Table 2a.
Comparison of Referral Source and Admission Factors to Discharge Location.
| Discharge Locations |
|||||
|---|---|---|---|---|---|
| Overall | Community | Hospital | Prison | p-value | |
| N | 155 | 69 | 67 | 19 | |
| Referral Source, n (%) | 0.001 | ||||
| Adolescent general psychiatric unit | 16 (10.3) | 10 (14.5) | 6 (9.0) | ||
| Adolescent psychiatric intensive care unit | 12 (7.7) | 8 (11.6) | 4 (6.0) | ||
| Adolescent secure psychiatric unitA | 56 (36.1) | 24 (34.8) | 31 (46.3) | 1 (5.3) | |
| Adult general psychiatric unit | 6 (3.9) | 4 (5.8) | 2 (3.0) | ||
| Community - Children’s home | 1 (0.6) | 1 (1.5) | |||
| Community - Home | 5 (3.2) | 3 (4.3) | 2 (3.0) | ||
| Community - Residential school | 1 (0.6) | 1 (1.4) | |||
| Community - Supported accommodationB | 1 (0.6) | 1 (1.4) | |||
| Secure Children’s HomeC | 9 (5.8) | 4 (5.8) | 4 (6.0) | 1 (5.3) | |
| Secure Training CentreD | 8 (5.2) | 3 (4.3) | 2 (3.0) | 3 (15.8) | |
| Young Offenders InstituteE | 40 (25.8) | 11 (15.9) | 15 (22.4) | 14 (73.7) | |
| Section on Admission, n (%) | < 0.001 | ||||
| Section 2F | 22 (14.2) | 16 (23.2) | 6 (9.0) | ||
| Section 3G | 74 (47.7) | 36 (52.2) | 38 (56.7) | ||
| Section 37H | 9 (5.8) | 5 (7.2) | 4 (6.0) | ||
| Section 37/41I | 2 (1.3) | 2 (3.0) | |||
| Section 47/49J | 19 (12.3) | 5 (7.2) | 4 (6.0) | 10 (52.6) | |
| Section 48/49K | 29 (18.7) | 7 (10.1) | 13 (19.4) | 9 (47.4) | |
| Length Of Stay, mean (SD) | 333.3 (326.4) | 253.3 (241.5) | 477.6 (380.0) | 115.1 (97.9) | < 0.001 |
| Median | 246 | 193 | 371 | 77 | |
Legend. Comparison of Referral and Admission factors by discharge destination. Chi-square test of independence shows significant relation for all the factors (p-value <0.001), but with a warning that expected count < 5.
Notes
Adolescent psychiatric inpatient hospitals with additional levels of physical, procedural and relational security measures.
Accommodation with support for 16- and 17-year-old looked after children and care leavers, where they live semi-independently.
Licenced by court to deprive adolescents in their care of their liberty. Adolescents are either sentenced or awaiting trial/sentencing through the justice system or placed due to local authority concerns a person is a serious risk to themselves or others.
Place of detention for 12–17 years olds, typically used for younger adolescents or older adolescents deemed vulnerable.
Prisons for 15–21 year olds.
Civil section, allowing for detention for assessment and treatment for up to 28 days.
Civil section, allowing for detention for treatment of mental disorder.
Forensic section, a hospital order imposed when a person is convicted of an imprisonable offence but is admitted to psychiatric hospital, or placed under guardianship of a local social services authority, instead of receiving a custodial sentence.
Forensic section, the addition of a restriction order to the Section 37, imposing additional restrictions to protect the public from serious harm.
Forensic section, allowing for the transfer of a sentenced prisoner to hospital.
Forensic section, allowing for the transfer of a prisoner awaiting trial or sentencing to hospital.