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Psychiatric bed utilization: 1896 and 1996 compared.

D Healy1, M Savage, P Michael

  • 1North Wales Department of Psychological Medicine, University of Wales College of Medicine and School of Sociology and Social Policy, Bangor.

Psychological Medicine
|July 19, 2001
PubMed
Summary
This summary is machine-generated.

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Psychiatric admissions significantly increased over a century, with modern services admitting personality-disordered patients not seen in historical records. This reflects changes in healthcare and mental health expectations.

Area of Science:

  • Psychiatry
  • Mental Health Services Research
  • Historical Epidemiology

Background:

  • Compares psychiatric service utilization in North West Wales between 1896 and 1996.
  • Utilizes similar population demographics (number, ethnicity, social mix, rurality) for accurate comparison.

Purpose of the Study:

  • To investigate the comparative incidence and prevalence of psychiatric service utilization over a 100-year period.
  • To analyze changes in psychiatric admission rates and diagnoses between the late 19th century and the late 20th century.

Main Methods:

  • Retrospective analysis of psychiatric admission records from North-West Wales for 1894-1896 and 1996.
  • Diagnosis and assessment of patients by responsible sector area consultants.

Main Results:

Related Experiment Videos

  • Substantially higher patient admissions for all diagnoses in 1996 compared to 1896.
  • Increased hospitalization incidence for schizophrenia and non-affective disorder psychoses in 1996.
  • Introduction of personality disorder admissions in modern mental health services, with none recorded historically.

Conclusions:

  • Changing healthcare practices and evolving societal expectations contribute to increased modern psychiatric admission rates.
  • Specific factors within mental health services have influenced the observed rise in admissions.