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"New chronic" patients.

T H Bewley, M Bland, D Mechen

    British Medical Journal (Clinical Research Ed.)
    |October 31, 1981
    PubMed
    Summary
    This summary is machine-generated.

    A five-year mental hospital study reveals high patient mortality and discharge rates. Many new chronic patients require long-term care, challenging current mental health service plans.

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    Area of Science:

    • Psychiatry
    • Mental Health Services Research

    Background:

    • Long-term patient outcomes in mental hospitals are crucial for service planning.
    • Understanding the characteristics of
    • new chronic
    • patients is essential for effective resource allocation.

    Purpose of the Study:

    • To analyze patient flow and outcomes over a five-year period in a mental hospital.
    • To characterize the demographic and care needs of newly admitted chronic psychiatric patients.

    Main Methods:

    • A five-year retrospective follow-up study of 1467 mental hospital patients.
    • Analysis of admission, discharge, mortality, and readmission data for patients under 65.

    Main Results:

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  • Out of 1467 patients, 501 died, 449 were discharged, and 517 remained resident over five years.
  • 81 "new chronic" patients under 65 were admitted; many were readmissions or had prior psychiatric hospitalizations.
  • One-third of new chronic patients required permanent care, often representing older chronic patients with prior community care intervals.

    • Conclusions:

    • The study findings challenge the feasibility of current mental health service plans, particularly those from the DHSS.
    • High rates of mortality, discharge, and the persistent need for long-term care among chronic patients indicate significant challenges for mental healthcare systems.