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Related Experiment Videos

Hospital downsizing and patients' assaults on staff

R B Flannery1, M A Hanson, W E Penk

  • 1Department of Psychiatry, Cambridge Hospital, MA 02139, USA.

The Psychiatric Quarterly
|April 1, 1997
PubMed
Summary

This study examined assaults during state mental hospital downsizing. Unlike previous findings, this case study observed a 63% decrease in staff assaults as hospital capacity reduced.

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Area of Science:

  • Mental Health Services Research
  • Hospital Administration
  • Forensic Psychiatry

Background:

  • State mental hospital downsizing is a growing trend nationwide.
  • Limited research exists on the clinical impacts of such closures.
  • A prior case study reported increased staff assaults during downsizing.

Purpose of the Study:

  • To present a second case study on the clinical impacts of state mental hospital downsizing and closure.
  • To investigate the relationship between hospital census reduction and staff assaults.
  • To explore explanations for differing outcomes in hospital downsizing scenarios.

Main Methods:

  • Retrospective case study analysis.
  • Examination of assault frequency data during a period of hospital downsizing.

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  • Comparison with a previous case study on hospital downsizing.
  • Main Results:

    • A 63% decrease in the frequency of assaults on staff was observed during hospital downsizing.
    • This outcome contrasts with a previously reported four-fold increase in assaults.
    • Potential explanations for the divergent results were considered.

    Conclusions:

    • Hospital downsizing and closure can lead to reduced staff assaults, contrary to some prior findings.
    • Factors influencing assault rates during downsizing require further investigation.
    • General guidelines for managing state hospital downsizing and closure are proposed.