Alternatives to standard acute in-patient care in England: roles and populations served.

Alternatives to standard acute in-patient care in England: roles

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...

Patient Choice Has Become the Standard Practice in Healthcare Provision: It is Time to Extend its Meaning; Comment on “Is Patient Choice the Future of Health Care Systems?”

The key argument of this commentary is that patient choice has a broader meaning than suggested by consumerist choice models. In increasingly marketized health care systems with diversified and knowledge-based service arrangements, patients are continuously obliged to choose insurers, physicians or hospitals and treatments—whether they like it or not. However, health care users refer to a wide ...

Implementing 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...

Residential alternatives to acute psychiatric hospital admission: systematic review.

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 ...