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Residential care homes for the mentally ill

Implications for a catchment area service

Shaftesbury Clinic, Springfield Hospital, 61 Genburnie Road, Tooting, London SW17 7DJ

K. Gupta, Consultant Psychiatrist and Honorary Senior Lecturer in Community Psychiatry

South London and Maudsley NHS Trust, 108 Landor Road, London SW9 9NT

AIMS AND METHOD

This study describes residents in seven care homes, reviews their usage of mental health services and evaluates cost implications of psychiatric health care provision.

RESULTS

The patients are predominantly male with multiple diagnoses who are receiving psychiatric health care, but in general lack structured rehabilitation services. Forty-seven per cent of the residents moved into the trust catchment area in order to occupy the placement. The cost associated with the provision of differing models of out-patients care varies considerably.

CLINICAL IMPLICATIONS

These vulnerable residents are costing the mental health service relatively little, although the total cost to society is higher. This study points to the necessity of multiagency planning for ‘new long-stay’ patients.

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