Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-14T22:05:18.431Z Has data issue: false hasContentIssue false
  • English
  • Français

Are short term savings worth long term costs? Funding treatment for personality disorders

Published online by Cambridge University Press:  02 January 2018

D. Menzies ,
B. M. Dolan  and
K. Norton
D. Menzies
Affiliation:
Henderson Hospital, 2 Homeland Drive, Sutton, Surrey SM2 5LT and St George's Hospital Medical School, Section of Forensic Psychiatry, Tooting, London SW17 0RE
B. M. Dolan
Affiliation:
Henderson Hospital, 2 Homeland Drive, Sutton, Surrey SM2 5LT and St George's Hospital Medical School, Section of Forensic Psychiatry, Tooting, London SW17 0RE
K. Norton
Affiliation:
Henderson Hospital, 2 Homeland Drive, Sutton, Surrey SM2 5LT and St George's Hospital Medical School, Section of Forensic Psychiatry, Tooting, London SW17 0RE
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

The new system of funding introduced by the National Health Service reforms has led to an increased awareness of financial concerns within the NHS. This was indeed one of the main aims of the reforms, with the expectation that a more efficient and better quality service would result. This may be a realistic aim, as long as clinicians' freedom to make appropriate secondary and tertiary referrals do not become totally dependent upon financial considerations. Yet it has become clear from findings within our own unit, Henderson Hospital, that, in at least 42% of cases, requests for ECR funding for treatment were refused on a purely financial basis (Dolan & Norton, 1992).

Type
Original articles
Information
Psychiatric Bulletin , Volume 17 , Issue 9 , September 1993 , pp. 517 - 519
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © Royal College of Psychiatrists 1993

References

Copas, J. B., O'Brien, M., Roberts, J. & Whiteley, S. (1984) Treatment outcome in personality disorder: The effect of social, psychological and behavioural variables. Personality and Individual Differences, 5, 565–573.Google Scholar
Department of Health (1992) Tertiary Referrals. NHS Management Executive (EL(92)97) London.Google Scholar
Dolan, B. M. & Norton, K. (1991) The predicted impact of the NHS white paper upon the use and funding of a specialist psychiatric service for personality disordered patients. Psychiatric Bulletin, 15, 402–404.Google Scholar
Dolan, B. M. & Norton, K. (1992) One year after the NHS bill: The extra-contractual referral system and Henderson Hospital. Psychiatric Bulletin, 16, 745–747.Google Scholar
HMSO (1991) Report on the Work of the Prison Service: April 1990–March 1991. Cm 1724. London: HMSO.Google Scholar
Perry, J. C., Lavori, P. W. & Hoke, L. (1987) A Markow model for predicting levels of psychiatric service use in borderline and anti-social personality disorders and bipolar type II affective disorder. Journal of Psychiatric Research, 21, 213–232.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.