Hostname: page-component-76fb5796d-x4r87 Total loading time: 0 Render date: 2024-04-26T20:06:52.997Z Has data issue: false hasContentIssue false

Review of twenty-four-hour nursed care

Published online by Cambridge University Press:  02 January 2018

Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Twenty-four-hour nursed care refers to a model of psychiatric care which in fact varies quite significantly from unit to another. This sort of residential care unit has also been called the “hospital hostel” (Goldberg et al, 1985), “ward in a house” (Wykes & Wing, 1982), “psychiatric nursing home” and in some cases “staffed group home”. Although the unit size, staffing structures and ratios, and the degree of direct management within the National Health Service (NHS) vary, this model of care has some quite specific characteristics, which have been summarised by Shepherd et al (1994) as follows:

Type
Research Article
Copyright
Copyright © The Royal College of Psychiatrists 1999 

References

Abrahamson, D., Leitner, N. & Sasan, S. (1995) Readmissions from registered care homes. Psychiatric Bulletin, 19, 734736.Google Scholar
Allen, C. I., Gillespie, C. R. & Hall, J. N. (1989) A comparison of practices, attitudes and interactions in two established units for people with a psychiatric disability. Psychological Medicine, 19, 459467.Google Scholar
Allen, H., Baigent, B., Kent, A. et al (1993) Rehabilitation and staffing levels in a “new look” hospital-hostel. Psychological Medicine, 23, 203211.Google Scholar
Anstee, B. H. (1985) An alternative form of community care for the mentally ill: Supported lodgings scheme…a personal view. Health Trends, 17, 3940.Google Scholar
Cournos, F. (1987) The impact of environmental factor on outcome in residential programmes. Hospital and Community Psychiatry, 38, 848852.Google Scholar
Creighton, F. J., Hyde, C. E. & Farragher, B. (1991) Douglas House. Seven years' experience of a community hostel ward. British Journal of Psychiatry, 159, 500504.Google Scholar
Department of Health (1991) Residential Needs for Severely Disabled Psychiatric Patients: The Case for Hospital Hostels. London: Department of Health.Google Scholar
Department of Health (1996) The Spectrum of Local Health Services for People with Mental Health Problems. London: Department of Health.Google Scholar
Garety, P. A., Afele, H. K. & Issacs, D. A. (1988) A hostel ward for new long stay psychiatric patients; the career of the first 10 years – residents. Psychiatric Bulletin, 12, 183186.CrossRefGoogle Scholar
Gibbons, J. S. & Butler, J. P. (1987) Quality of life for “new” long-stay psychiatric in-patients. The effect of moving to a hostel. British Journal of Psychiatry, 151, 347354.Google Scholar
Gibbons, J. S. (1986) Care of “new” long stay patients in a District General Psychiatric Unit. Acta Psychiatrica Scandinavica, 73, 582588.Google Scholar
Goldberg, D. P., Bridges, K., Cooper, W. et al (1985) Douglas House: A new type of hostel ward for chronic psychotic patients. British Journal of Psychiatry, 147, 383388.CrossRefGoogle Scholar
Hawthorne, W. B., Fals-Stewart, W. & Cohr, J. B. (1994) A treatment outcome study of community-based residential care. Hospital and Community Psychiatry, 45, 152155.Google Scholar
Hofmeister, J. F., Weiler, V. E. & Ackerson, L. M. (1989) Treatment outcome in a private sector residential care programme. Hospital and Community Psychiatry, 40, 927932.Google Scholar
Holloway, F. (1997) 24-hour nursed care for people with severe and enduring mental illness. Psychiatric Bulletin, 21, 195196.Google Scholar
Hyde, C., Bridges, K., Goldberg, D. et al (1987) The evaluation of a hostel ward: A controlled study using modified cost-benefit analysis. British Journal of Psychiatry, 151, 805812.Google Scholar
Kaye, N. & Khoosal, D. I. (1994) A ward in a street. Psychiatric Bulletin, 18, 271273.Google Scholar
Knapp, M., Chisholm, D., Astin, J. et al (1990) The cost consequences of changing the hospital-community balance: The mental health residential care study. Psychological Medicine, 27, 681692.Google Scholar
Lelliott, P. (1996) Meeting the accommodation needs of the most severely mentally ill. Journal of Interprofessional Care, 10, 241247.Google Scholar
Mann, S. & Cree, W. (1976) New long stay patients: A national survey of 15 mental hospitals in England and Wales 1972/3. Psychological Medicine, 6, 603616.Google Scholar
McConnell, P. (1995) Hospital to hostel: What benefit? Psychiatric Bulletin, 19, 148150.Google Scholar
National Health Service Executive (1996a) 24-hour nursed care for people with severe and enduring mental illness. Leeds: NHS Executive.Google Scholar
National Health Service Executive (1996b) Priorities and Planning Guidance for the NHS: 1997/8. Leeds: NHS Executive.Google Scholar
Reid, Y. & Garety, P. (1996) A hostel-ward for new long-stay patients: Sixteen years' progress. Journal of Mental Health, 5, 7789.Google Scholar
Robson, C. E. (1993) The Vron – a short-stay rehabilitation hostel. Psychiatric Bulletin, 17, 212214.CrossRefGoogle Scholar
Robson, C. E. (1995) Assessment of dependency level and community placement for the long term mentally ill. Psychiatric Bulletin, 19, 467469.Google Scholar
Shepherd, G. (1995) The “ward-in-a-house”: Residential care for the severely disabled. Community Mental Health Journal, 31, 5369.Google Scholar
Shepherd, G. (1998) Social functioning and challenging behaviour. In Handbook of Social Functioning in Schizophrenia (eds Maeser, K. T. & Tarrier, N.) pp. 407423. Hemel Hempstead: Allyn & Bacon.Google Scholar
Shepherd, G., King, C. & Fowler, D. (1994) Outcome in hospital hostels. Psychiatric Bulletin, 18, 609612.Google Scholar
Shepherd, G., Muijen, M., Dean, R. et al (1995) Inside Residential Care. The Realities of Hospital Versus Community Settings. London: Sainsbury Centre for Mental Health.Google Scholar
Shepherd, G., Muijen, M., Dean, R. et al (1996) Residential care in hospital and in the community – quality of care and quality of life. British Journal of Psychiatry, 168, 448456.Google Scholar
Shepperd, R. (1993) Readmission of long stay psychiatric patients to the acute services from hostels in the community. Psychiatric Bulletin, 17, 524525.Google Scholar
Simpson, S. & Middleton, N. (1994) Fast stream psychiatric rehabilitation after recent hospital closure. Psychiatric Bulletin, 18, 613614.Google Scholar
Wing, J. K. (1971) How many psychiatric beds? Psychological Medicine, 1, 188190.Google Scholar
Wykes, T. (1982) A hostel ward for “new” long stay patients: An evaluative study of a “ward in a house”. Psychological Medicine Monographs Supplement 2, Cambridge: Cambridge University Press.Google Scholar
Wykes, T. & Wing, J. K. (1982) A ward in a house: accommodation for “new” long-stay patients. Acta Psychiatrica Scandinavica, 65, 315330.CrossRefGoogle Scholar
Submit a response

eLetters

No eLetters have been published for this article.