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The Worcester Development Project.

R Turner1, G Roberts

  • 1University Hospital, Queen's Medical Centre, Nottingham.

The British Journal of Psychiatry : the Journal of Mental Science
|January 1, 1992
PubMed
Summary
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Community care led to mental hospital closures, including St Wulstan's and Powick Hospitals. A study compared patient outcomes after replacement with community services, suggesting "hospital replacement" is a better term than "hospital closure".

Area of Science:

  • Psychiatry
  • Health Services Research
  • Mental Health Policy

Background:

  • The Community Care policy initiated the closure of mental health facilities.
  • The Worcester Development Project (WDP) aimed to replace mental hospitals with community-based services.
  • St Wulstan's and Powick Hospitals were closed as part of the WDP.

Purpose of the Study:

  • To evaluate the outcomes of closing St Wulstan's and Powick Hospitals.
  • To compare the services provided by the closed hospitals with the new community-based model.
  • To assess the feasibility and effectiveness of replacing mental hospitals with community facilities.

Main Methods:

  • A three-year retrospective study conducted after hospital closures.
  • Analysis of patient destinations and service provision.

Related Experiment Videos

  • Comparison of data from St Wulstan's and Powick Hospitals.

    • Main Results:

    • Detailed patient destination data was collected and analyzed.
    • A comparison between the two closed hospitals was performed.
    • The study provides insights into the transition from hospital to community care.

    Conclusions:

    • The Worcester Development Project demonstrated a shift from institutional to community-based mental healthcare.
    • "Hospital replacement" may be a more accurate descriptor than "hospital closure" for these transitions.
    • The study offers valuable lessons for future mental health service restructuring.