'Not waving but drowning': psychiatric inpatient services in East Lambeth 1990.
This paper presents the results of the latest in a series of surveys of an inner-city public psychiatric inpatient service. Severe pressures on the service had led to the purchase of inpatient beds in the private hospital sector and intensive care facilities in a large psychiatric hospital. On a census day the nominal occupancy for the inpatient unit was 117%. Implications of the survey, trends over time and possible solutions to the difficulties of the inpatient unit are discussed.
Holloway
F
F
St. Giles Day Hospital, London, UK.
Silverman
M
M
Wainwright
T
T
D000293:Adolescent; D000328:Adult; D000368:Aged; D003156:Community Mental Health Services / Q000706:statistics & numerical data; D003430:Cross-Sectional Studies; D003704:Dementia / Q000453:epidemiology / Q000534:rehabilitation; D004739:England / Q000453:epidemiology; D005260:Female; D006742:Hospital Bed Capacity / Q000706:statistics & numerical data*; D006760:Hospitalization / Q000639:trends*; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D007902:Length of Stay / Q000706:statistics & numerical data; D008134:Long-Term Care / Q000706:statistics & numerical data; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000534:rehabilitation; D008875:Middle Aged