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Clinical Issues| Volume 20, ISSUE 5, P242-244, October 2006

Inpatient Psychiatric Treatment: Should We Revive a Shrinking System?

  • Kathleen R. Delaney
    Correspondence
    Address reprint requests to Kathleen R. Delaney, DNSc, RN, Associate Professor and Clinical Nurse Coordinator, College of Nursing, Rush University Medical Center, 600 S. Paulina, Suite 1080, Chicago, IL 60612.
    Affiliations
    College of Nursing, Rush University Medical Center, Chicago, IL
    Search for articles by this author
      INPATIENT PSYCHIATRIC TREATMENT appears to be shrinking. The most recent national data indicate that in the 2-year span between 1998 and 2000, 20% of private psychiatric hospitals closed and the number of inpatient beds declined by some 20%, across all types of hospitals (
      • Manderscheid R.W.
      • Atay J.E.
      • Male A.
      • Blacklow B.
      • Forest C.
      • Ingram L.
      • et al.
      Highlights of organized mental health services in 2000 and major national and state trends.
      ). There are 16 states reporting inpatient bed shortages (
      • Mulligan K.
      DB seeks solution to state's shortage of psychiatry beds.
      ). The shortages are particularly pronounced in the country's Western and Midwestern sections where bed rates per 100,000 citizens are half of those in several Mid-Atlantic States. Shrinking services means decreased access for persons who need hospital-level care, leaving little option save for emergency room treatment (
      • National Association of Psychiatric Health Systems
      Challenges facing behavioral health care: The pressures on essential health care services.
      ).
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