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A comparison of NHS and private psychiatric intensive care units: Unit and patient characteristics

Published online by Cambridge University Press:  01 June 2009

Khadija Chaudhry  and
Stephen M Pereira
Khadija Chaudhry
Affiliation:
Research Psychologist, Pathways on Tagore Psychiatric Intensive Care Unit, North East London Mental Health Trust
Stephen M Pereira*
Affiliation:
Honorary Senior Lecturer in Psychiatry
*
Correspondence to: Dr Stephen M Pereira, Pathways on Tagore Psychiatric Intensive Care Unit, North East London Mental Health Trust, Barley Lane, Goodmayes, Essex IG3 8XJ. Tel: 0208 970 5833; Fax: 0208 970 5838; E-mail: Stephen.Pereira@nelmht.nhs.uk
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Abstract

Background: Both the National Health Service (NHS) and the private sector provide psychiatric intensive care. To date little is known about the differences between the two sectors regarding the unit functioning and characteristics of patients who are accommodated in psychiatric intensive care units (PICUs).

Aim: To compare the unit and patient characteristics of NHS and private PICUs.

Method: A cross sectional census day postal design was employed.

Results: A total of 170 PICUs (154 NHS, 16 private) were identified. NHS PICUs accommodated 1038 patients and the private PICUs housed 200 patients. Analysis of the data showed that some differences existed between the two sectors related to unit characteristics. Private units reported having higher number of beds, more nursing staff, more unit facilities and more out of area referrals than the NHS Units. Regarding the patient characteristics, private PICUs had significantly more patients with personality disorders and forensic history than the NHS PICUs. NHS patients had a shorter length of stay compared to those in the private sector. The demographic profiles of NHS and private PICU patients were similar. The majority of the patients were white, male, unemployed and single.

Conclusion: The NHS and the private sector PICUs share many characteristics in terms of unit functioning and patient characteristics, however, some significant differences between the two sectors have also emerged.

Keywords

Psychiatric intensive care unitsNational Health Serviceprivate sector
Type
Original Paper
Information
Journal of Psychiatric Intensive Care , Volume 5 , Issue 1 , June 2009 , pp. 5 - 13
Copyright
Copyright © NAPICU 2009

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