Association between provision of mental illness beds and rate of involuntary admissions in the NHS in England 1988-2008: ecological study

I refer to the article by Keown P., et al, on Association between
provision of mental illness beds and rate of involuntary admissions in the
NHS in England 1988- 2008: ecological study.

I choose to conquer with the thoughts that effects of closure of beds in
hospitals should be thoroughly explored in this complex and changing
environment. Looking at it from developing countries perspective, this
should not be rolled out for implementation soon. That is a mirror
reflection of our community that there in an increase in involuntary
admissions. If one person is sick, the community is also sick. As many
countries , through the ministry of health struggle to roll out community
strategy, focus should not be laid on mother, baby, malaria, TB, HIV and
Aids only, but mental health should feature closely in the agenda. This
will help in mental health promotion and prevention, which does not
feature loudly in policy agenda. In turn, this may impact on involuntary
admissions, which evidence has shown an increase. Another example of bed
closure is where all TB isolation wards were closed, and patients managed
in general medical wards: - the resurgence of TB in HIV and Aids era hence
need for these beds and wards.

Jackline sitienei

sitieneij@yahoo.com

Moi University, Kenya