Adult mental health provision in England : a national survey of acute day units
| Autor: | Nicola Morant, Scott Weich, David Osborn, Alastair Canaway, Vanessa Pinfold, Jason Madan, Thomas Steare, James B. Kirkbride, Sonia Johnson, Louise Marston, Michael Davidson, Danielle Lamb, Samira Heinkel, Brynmor Lloyd-Evans |
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| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
Adult
Mental Health Services Acute day unit Psychological intervention Voluntary sector Peer support State Medicine Health administration Type of service 03 medical and health sciences 0302 clinical medicine Nursing Cluster Analysis Humans Medicine 030212 general & internal medicine Survey health care economics and organizations Service (business) Psychiatry business.industry Mental Disorders Health Policy Nursing research lcsh:Public aspects of medicine lcsh:RA1-1270 Mental health 030227 psychiatry Cross-Sectional Studies England Health Care Surveys Acute Disease Health Services Research business Hospital Units Day Care Medical Research Article Alternative to admission |
| Zdroj: | BMC Health Services Research BMC Health Services Research, Vol 19, Iss 1, Pp 1-11 (2019) |
| Popis: | Background Acute Day Units (ADUs) exist in some English NHS Trusts as an alternative to psychiatric inpatient admission. However, there is a lack of information about the number, configuration, and functioning of such units, and about the extent to which additional units might reduce admissions. This cross-sectional survey and cluster analysis of ADUs aimed to identify, categorise, and describe Acute Day Units (ADUs) in England. Methods English NHS Mental Health Trusts with ADUs were identified in a mapping exercise, and a questionnaire was distributed to ADU managers. Cluster analysis was used to identify distinct models of service, and descriptive statistics are given to summarise the results of the survey questions. Results Two types of service were identified by the cluster analysis: NHS (n = 27; and voluntary sector services (n = 18). Under a third of NHS Trusts have access to ADUs. NHS services typically have multi-disciplinary staff teams, operate during office hours, offer a range of interventions (medication, physical checks, psychological interventions, group sessions, peer support), and had a median treatment period of 30 days. Voluntary sector services had mostly non-clinically qualified staff, and typically offered supportive listening on a one-off, drop-in basis. Nearly all services aim to prevent or reduce inpatient admissions. Voluntary sector services had more involvement by service users and carers in management and running of the service than NHS services. Conclusions The majority of NHS Trusts do not provide ADUs, despite their potential to reduce inpatient admissions. Further research of ADUs is required to establish their effectiveness and acceptability to service users, carers, and staff. |
| Databáze: | OpenAIRE |
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