Abstract

In the Mersey Regional Health Authority it has been decided that closure of at least one large mental illness hospital will take place within some 10 years and may be complete by 1992. To facilitate this the region has provided funding for every long-stay patient who might be discharged to the care of voluntary organisations or Social Services Departments and joint assessments of patients have been undertaken by the Health Service and Social Services staff.

Highlights

  • In the Mersey Regional Health Authority it has been decided that closure of at least one large mental illness hospital will take place within some 10 years and may be complete by 1992.To facilitate this the region has provided funding for every long-stay patient who might be dis charged to the care of voluntary organisations or Social Services Departments and joint assessments of patients have been undertaken by the Health Service and Social Services staff

  • Liverpool District Health Authority, formerly two districts, serves a population of some 400,000 and the requirements of the region and its principal city have been examined, several categories of patients being identified by consultant psychiatrists in a questionnaire as unsuitable for long-term treatment in district general hospitals. They are those patients with chronic schizophrenic disorders resist ant to drug treatments, those with chronic brain syndrome and those with brain damage, those chronic patients with borderline mental handicap and psy chosis, those requiring physical nursing for disorders such as Huntington's Chorea, those requiring medium security and those with personality disorders requiring treatment in therapeutic communities

  • Assuming the new chronic schizophrenic patients would require some 65 beds, the chronic brain syndrome and brain-damaged patients some 25 beds, physical nursing some 15 beds, medium security some 10 beds, and person ality disorder, under the age of 22 years, some 15 beds and over the age of 22 years some 15beds, it seems that approxi mately 145 beds are required for Liverpool in wards or hostel wards in the community, under the care of psy chiatrists in order that adequate psychiatric nursing may be provided for these patients; direction and coordination of medical, psychological and social input will continue as at present

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Summary

Introduction

In the Mersey Regional Health Authority it has been decided that closure of at least one large mental illness hospital will take place within some 10 years and may be complete by 1992.To facilitate this the region has provided funding for every long-stay patient who might be dis charged to the care of voluntary organisations or Social Services Departments and joint assessments of patients have been undertaken by the Health Service and Social Services staff. Liverpool District Health Authority, formerly two districts, serves a population of some 400,000 and the requirements of the region and its principal city have been examined, several categories of patients being identified by consultant psychiatrists in a questionnaire as unsuitable for long-term treatment in district general hospitals.

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