The home treatment enigma Home treatment---enigmas and fantasies

摘要: # The home treatment enigma {#article-title-2} Why is for acute psychiatric illness generally ignored as an alternative to conventional admission hospital in the United Kingdom? Despite evidence showing that feasible, effective, and preferred by patients relatives, its widespread implementation still awaited. Furthermore, no study has shown better than any measure of improvement. In general, are denied option a realistic, less restrictive formal under Mental Health Act 1983, although recent white paper Modernising Services recommends it should be provided.1 In economic analysis, remains most expensive element care. Although pressure on beds inner city hospitals Kingdom increasing—and reached breaking point some areas 2 3 —it claimed managing these outside would out question.4 been linked indirectly with practice discharging too early well publicised reports official inquiries into “psychiatric scandals.” article was critical current state British psychiatry, alleged Department health authorities had misconstrued research this resulted reduction provision beds.4 We aim examine issues, real imagined, behind resistance at home. #### Summary points Home safe feasible care disorder, one they their carers prefer Hospital not have major advantages over more expensive Home … Correspondence to: A Pelosi