an ethnic minority (χ 2 = 3.7 p = 0.05). At 2 year follow-up 57% of the 1993 cohort were living out of hospital, compared with 60% of the 1995 cohort. Patients were discharged to a variety of settings, some highly supported. For the combined sample the presence of certain challenging behaviours (absconding, disturbance at night, non-compliance with treatment and violence) predicted continuing inpatient status as did three items on the Social Behaviour Schedule (bizarre behaviour, laughing to oneself and violence). Only five (9%) of the original sample remained inpatients for the entire four year follow-up.

Suggested Citation

  • Frank Holloway & Til Wykes & Edward Petch & Kelly Lewis-Cole, 1999. "The New Long Stay in an Inner City Service: a Tale of Two Cohorts," International Journal of Social Psychiatry, , vol. 45(2), pages 93-103, June.
    • Handle: RePEc:sae:socpsy:v:45:y:1999:i:2:p:93-103
    DOI: 10.1177/002076409904500202
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    Cited by:

    1. Lúcia Abelha Lima & Sylvia Gonçalves & Basílio Bragança Pereira & Giovanni Marcos Lovisi, 2006. "The Measurement of Social Disablement and Assessment of Psychometric Properties of the Social Behaviour Schedule (SBS-BR) in 881 Brazilian Long-Stay Psychiatric Patients," International Journal of Social Psychiatry, , vol. 52(2), pages 101-109, March.

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