Developments in the care of 'new' long-stay inpatients in the United Kingdom--implications for Japanese psychiatry.
The English "ward-in-a-house" for new long-stay patients (NLS) is described. NLS are usually defined as (a) aged between 18 and 65, (b) continuously in hospital for between 1 and 5 years, and (c) individuals for whom it has not been possible to find alternative accommodation outside hospital, despite repeated attempts to do so. The "ward-in-a-house" combines the best features of high quality hospital care with the best features of community-based residential units. The "Koike-dormitory" which was set up more than 20 years ago in Maebashi city had many of the characteristics of the English "ward-in-a-house" and this is also described. The possibility of developing a "ward-in-a-house" in Japan is then discussed.
Department of Neuropsychiatry, Gunma University Hospital, Maebashi.
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Iseda
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Kaneko
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Singh
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Shepherd
D000293:Adolescent; D000328:Adult; D000368:Aged; D003156:Community Mental Health Services / Q000458:organization & administration*; D006208:Halfway Houses / Q000458:organization & administration*; D006778:Hospitals, Psychiatric / Q000458:organization & administration*; D006801:Humans; D015274:Interdepartmental Relations; D007564:Japan; D007902:Length of Stay; D008875:Middle Aged; D011383:Progressive Patient Care / Q000639:trends; D013997:Time Factors; D006113:United Kingdom