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Community ward rounds (T. Burns (1990) Health Trends, 22, 62–63)

Published online by Cambridge University Press:  02 January 2018

Ian Pullen
Affiliation:
Royal Edinburgh Hospital, Edinburgh EH10 5HF
Simon Shepherd
Affiliation:
Department of General Practice, King's College Hospital, London
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It is interesting to observe just how much (or little) psychiatric services adapt to changing circumstances. The progressive move to community care, with the resettlement of seriously ill patients outside hospital and the avoidance of admission for many acutely ill patients, has shifted the focus of the psychiatric team away from its traditional institutional base – or rather the focus should have shifted. Yet it is probable that many psychiatrists, while paying lip service to the needs of patients in the community, have not altered their weekly routine. Hospitals, and the security they represent, retain their magnetic attraction for many staff. But with the growing number of out-patients and chronically disabled patients being supported by team members outside hospital, how should the multidisciplinary team respond?

Type
Expert Opinion
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Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists, 1991

References

Reference

Pullen, I. (1987) Outpatient psychiatry in South West Edinburgh. In Creating Community Mental Health Services in Scotland vol. 2. Edinburgh: Scottish Association for Mental Health.Google Scholar

Reference

Shepherd, M. (1989) Primary care of patients with mental disorder in the community. British Medical Journal, 299, 666669.Google Scholar
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