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New long-stay patients — two years later

  • Miriam Gannon, David Meagher (a1) and Liam Watters (a2)


Objectives: The aims of this study were to review the outcome of those long-stay patients two years after identification and to compare those discharged with those remaining in hospital in order to identify factors which might contribute to their continuing stay.

Methods: All the new long-stay patients who were more than one year and less than six years on 1st March 1992 were included in the study. Their current placement. Legal status and demographic and clinical details were recorded. Findings: Sixtynine percent of the original cohort remained in hospital, 9% had died, and 22 % had been discharged, mainly to highly staffed accommodation. Approximately half of those remaining in hospital were considered suitable for community placement. Those remaining in hospital were older, had longer durations of illness and were more likely to be dangerous than those discharged.

Conclusions: Despite continuing developments in community services a considerable number of new long-stay patients still remain in hospital and the proportion of those compulsorily detained remains unchanged.


Corresponding author

Mater Hospital, Eccles St, Dublin 7, Ireland.


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1.Magnus, RV. ‘The new chronics”. Br J Psychiatry 1967; 113: 555–6.
2.Wing, JK. Long term community care: experience in a London borough Psychol Med 1982: Monograph Supplement 2.
3.Lelliot, P, Wing, J. A national audit of new long-stay psychiatric patients. II: Impact on services. Br J Psychiatry 1994; 165: 170–8.
4.Walsh, D, Butler, S, Sarks, S. The St Loman's psychiatric service: an exercise in parsimony. Ir J Psychiatry 1990; xx: 511.
5.Mann, SA, Cree, W. ‘New’ long-stay psychiatric patients; a national sample survey of 15 mental hospitals in England and Wales 1972/73. Psychol Med 1976; 6: 603–16.
6.Lelliott, P, Wing, J, Clifford, P. A national audit of new long-stay psychiatric patients 1: methods and description of the cohort. Br J Psychiatry 1994; 165: 160–9.
7.Clifford, P, Charman, A, Webb, Y, Best, S. Planning for community care. Long-stay populations of hospitals scheduled for run-down or closure. Br J Psychiatry 1991; 158: 190–6.
8.McCreadie, RG, Wilson, O, Burton, LL. The Scottish survey of ‘new chronic’ inpatients. Br J Psychiatry 1983; 143: 564–71.
9.Gannon, MA, Meagher, D, Johnson, J, Mirza, H, Farren, C. A survey of new long-stay patients in an Irish health board area. Psychiatric Services 1995; 46(4): 394–8.
10.Clifford, P. The Community Placement Questionnaire. London: Research and Development for Psychiatry. TR House, 134138 Borough High Street, London SE1 1LB.
11.Mc Creadie, RG, Robinson, ADT, Wilson, OA. The Scottish survey of new chronic inpatients: Two year follow up. Br J Psychiatry 1985; 147: 637–40.
12.Keogh, F, Walsh, D. A national audit of new long-stay patients. Ir J Psychiatry 1994; 11: 712.
13.Carey, TG, Owens, JM, Home, P. An analysis of a new long-stay population: the need for mental hospitals. Ir Journal of Psychol Med 1993; 10(2): 80–5.
14.Conning, AM, Brownlow, J. Determining suitability of placement for long-stay psychiatric inpatients. Hosp and Comm Psychiatr 1992; 43(7): 709–12.


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