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Individual patient—doctor contact in a mental hospital

Published online by Cambridge University Press:  09 July 2009

David Pitcher  and
Howard Sergeant
David Pitcher
Affiliation:
Friern Hospital, Department of Psychiatry, Royal Free Hospital, London
Howard Sergeant*
Affiliation:
Friern Hospital, Department of Psychiatry, Royal Free Hospital, London
*
1Address for correspondence: Dr Howard Sergeant, Friern Hospital, London N11 3BP.
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Synopsis

Patients admitted to Friern Hospital in 1972 stayed on average for about 5 weeks and spent a total of less than 2 hours individually with senior and junior doctors. Long-stay patients (1 year or more) saw their doctors for an average of less than 1 hour a year. These findings, which in the case of junior doctors were corroborated in 1974, refer only to the time doctors spent with patients alone. The admission, and long-stay discharge rates were greater in the Islington than in the Camden division, and probably reflect differences in clinical practice. It is argued that more psychiatrists are needed – precisely how many will depend on studies of the relative efficiency of different services and training programmes, and on agreement among psychiatrists about minimum professional standards.

Type
Research Article
Information
Psychological Medicine , Volume 8 , Issue 4 , November 1978 , pp. 705 - 710
Copyright
Copyright © Cambridge University Press 1978

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References

Blair, R. A., Weeks, K. F. & Hellon, C. P. (1964). Medical staffing in psychiatric hospitals. British Journal of Psychiatry 110, 556–560.CrossRefGoogle ScholarPubMed
Brook, P. (1973). Psychiatrist in Training. British Journal of Psychiatry Special Publication No. 7. Headley Bros.: Ashford.Google Scholar
Department of Health and Social Security (1967). National Health Service – Professional and Study Leave for Medical and Dental Staff in the Hospital Service. Circular HM (67) 27.Google Scholar
Department of Health and Social Security (1975). The Hospital Practioner Grade. Circular HSC (IS) 179.Google Scholar
Department of Health and Social Security (1976). Health and Personal Social Services Statistics for England 1975. HMSO: London.Google Scholar
Department of Health and Social Security (1977). In-patient Statistics from the Mental Health Enquiry for England 1974. Statistical and Research Report Series No. 17. HMSO: London.Google Scholar
Hunter, R. & Macalpine, I. (1974). Psychiatry for the Poor. 1851 Colney Hatch Asylum – Friern Hospital 1973. A Medical and Social History. Dawsons: London.Google Scholar
Kiernan, W. E. S., McCreadie, R. G. & Flanagan, W. L. (1976). Trainees' competence in psychiatric case writing. British Journal of Psychiatry 129, 167–177.CrossRefGoogle ScholarPubMed
Mann, H. B. & Whitney, D. R. (1947). On a test of whether one or two random variables is stochastically larger than the other. Annals of Mathematical Statistics 18, 50–60.CrossRefGoogle Scholar
Morgan, R. (1967). The work of a junior doctor in a psychiatric hospital. In New Aspects of the Mental Health Services (ed. Freeman, H. & Farndale, J.), pp. 527–547. Pergamon: Oxford.Google Scholar
Peto, R. & Peto, J. (1972). Asymptotically efficient rank invariant test procedures. Journal of the Royal Statistical Society A135 (2), 185–198.CrossRefGoogle Scholar
Russell, G. F. M. (1973). Will there be enough psychiatrists to run the psychiatric service based on district general hospitals? In Policy for Action. A Symposium on the Planning of a Comprehensive District Psychiatric Service (ed. Cawley, R. and McLachlan, G.), pp. 111–116. Oxford University Press: London.Google Scholar
Sergeant, H. (1976). Rehabilitation of psychiatric patients who stayed in hospital more than one year. Psychological Medicine 6, 493–504.CrossRefGoogle ScholarPubMed
Warren, M. D. (1971). Evaluation of services. In Management and the Health Services (ed. Gatherer, A. & Warren, M. D.), pp. 85–106. Pergamon: Oxford.Google Scholar