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Survey of patients from an inner-London health authority in medium secure psychiatry care
- Authors:
- LELLIOTT Paul, AUDINI Bernard, DUFFETT Richard
- Journal article citation:
- British Journal of Psychiatry, 179, January 2001, pp.62-66.
- Publisher:
- Cambridge University Press
Under-provision by the National Health Service (NHS) has led to an increase in medium secure psychiatric beds managed by the independent sector. Black people are over-represented in medium secure care. This study describes those people from an inner-London health authority occupying all forms of medium secure provision, and compares those in NHS provision with those in the independent sector, and Black patients with White patients. The researchers concluded that the NHS meets only part of the need for medium secure care of the population of this London health authority. This comparison of the characteristics of Black and White patients does not help to explain why Black people are over-represented in medium secure settings.
The mental health residential care study: classification of facilities and description of residents
- Authors:
- LELLIOTT Paul, AUDINI Bernard, KNAPP Martin, CHISHOLM Daniel
- Journal article citation:
- British Journal of Psychiatry, 169, August 1996, pp.139-147.
- Publisher:
- Cambridge University Press
The NHS is no longer a virtual monopoly provider of mental health residential care. This makes it difficult to assess the volume, range and adequacy of provision. In this study facilities providing residential care in eight districts were compared on levels of staffing, staff qualifications, and the characteristics of their residents. Results found that there was great variation between districts in the number of places available per unit of the population, especially in those with 24-hour waking cover. It is suggested that one consequence of the diversification in provision of mental health residential accommodation has been a relative reduction in the proportion of provision available to the most severely disabled, particularly those who pose a risk of acting violently.