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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.