IPDE - Extranet Systems - World Health Organization

67 Centres participating in IPDE field trial
governmental seat of Westchester County with its population of almost
one million.
The Department of Psychiatry treats more than 10,000 patients a year
in its in-patient and specialized ambulatory care programs. The patients
represent the entire range of mental disorders, and reRect the ethnic and
socioeconomic diversity of the region. The department has over 680 fulland
part-time faculty members, who in addition to their clinical and educational
responsibilities also conduct research on many of the biological
and psychosocial topics on the frontier of modem psychiatry.
Nottingham
The city of Nottingham was established in the sixth century AD by the
Anglo-Saxons who colonized the area by the River Trent and gave the
settlement the name of Snotingaham (the 'ham' or village of Snot's people).
Nottingham, the county town of Nottinghamshire, lies at the heart
of the East Midlands coalfields and has extensive rail, road, and air connections
with the rest of the United Kingdom and Europe. The population
of the city and adjacent boroughs is approximately 650,000.
Nottingham has two universities and is the centre for a wide range of
artistic and cultural activities.
Nottingham's psychiatric services are divided into six catchment
areas, each of which has a local mental health centre and an associated
admission ward of 20 beds in one of two hospitals located in the north
and south of the city. Patients in the study were selected from one of
these sectors (East and Carlton), which has a resident population of
78,000 between the ages of 16 and 65. Those who required the services
of the district-wide drug and alcohol unit or the rehabilitation and specialized
psychotherapy units were not included.
All the psychiatric services of the East and Carlton sector are community
based, with the exception of the admission ward. The psychiatric
team is staffed by 1.5 consultant psychiatrists, three resident psychiatrists,
one occupational therapist five community psychiatric nurses, and
four psychiatric social workers. The team operates from a purpose-built
base which is located in the heart of the sector. It maintains very close
links with the local community and is the first port-of-call for residents
16-65 years of age with mental disorders. There is no significant private
practice in the area. Most psychiatric referrals are received from 53 primary
care physicians in the sector. A smaller propoltion are referred
from social services, housing, and other agencies. The catchment area is