Aims and method To describe the clinical and demographic characteristics of all in-patients experiencing delayed discharge over 3 months in an English urban mental health National Health Service trust. We carried out a cross-sectional case record study with care coordinator questionnaire. Results Overall, 67 in-patients with delayed discharge occupied 18.6% of acute beds. Older in-patients were White, diagnosed with dementia and experienced relatively short admissions. Younger in-patients were often of Black and minority ethnic background with a psychotic diagnosis and long service contact, and sometimes experienced very long admissions. They were similar to a long-stay comparison group. The whole cohort was socially isolated and marginalised, and frequently misused alcohol. Clinical implications People with complex mental health problems can experience long stays in acute care settings. This particularly affects people with psychosis who are isolated in the community. Alcohol misuse is the most common complicating factor. There are insufficient community-oriented rehabilitation services to meet these patients� diverse needs.
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机译:目的和方法描述英国城市心理健康国家卫生服务基金会(National Health Service Trust)中三个月内出院延迟的所有住院患者的临床和人口统计学特征。我们使用护理协调员问卷进行了横断面病例记录研究。结果总体上,67例延迟出院的住院病人占急性病床的18.6%。住院年龄较大的是白人,被诊断出患有痴呆症,住院时间相对较短。年轻的住院病人通常是黑人和少数民族,有精神病诊断和长期服务接触,有时住院时间很长。他们类似于长期比较组。整个队列被社会孤立和边缘化,经常滥用酒精。临床意义患有复杂精神健康问题的人可能会在急性护理环境中长期待命。这尤其影响到社区中孤立的精神病患者。滥用酒精是最常见的复杂因素。没有足够的面向社区的康复服务来满足这些患者的多样化需求。
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机译:Litchfield心理咨询模型以哲学为基础,将精神健康服务应用程序Lift Up UP,旨在提供简单,实用的建议,以帮助个人和员工应对日常的精神健康挑战,并将用户与现有的精神健康专业人员联系起来。 Lift me UP将使用先进的技术来:•协助患者评估过程•监控和支持日常工作•将用户推荐给可用的心理健康专家•与市场上的任何产品相比,创造独特的定制体验。