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 et al., 2004
). There are 16 states reporting inpatient bed shortages (
- 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.
in: Manderscheid R.W. Henderson M.J. Mental Health United States, 2002. Substance Abuse and Mental Health Services Administration,
Rockville, MD2004: 243-279
Mulligan, 2002
). 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, 2003
).To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Archives of Psychiatric NursingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- North Carolina's community hospitals and mental health care reform.North Carolina Medical Journal. 2003; 64: 233-234
- Multiple opportunities for creating sanctuary.Psychiatric Quarterly. 2003; 74: 173-190
- The nature and purpose of acute psychiatric wards: The Tompkins Acute Ward Study.Journal of Mental Health. 2005; 14: 625-635
- Treat, don't execute our mentally ill.Chicago Sun Times. 2006, March 24xxx; (Retrieved March 26, 2004 from http://www.suntimes.com/output/letters/cst-edt-vox24a.html)
- Keeping the unit safe: Essential organizational structure.Journal of the American Psychiatric Nurses Association. 2006; (in press)
- Crowding and violence on psychiatric wards: Explanatory models.Canadian Journal of Psychiatry. 2001; 46: 433-437
- Highlights of organized mental health services in 2000 and major national and state trends.in: Manderscheid R.W. Henderson M.J. Mental Health United States, 2002. Substance Abuse and Mental Health Services Administration, Rockville, MD2004: 243-279
- Psychiatric inpatient, outpatient, and medication utilization and costs among privately insured youths, 1997–2000.American Journal of Psychiatry. 2003; 160: 757-764
- Selected characteristics of adults treated in specialty mental health care programs, United States, 1997.in: Manderscheid R.W. Henderson M.J. Mental Health United States, 2002. Substance Abuse and Mental Health Services Administration, Rockville, MD2004: 280-313
- Task force report: The shortage of psychiatrists and of inpatient psychiatric bed capacity.(Retrieved on March 10, 2006 from)http://www.mnpsychsoc.org/TFRpt.pdfDate: 2002
- DB seeks solution to state's shortage of psychiatry beds.Psychiatric News. 2002; 37 (Retrieved March 1, 2006 from http://pn.psychiatryonline.org/cgi/content/full/37/18/1): 1
- Challenges facing behavioral health care: The pressures on essential health care services.(Retrieved March 1, 2006 from)
- 2004 annual report. Author, Washington, DC2004
New Freedom Commission on Mental Health (2004). Subcommittee on Acute Care: Background Paper. DHHS Pub. No. SMA-04-3876. Rockville, MD.
- Psychiatric nurses experience with inpatient aggression.Aggressive Behavior. 2005; 31: 217-227
- Paradigm shifts in inpatient psychiatric care of children: Approaching child and family centered care.Journal of Child and Adolescent Psychiatric Nursing. 2006; 19: 29-40
- Transforming mental health care in America: Federal action agenda: First steps. Author, Rockville, MD2005
- Reason, commonsense and imagination in the service of our shared humanity.Contemporary Nurse. 2006; 21 (Retrieved March 1, 2006 from http://www.contemporarynurse.com/21.1/21.1.1.html): 1
- Inpatient briefs: Inpatient mental health.(Retrieved March 15, 2006, from)http://www.wsha.org/page.cfm?ID=0096Date: 2006
Article info
Identification
Copyright
© 2006 Elsevier Inc. Published by Elsevier Inc. All rights reserved.