The Bed Requirement Inventory: A Simple Measure To Estimate The Need For A Psychiatric Bed

Peter Tyrer, Geetha Suryanarayan, Bharti Rao, Domenic Cicchetti, Naomi Fulop, Fiona Roberts and Jeremy Slaughter
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Peter Tyrer: Tyrer, Department of Psychological Medicine, Imperial College (Charing Cross Campus), ClaybrookCentre, London, UK.
Geetha Suryanarayan: Central North West London Mental Health NHS Trust, Paterson Centre, London, UK. Ms Bharti Rao, Department of Psychological Medicine, Imperial College (Charing Cross Campus), Claybrook Centre, London, UK.
Bharti Rao: Department of Psychological Medicine, Imperial College(Charing Cross Campus), Claybrook Centre, London, UK.
Domenic Cicchetti: Department of Psychological Medicine, Imperial College (Charing Cross Campus), Claybrook Centre, London, UK.
Naomi Fulop: Department of Public Health & Policy, London School of Hygiene & Tropical Medicine, London, UK. John Green
Fiona Roberts: Department of Psychological Medicine, Imperial College (Charing Cross Campus), Claybrook Centre, London, UK.
Jeremy Slaughter: Department of Psychological Medicine, Imperial College (Charing Cross Campus), Claybrook Centre, London, UK.

International Journal of Social Psychiatry, 2006, vol. 52, issue 3, 267-277

Abstract: Objective: To develop an assessment of bed need that was as little affected by personal biasas possible. Method: The Bed Requirement Inventory (BRI) is an eight-point scale designed to identify the appropriate use of an acute psychiatric bed. This is completed by a member of the ward staff, usually a nurse, and takes 5 minutes to fill in. The reliability, validity and feasibility of using the scale in normal practice were tested in a one-year study, and variations ininappropriate bed use described. Results: The inter-rater reliability of the scale was good (intra-class correlation coefficient = 0.63) and a comparison of the need for a psychiatric bed (comparing the BRI score with the judgement of an independent multidisciplinary group of professionals) also showed good agreement (k 1 /4 0.69), suggesting reasonable validity (although when the assessment was made by the named nurse agreement was less good). Results from a year-long survey in two West London hospitals showed that 17% of admissions were inappropriate and 32% had delayed discharge, black Caribbean patients had a significantly higher proportion (25%) of inappropriate admission than others (11%) and those referred from housing charities andhostels had a higher proportion (50%) of inappropriate bed use at some time than other groups(33%). Conclusions: The Bed Requirement Inventory is a quick and reliable method of determiningthe appropriate use of a psychiatric bed and could be of use in estimating local bed needs. Delayeddischarge remains a serious reason for inappropriate bed use in London.

Date: 2006
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Persistent link: https://EconPapers.repec.org/RePEc:sae:socpsy:v:52:y:2006:i:3:p:267-277

DOI: 10.1177/0020764006067221

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