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Evaluation of moving an acute psychiatric ward from a psychiatric hospital to a general hospital setting

Robert Fergusson Unit, Royal Edinburgh Hospital, Morningside Place, Edinburgh EH10 5HF, formerly St John's Hospital, Livingston

Pauline McManus, Charge Nurse

St John's Hospital

John Higgon, formerly Psychology Assistant

Robert Fergusson Unit

^* Correspondence

This study evaluates the effects of moving an acute psychiatric ward from a psychiatric hospital to a district general hospital. A repeated measures design is used covering the three phases of shortly before and after the move and a follow-up 10 months after the move. Eleven measures were used including daily measures of patient disturbance and staff stress, length of stay, diagnosis and a consumer survey. Overall there was little change from before the move to follow-up. Two second-order variables relating to staff stress did, however, show a clear reduction.