Abstract:
BACKGROUND:Rehabilitation services have received little attention in the literature compared with other types of mental health service provision over the past 15 years. However, they are an important component of whole-system functioning in mental health services. Lack of provision has a particular impact on acute in-patient services. Poor pathway management can result in delayed discharges, placement of service users far from home, and resultant loss of resource for the local mental health economy. METHODS:A cross-sectional study gathered demographic, clinical, service utilisation, and financial data on 100 participants from out of area, rehabilitation and acute mental health units. Financial data was provided by the Health Board. Other data were gathered by two clinicians from case records and staff interviews. FINDINGS:26.0 % of people were inappropriately placed, with frequent overprovision of support. It was calculated that within an annual budget of £12.7 M, £2.5 M (19.7 % of the total expenditure on this patient group) could be saved if all placements were appropriate. INTERPRETATION:There were differences between the three cohorts. Those placed out of area had the most complex needs, although those in rehabilitation placements were similar. Most participants had been in contact with services for more than 5 years. A system better matched to their needs would benefit these patients and would also generate financial savings for reinvestment in the mental health economy.
journal_name
Soc Psychiatry Psychiatr Epidemioljournal_title
Social psychiatry and psychiatric epidemiologyauthors
Ryan T,Carden J,Higgo R,Poole R,Robinson CAdoi
10.1007/s00127-016-1213-8subject
Has Abstractpub_date
2016-09-01 00:00:00pages
1285-91issue
9eissn
0933-7954issn
1433-9285pii
10.1007/s00127-016-1213-8journal_volume
51pub_type
杂志文章abstract:INTRODUCTION:It had been suggested that those more knowledgeable about mental illness are less likely to endorse negative or stigmatizing attitudes. This study aimed to evaluate the attitude of doctors in Nigeria towards the mentally ill. METHODS:Medical doctors (n = 312) from eight selected health institutions in Nig...
journal_title:Social psychiatry and psychiatric epidemiology
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更新日期:2007-11-01 00:00:00
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journal_title:Social psychiatry and psychiatric epidemiology
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journal_title:Social psychiatry and psychiatric epidemiology
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更新日期:2009-06-01 00:00:00
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journal_title:Social psychiatry and psychiatric epidemiology
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pub_type: 杂志文章,随机对照试验
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更新日期:2014-04-01 00:00:00
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更新日期:2009-03-01 00:00:00
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journal_title:Social psychiatry and psychiatric epidemiology
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更新日期:2004-12-01 00:00:00
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journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
doi:10.1007/s00127-009-0160-z
更新日期:2010-12-01 00:00:00
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journal_title:Social psychiatry and psychiatric epidemiology
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更新日期:2017-12-01 00:00:00
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journal_title:Social psychiatry and psychiatric epidemiology
pub_type: 杂志文章
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更新日期:2015-10-01 00:00:00
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journal_title:Social psychiatry and psychiatric epidemiology
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更新日期:2015-01-01 00:00:00