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  • Title: Integrated hospital and community psychiatric services and use of inpatient beds.
    Author: Tyrer P, Turner R, Johnson AL.
    Journal: BMJ; 1989 Jul 29; 299(6694):298-300. PubMed ID: 2504408.
    Abstract:
    The impact of introducing a divisional psychiatric service based in the community in Nottingham in 1981 on adult psychiatric admissions (patients aged 15-65) was examined with data from the Nottingham case register. During 1980-5 the number of psychiatric admissions fell significantly (4.5% a year) compared with the national figures (0.46% a year). Admissions were reduced most for the diagnoses of affective psychosis and neurotic and personality disorders. The average duration of admission fell by 3.6% a year, and use of inpatient beds fell by 37.5%. Integrating hospital and community psychiatric services by creating sectors is a viable and economically feasible way of improving psychiatric services.
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