DOI: 10.36347/sjams.2019.v07i06.031

Pages: 2189-2193

In psychiatric practice, some mentally ill patients spend their life in continuous or prolonged hospitalization; that is, as long stay patients. The locus of provision of psychiatric care has shifted from institutions to community mental health in USA and many other countries. This study was planned in this institute to find factors which are assoctiated with long stay of patients in psychiatric hospital. This study was a record based cross sectional study done in Himachal Hospital of Mental Health and rehabilitation which is a tertiary care Institute situated in Shimla, capital of a Northern Hilly state of India. Data of all the patients discharged with various illnesses from the institute during January 2014 to December 2018 was examined and analyzed from hospital record. In this study we found that out of 403 total patients 302(74.94%) were male, 101(25.06%) were female. 290 (71.96%) were from age group less 40 years. Most patients 200 (49.63%), had diagnosis of schizophrenia and acute transient psychosis. About 75% of patients had long duration of stay in mental hospital in our study. Patients with diagnosis of Schizophrenia and acute and transient psychosis has longer stay after adjusting for other factors as compaired to BPAD and mania.