Targeting community mental health services

BMJ 1994; 308 doi: https://doi.org/10.1136/bmj.308.6938.1237 (Published 07 May 1994) Cite this as: BMJ 1994;308:1237
  1. N Ghandi,
  2. S Holmes,
  3. M Lock,
  4. N Purandare
  1. Academic Department of Psychiatry, St Mary's Hospital Medical School, London W2 1NY
  2. Paddington Mental Health Team, Westminster Social Services, London W2 1NY
  3. Napsbury Hospital, London Colney, Hertfordshire AL2 1AA
  4. Department of Psychiatry, St Mary's Hospital, London W2 1NY.

    EDITOR, - We agree with the conclusions drawn by Alison S Conway and colleagues1 and would like to comment on several aspects of their results.

    A community based mental health service may be in a position to facilitate admissions, even though it has “avoiding admissions” as one of its goals, but we think that rather than quantifying admissions, finer measures of the effectiveness of such a service (as well as appropriateness of bed use) are whether admissions are planned or …

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