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P-891 - Dedicated In-patient Team Reduced Psychiatric Hospital In-patient Population

Published online by Cambridge University Press:  15 April 2020

M. Sadlier
Affiliation:
Department of General Adult Psychiatry, St. Vincent's University Hospital/University College Dublin
D. Murray
Affiliation:
General Adult Psychiatry, Curam Clinic, Town Mall, Swords, Dublin, Ireland

Abstract

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Introduction

The majority of Irish Mental Health services are delievered in a sectored model. Recently there has been some debate in the literature regarding the advantages and disadvantages of alternative models of service provision including dedicated in-patient teams. Due to a number of local and national factors a dedicated in-patient mental health team was developed in one of the two admission units in St. Ita's Hospital in north county Dublin.

Objectives/aims

To study the operation of a dedicated in-patient psychiatric team in a stand alone psychiatric hospital.

Methodology

We reviewed routinely collected service data between January 2009 and June 2010, including admission/discharge data, adverse incidents and mental health act data, to determine the effects of the dedicated in-patient team.

Results

The dedicated inpatient team resulted in a 22% reduction in the in-patient population compared to the same time period prior to introduction (p < 0.001). No significant difference was found in the rates of adverse incidents however a reduction was seen in the number of mental health tribunals in the same period.

Conclusions

Our study shows that a dedicated in-patient consultant lead teams can result in a significant reduction in hosptial admissions. Putative causative factors include greater availability of senior decision makers; improved responsiveness of medical staff due to lack of travel time between sites; a more consistent therapeutic environment due to reduced number of medical staff attending the unit.

Type
Abstract
Copyright
Copyright © European Psychiatric Association 2012
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