1997
DOI: 10.1017/s1827433100000903
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Importance of local differences in comparing hospital and community psychiatric services

Abstract: Most of the studies that are frequently cited as examples of effective comprehensive community care, (i.e. they reduce the demand for hospital beds without any loss in treatment efficacy (Stein & Test, 1980; Hoult & Reynolds, 1984; Muijen et al., 1992) were carried out before the introduction of the Care Programme Approach (CPA) in 1991 (Department of Health, 1990) which at present only applies to England. As the CPA derives from these earlier studies the discrepancies between hospital and community ba… Show more

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“…The 22 geographic areas which make up the region are understandably disparate: metropolitan areas with a high degree of industrial development thrive at no great distance from territories with mixed industrial and agricultural economies, and mountain communities with developed tourist services. The employment of the ESDS in our survey has facilitated the documentation of these and other sociodemographic features and has enabled the identi®cation of each areas which may in¯uence needs for psychiatric care (22).…”
Section: Discussionmentioning
confidence: 99%
“…The 22 geographic areas which make up the region are understandably disparate: metropolitan areas with a high degree of industrial development thrive at no great distance from territories with mixed industrial and agricultural economies, and mountain communities with developed tourist services. The employment of the ESDS in our survey has facilitated the documentation of these and other sociodemographic features and has enabled the identi®cation of each areas which may in¯uence needs for psychiatric care (22).…”
Section: Discussionmentioning
confidence: 99%