In recent years there has been increasing emphasis on community-based psychiatric services. If these facilities are to be comprehensive they must include ways of assessing and managing crises and avoiding unnecessary hospitalisation. One way of meeting these needs is to provide small walk-in clinics in the community. A number of clinics have been established and more are planned. Although clients may refer themselves, access is usually limited to office hours and often only to a few hours each day.

strongly of drink'. In contrast to the Maudslcy Emergency Clinic, 21% presented during the day, 63% during the evening (5p.m. 12 midnight), and only 16% overnight (12midnight 10a.m.). The point I want to highlight is that of the 57 patients who were lodged or 'guested' overnight in the centre, 73%