psychiatric wards in England In - patient and residential alternatives to standard acute
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In-patient and residential alternatives to standard acute psychiatric wards in England.
BACKGROUND Acute psychiatric wards have been the focus of widespread dissatisfaction. Residential alternatives have attracted much interest, but little research, over the past 50 years. AIMS Our aims were to identify all in-patient and residential alternatives to standard acute psychiatric wards in England, to develop a typology of such services and to describe their distribution and clinical...
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BACKGROUND Key questions regarding residential alternatives to standard acute psychiatric care, such as crisis houses and short-stay in-patient units, concern the role that they fulfil within local acute care systems, and whether they manage people with needs and illnesses of comparable severity to those admitted to standard acute wards. AIMS To study the extent to which people admitted to re...
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BACKGROUND Reducing use of hospital wards and improving their quality are central aims of mental health service policy. However, no comprehensive synthesis is available of evidence on residential alternatives to standard acute psychiatric wards. AIMS To assess the effectiveness and cost-effectiveness of and satisfaction with residential alternatives to standard acute in-patient mental health ...
متن کاملImplementing successful residential alternatives to acute in-patient psychiatric services: lessons from a multi-centre study of alternatives in England.
BACKGROUND Standard acute psychiatric care in the UK is costly but problematic. Alternatives to standard in-patient wards exist, but little is known about their effectiveness, implementation and sustainability. This paper explores successful features and limitations of five residential alternative services in England and factors that facilitate or impede their initial and sustained implementati...
متن کاملThe Nottingham Acute Bed Study: alternatives to acute psychiatric care.
BACKGROUND Although modern psychiatric services seek alternatives to hospitalisation wherever appropriate, the national trend toward higher bed occupancies on acute psychiatric wards has refocused attention on community-based alternatives and methods of assessing reed for acute care. METHOD We surveyed key decision makers in a community-oriented district service with a low acute psychiatric b...
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