The run-down and closure of a psychiatric hospital

Effects on patients' behaviour
  • V. M. Francis
  • A. Smith


The run-down and closure of psychiatric hospitals can be stressful for both staff and patients. Interviews with approximately 50% of over 100 long-stay psychiatric patients during an 18 month period preceeding a hospital closure show them to be generally ill-informed as to reasons for closure and future plans for their care. However, repeat measures of behavioural functioning (CAPE and REHAB) during this running-down period show no significant changes in patients' behaviour.


Public Health Repeat Measure Psychiatric Hospital Psychiatric Patient Future Plan 
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  1. Abrahamson D, Brenner D (1982) Do long-stay psychiatric patients want to leave hospital? Health Trends 14: 95–97Google Scholar
  2. Abrahamson D, Swatton J, Wills W (1989) Do long stay patients want to leave hospital? Health Trends 21: 17–19Google Scholar
  3. Baker R, Hall JN (1983) Users Manual for Rehabilitation Evaluation. Vine, ScotlandGoogle Scholar
  4. Carson J, Coupar A, Gill J, Titman P (1988) The Inter-rater reliability of Hall and Bakers' REHAB Scale: a cross-validation study. Br J Clin Psychol 27: 277–278Google Scholar
  5. Dencker K (1989) The closure of a major psychiatric hospital, reactions of the psychogeriatric nursing staff. Soc Psychiatry Psychiatr Epidemiol 24: 156–164Google Scholar
  6. Hicks C (1980) Occupational hazzards. Nurs Times 3: 570–580Google Scholar
  7. Jones K (1988) Experience in mental health, community care and social policy, Sage, LondonGoogle Scholar
  8. Management Rounds (1982) Grass roots marketing campaign halts HSA's attempt to close community hospital. Hospitals 16: 45–47Google Scholar
  9. Pattie AH, Gilleard CJ (1979) Clifton Assessment Procedures. Chigwell, EssexGoogle Scholar
  10. Powell JE (1961) Speech by the Minister of Health, the Rt, Hon. Enoch Powell, quoted in: Jones K. Experience in mental health, community care and social policy. Sage, LondonGoogle Scholar
  11. Shugar G, Smith IJ, Katz G, Zilbert DE (1986) Moving experiences: a model for inpatient transfer based on interviews with patients and their families. Hosp Community Psychiatry 37: 1035–1040Google Scholar
  12. Thornicroft G, Bebbington PE (1989) Deinstitutionalisation—from hospital closure to service development. Br J Psychiatry 155: 739–753Google Scholar
  13. Wing JK, Brown GW (1970) Institutionalisation and schizophrenia: a comparative study of three mental hospitals 1960–68. Cambridge, Cambridge University PressGoogle Scholar

Copyright information

© Springer-Verlag 1991

Authors and Affiliations

  • V. M. Francis
    • 1
  • A. Smith
    • 2
  1. 1.Central Nottinghamshire Health AuthorityRansom HospitalNr. MansfieldUK
  2. 2.Northern Regional Health Authority Newcastle-Upon-TyneNr. MansfieldUK

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