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‘Sorry, no beds’: a problem for acute psychiatric admissions

Published online by Cambridge University Press:  02 January 2018

D. Hollander  and
M.S. Slater
D. Hollander
Affiliation:
Bloomsbury & Islington Health Authority, Whittington Hospital, Highgate Hill, London N19 5NF
M.S. Slater*
Affiliation:
The Royal London Hospital, Whitechapel Road, London E1 1BB
*
∗Correspondence
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Abstract

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Perceived difficulty in obtaining hospital admission for acute psychiatric patients was investigated in one health region using a self-reporting method. Over 17 months both inner city and rural districts reported a total of 327 episodes of difficulty in finding a bed. One hundred and six (32%) of reported cases could not be admitted, the remainder being admitted to a ‘leave’ bed, a bed booked for another patient, or elsewhere, solutions likely to compromise care. Attempts to locate a vacant bed required numerous telephone calls and led to considerable delays. Thirty-nine (12%) of the patients were described as particularly ill, but five of them absconded during the prolonged search for a bed, and a further 17 had to remain in the community, pending a vacant bed, including two aggressive and eight suicidal patients. Considerable under-reporting was confirmed. Possible consequences of the situation are discussed.

Type
Original papers
Information
Psychiatric Bulletin , Volume 18 , Issue 9 , September 1994 , pp. 532 - 534
Creative Commons
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, 1994

References

Dean, C. & Gadd, E. (1989) An inner city home treatment service for acute psychiatric patients. Psychiatric Bulletin, 13, 667–669.CrossRefGoogle Scholar
Hirsch, S. et al (1988) Psychiatric Beds and Resources: Factors Influencing Bed Use and Service Planning. Report of a Working Party of the Section for Social and Community Psychiatry of the Royal College of Psychiatrists. London: Gaskell (Royal College of Psychiatrists).Google Scholar
Hollander, D., Tobiansky, R. & Powell, R. (1990) Crisis in admission beds. British Medical Journal, 301, 664.CrossRefGoogle ScholarPubMed
Hoult, J. (1986) Community care of the acutely mentally ill. British Journal of Psychiatry, 140, 137–144.CrossRefGoogle Scholar
Patrick, M., Higgit, A., Holloway, F. & Silverman, M. (1989) Changes in an inner city psychiatric inpatient service following bed losses: a follow-up of the East Lambeth 1986 survey. Health Trends, 21, 121–123.Google Scholar
Stein, L.I. & Test, M.A. (1986) Alternatives to mental hospital treatment. I. Conceptual model, treatment program and clinical evaluation. Archives of General Psychiatry, 37, 392–397.CrossRefGoogle Scholar
Yates, J. (1982) Hospital Beds. London: Heinemann.Google Scholar
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