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Table 4 Discharge and outcome

From: Psychiatric morbidity of overseas patients in inner London: A hospital based study

   No of patients (n = 31) %
Mental state on discharge
No or little improvement   6 19
Moderate improvement   11 35
Major improvement   14 45
Contact with relatives-care team in country of origin
Before admission   1 3
At some point after admission   23 74
   With care team 18 patients   
   With family 14 patients   
   With care team and family 9 patients   
No contact made   7 23
Contact with consulates-embassies
Contacted   16 52
   Gave information 9   
   Provided travel documents 4   
   Could not help 3   
Not contacted   15 48
Care Programme Approach
Enhanced CPA   3 10
   Follow up by mental health team 2   
   Initiated but discontinued 1   
Standard CPA   28 90
Patients-relatives agreement with discharge plan
Agreed   27 87
Disagreed   4 13
   Absent without leave 2   
   Deferred discharge by MHRT 1   
   Ongoing review under s.86 MHA* 1   
Outcome on discharge
Repatriated by the hospital   16 52
Discharged to return to country of origin   6 19
Taken home by relatives   2 6
Absent without leave   2 6
Discharged with follow up by the Mental Health Team   4 13
Application made for section 86 MHA*   1 3
Medication on discharge
Supplied to take home   25 81
Not supplied   6 19
   Unreliable 4   
   absent without leave 2   
Average length of treatment (days) 43.4   
  Range 1–365   
Length of treatment according to Mental Health Act status
Voluntary (mean 22.3 days)   7 23
Section 4** (mean 4 days)   1 3
Section 2*** (mean 21 days)   13 42
Section 3**** (mean 91.5 days)   10 32
  1. *Section 86 of the Mental Health Act 1983: Allows the Home Secretary to authorise the removal to another country of patients, who are neither British nor Commonwealth citizens having the right of abode in the UK, who are receiving treatment for mental illness in hospital under section of the MHA.
  2. **Section 4: compulsory admission and detention for up to 72 hours for assessment.
  3. ***Section 2: compulsory admission and detention for up to 28 days for assessment or assessment followed by treatment for mental disorder.
  4. ****Section 3: compulsory detention for up to six months for treatment.