Preventing the admission of difficult psychiatric patients--a questionnaire survey.
By means of a postal survey of all consultant psychiatrists (n = 143) in the South East Thames Region, the authors examined factors associated with psychiatrists' decisions to impose restrictions on certain patients' access to admission. Twenty-two per cent of respondents reported the use of admission restrictions. Usage of this measure was associated with a local absence of psychotherapy services (OR 0.34; 95% CI 0.17-0.63) which might suggest that there is a need for more equal access to specialist psychiatric services across health districts.
Neeleman
J
J
Maudsley Hospital, Denmark Hill, London, England.
Watts
V
V
D001291:Attitude of Health Personnel; D003253:Consultants / Q000523:psychology; D004739:England; D005260:Female; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000600:supply & distribution; D008875:Middle Aged; D010343:Patient Admission / Q000706:statistics & numerical data*; D010554:Personality Disorders / Q000628:therapy*; D016079:Refusal to Treat / Q000706:statistics & numerical data*; D013222:State Medicine; D011795:Surveys and Questionnaires