title: Closing of a psychiatric intensive care unit: a manifestation of lost values.
abstract: OBJECTIVE
  A psychiatric intensive care unit shown to be of value to patients and staff was closed within a year, ostensibly for economic reasons.
  
  
  OBJECTIVE
  To examine the usefulness of psychiatric intensive care units, and the importance of thinking through the ramifications of downsizing
  
  
  METHODS
  A case study of a psychiatric ICU in Northern Ontario, Canada and a review of the literature.
  
  
  CONCLUSIONS
  When downsizing is considered, a careful examination of values must take place, remembering patient care comes first.
authors.affiliation: School of Nursing, Laurentian University, Sudbury, Ontario, Canada.
authors.forename: P
authors.initials: P
authors.lastname: Montgomery
authors.forename: B
authors.initials: B
authors.lastname: Johnson
mesh_terms: D003363:Cost Control; D006271:Health Facility Closure; D006754:Hospital Restructuring; D006764:Hospitals, Community; D006778:Hospitals, Psychiatric; D006801:Humans; D007362:Intensive Care Units / Q000458:organization & administration*; D011568:Psychiatric Nursing