scholarly journals Therapeutic community provision at regional and district levels

1999 ◽  
Vol 23 (2) ◽  
pp. 79-83 ◽  
Author(s):  
Steffan Davies ◽  
Penelope Campling ◽  
Kerry Ryan
Keyword(s):  
Personality Disorder ◽  
Therapeutic Community ◽  
Community Treatment ◽  
Clinical Implications ◽  
Service Utilisation ◽  
Service Usage ◽  
Psychiatric Admissions ◽  
The Mean ◽  
Therapeutic Community Treatment ◽  
Severe Personality Disorder

Aims and methodThe aim of the study was to investigate changes in service utilisation following therapeutic community treatment for patients with severe personality disorder. The study examined service usage, in the form of acute psychiatric admissions, of a series of 52 admissions to a residential therapeutic community in the three years before and year after admission.ResultsThere was a reduction in the mean duration of acute psychiatric admissions after treatment, this was greater for extra-contractual referral patients than local district patients.Clinical ImplicationsThis study replicates results from previous studies. It also suggests that more accessible local services may be able to intervene earlier in patients' psychiatric careers preventing heavy use of acute services. We argue for greater provision of therapeutic community treatment for severe personality disorder.

scholarly journals Therapeutic community treatment of personality disorder: service use and mortality over 3 years' follow-up

2003 ◽  
Vol 182 (S44) ◽  
pp. s24-s27 ◽  
Author(s):  
Steffan Davies ◽  
Penelope Campling
Keyword(s):  
Personality Disorder ◽  
Service Use ◽  
Hospital Admissions ◽  
Therapeutic Community ◽  
Community Treatment ◽  
First Year ◽  
Patient Admissions ◽  
Before And After ◽  
Therapeutic Community Treatment

BackgroundA number of studies have demonstrated reductions in the utilisation of psychiatric services, especially acute inpatient admissions, following therapeutic community treatment of personality disorder. These studies have, however, been of limited duration (1 year) and follow-up has not always been complete.AimsTo identify hospital admissions before and after therapeutic community treatment of personality disorder.MethodA naturalistic clinical cohort of patients admitted between January 1993 and December 1995 was followed up for 3 years. All subjects were traced to their current consultant psychiatrist, general practitioner or death.ResultsAll patients were traced at 3-year follow-up. The significant reduction in in-patient admissions seen in the first year was maintained over 3 years. Those with the poorest outcomes, suicide, accidental death or prolonged admission were all in the quartile with the shortest admissions (under 42 days) to the therapeutic community.ConclusionsPreviously reported reductions in psychiatric admissions following therapeutic community treatment of personality disorder are maintained over 3 years.

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