5-year admission rates and inpatient bed usage in an Early Intervention in Psychosis Service

Presentation First Author: 
Iain Macmillan

We present data on inpatient admissions in young people followed up for 5 years following referral to the Early Intervention in Psychosis Team covering Gateshead, South Shields and Sunderland (the South of Tyne EIP service), part of the Northumberland, Tyne and Wear NHS Trust, the largest Mental Health Trust in the UK. METHODS: NTW NHS Trust uses an electronic notes system, RiO, from which these data were extracted. Of 604 patients on the database, 424 (71%) are male and 180 (29%) female. 218 patients presented prior to 1/6/2007 and have five full years follow up (163 male and 55 female). 5 patients (2 male, 3 female) were not on rio or had not given consent for their notes to be viewed. Of those 218 patients, 137 (63%) had been admitted to hospital at least once in the first 5 years after presentation. RESULTS: The range of number of admissions was 1-11 and the range of days was 3 - 1242 (median 91, average 183.4). The total number of days was 24,026. The number of patients admitted in the first year was 104. The number of people admitted for the first time in Year 2 was 15, Year 3 was 7 and Year 4 was 4. 76 patients had been detained under the MHA. 14 patients (10%) patients account for 10886 hospital days (45%) in the first five years after presentation. CONCLUSIONS : Admission rates decreased annually over the first five years of follow up, supporting the economic argument for EIP services. A small number of service users, 10%, accounted for 45% of bed days. Early identification and optimal treatment of these young people would have a significant impact on services.

Conference Name: 
Presentation Date: 
November, 2013
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