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Nottingham and the Hospital Plan: a Follow-up Study of Long-Stay In-patients

Published online by Cambridge University Press:  29 January 2018

John Howat*
Affiliation:
Department of Psychiatry, University of Nottingham, Mapperley Hospital, Nottingham NG3 6AA

Summary

The post-war development of psychiatric services in Nottingham, with their reduction in the number of beds and marked increase in in-patient turnover and day patient and out-patient attendances, represents a close approximation to the proposals of the 1962 Hospital Plan. These changes were achieved by redeployment of existing resources.

A fifteen-year attrition study of 1960 long-stay in-patients shows a high rate of discharge, especially for males.

The reasons for these findings and some implications are discussed.

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Baldwin, J. A. & Hall, D. J. (1967) Estimation of the outcome of a standing mental hospital population. British Journal of Preventive and Social Medicine, 21, 5665.Google Scholar
Brooke, E. M. (1967) A Census of Patients in Psychiatric Beds 1963. H.M.S.O. Google Scholar
Brown, G. W., Carstairs, G. M., Topping, G. (1958) Post-hospital adjustment of chronic mental patients. Lancet, ii, 685–9.Google Scholar
Christie Brown, J. R. W., Ebringer, L., & Freedman, L. S. (1977) Survey of a long-stay psychiatric population. Psychological Medicine, 7, 113–26.Google Scholar
Cross, K. W. & Yates, J. (1961) Follow-up study of admissions to mental hospitals. Lancet i, 989–91.Google Scholar
D.H.S.S. (1971) The Nottingham Psychiatric Case Register: Findings 1962–1969.Google Scholar
D.H.S.S. (1972) The Facilities and Services of Psychiatric Hospitals in England and Wales 1970. HMSO.Google Scholar
Gore, G. P. & Jones, K. (1961) Survey of a long-stay mental hospital population. Lancet, ii, 544–6.Google Scholar
Gore, G. P., Jones, K., Taylor, W. & Ward, B. (1964) A regional census of psychiatric hospital patients. Lancet, ii, 457–60.Google Scholar
Hailey, A. M. (1971) Long-stay psychiatric in-patients: a study based on the Camberwell Register. Psychological Medicine, 1, 128–42.Google Scholar
Hailey, A. M. (1973) The chronic mental hospital population; a six-year follow-up study. British Journal of Preventive and Social Medicine, 27, 255–60.Google ScholarPubMed
Hailey, A. M., Wing, L. & Wing, J. K. (1970) Camberwell Psychiatric Case Register. Soçial Psychiatry, 5, 195202.Google Scholar
Hassall., C., Spencer, A. M. & Cross, K. W. (1965) Some changes in the composition of a mental hospital population. British Journal of Psychiatry, 111, 420–8.Google Scholar
Lamb, H. R. Goertzel, V. (1972) The demise of the State Hospital—a premature obituary. Archives of General Psychiatry, 26, 489–95.Google Scholar
Lindsay, J. S. B. (1962) Trends in mental hospital population and their effect on planning. Lancet, ii, 1354–5.Google Scholar
Macmillan, D. (1956) An integral mental-health service. Lancet ii, 1094–5.Google Scholar
Macmillan, D. (1958a) Community treatment of mental illness. Lancet, ii, 201–4.Google Scholar
Macmillan, D. (1958b) Mental health services of Nottingham. International Journal of Social Psychiatry, 4, 59.Google Scholar
Macmillan, D. (1963) Recent developments in community mental health. Lancet, i, 567–71.Google Scholar
Measey, L. G. & Smith, H. (1973) Patterns of new chronicity in a mental hospital. British Journal of Psychiatry, 123, 349–51.Google Scholar
Ministry of Health (1962) A Hospital Plan for England and Wales. HMSO. MCND. 1604.Google Scholar
Rehin, G. F. and Martin, F. M. (1963) Psychiatric Services in 1975. P.E.P. Planning 29, No. 468.Google Scholar
Tooth, G. C. & Brooke, E. M. (1961) Trends in the mental hospital population and their effect on future planning. Lancet, i, 710–3.Google Scholar
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia. Cambridge U.P., London.Google Scholar
Wing, J. K. & Hailey, A. M. (1972) Evaluating a Community Psychiatric Service. O.U.P., London.Google Scholar
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