The use of psychiatric services in three urban areas: An international case register study

1967 ◽  
Vol 2 (4) ◽  
pp. 158-167 ◽  
Author(s):  
Lorna Wing ◽  
J. K. Wing ◽  
Anthea Hailey ◽  
Anita K. Bahn ◽  
Helen E. Smith ◽  
...  
Keyword(s):  
Urban Areas ◽  
Psychiatric Services ◽  
Register Study ◽  
Case Register

Does socioeconomic status affect the use of community-based psychiatric services? A south Verona case register study

2005 ◽  
Vol 112 (3) ◽  
pp. 215-223 ◽  
Author(s):  
J. E. Tello ◽  
M. Mazzi ◽  
M. Tansella ◽  
P. Bonizzato ◽  
J. Jones ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Psychiatric Services ◽  
Register Study ◽  
Community Based ◽  
Case Register

A descriptive case-register study of delusional disorder

2008 ◽  
Vol 23 (2) ◽  
pp. 125-133 ◽  
Author(s):  
Enrique de Portugal ◽  
Nieves González ◽  
Josep M. Haro ◽  
Jaume Autonell ◽  
Jorge A. Cervilla
Keyword(s):  
Community Mental Health Services ◽  
Depressive Mood ◽  
Delusional Disorder ◽  
Register Study ◽  
Global Functioning ◽  
Case Register ◽  
Axis Ii ◽  
Paranoid Personality Disorder ◽  
History Of ◽  
Dsm Iv

AbstractObjectiveA few empirically based studies' data on delusional disorder (DD) exist. We aim to describe sociodemographic and clinical correlates of DD and to identify clinical profiles associated to DD and its subtypes.MethodsThis is a case-register study based on all those subjects attending community mental health services within a geographically well-defined area. Four hundred and sixty-seven patients had been diagnosed as DD cases at psychiatric services serving a catchment area of some 607,494 inhabitants living in South Barcelona (Spain) during a three-year period (2001–2003). A thorough systematic review of computerised medical records was used to establish DSM-IV diagnosis, rendering a valid sample of 370 patients who fulfilled DSM-IV criteria for DD. Independent variables gathered include sociodemographic data, family and personal psychiatric history, and comorbid diagnoses on all DSM-IV axes (including GAF). We used descriptive and univariate statistical methods to explore sample frequencies and correlates across DD types.ResultsThe mean age of the patients was 55 years and the sample had a mean GAF score of 51 suggesting a poor functionality; 56.5% of the patients were female. The most frequent DD types were persecutory (48%), jealous (11%), mixed (11%) and somatic (5%), whilst 23% qualified for the NOS type. Most frequent symptoms identified were self-reference (40%), irritability (30%), depressive mood (20%) and aggressiveness (15%). Hallucinations were present in 16% of the patients (6% tactile; 4% olfactory). Nearly 9% had a family history of schizophrenia (higher among those with the jealous subtype) and 42% had a comorbid axis II diagnosis (mostly paranoid personality disorder). Depression was significantly more frequent among the persecutory and jealous types. Finally, global functioning was significantly better among jealous and mixed types and worse amongst erotomanic and grandiose cases (p = 0.008).ConclusionsIn the absence of other similar empirical data, this modest study provides unique empirical evidence of some clinical and risk correlates of DD and its subtypes.

scholarly journals Psychiatric Services in Saskatchewan under Medicare*

1970 ◽  
Vol 15 (1) ◽  
pp. 63-72 ◽  
Author(s):  
Wilfred A. Cassell ◽  
Colin M. Smith ◽  
Maggie Grandy Rankin
Keyword(s):  
Private Practice ◽  
Urban Areas ◽  
Psychiatric Care ◽  
Psychiatric Treatment ◽  
Psychiatric Patients ◽  
Treatment Session ◽  
Psychiatric Services ◽  
Treatment Services ◽  
Hospital Visits ◽  
To Receive

This study has examined the nature and extent of services provided to psychiatric patients under ‘Medicare’. An analysis of the records of 864,128 residents of Saskatchewan revealed that in 1965, 13,950 males and 27,009 females received a psychiatric diagnosis from physicians in private practice. Psychoneurotic conditions were frequent. General practitioners provided the majority of treatment services for this group. Physicians practising in urban areas were found to complete more psychiatric treatment than their rural counterparts. Female patients were found to receive relatively more psychiatric care than males. The latter obtained more consultations, hospital visits and somatic investigations. Lastly, the rate of service was infrequent, averaging less than one treatment session per patient.

Mortality Among Patients with Psychiatric Illness a Ten-Year Case Register Study in an Area with a Community-based System of Care

1995 ◽  
Vol 166 (6) ◽  
pp. 783-788 ◽  
Author(s):  
Francesco Amaddeo ◽  
Giulia Bisoffi ◽  
Paola Bonizzato ◽  
Rocco Micciolo ◽  
Michele Tansella
Keyword(s):  
Poisson Regression ◽  
Psychiatric Patients ◽  
Age Groups ◽  
System Of Care ◽  
Register Study ◽  
First Year ◽  
Community Based ◽  
Pattern Of Care ◽  
Case Register ◽  
Specialist Services

BackgroundMost studies which showed an excess mortality in psychiatric patients have been conducted on hospitalised samples.MethodThis was a case register study. All South Verona patients with an ICD diagnosis who had psychiatric contacts with specialist services in 1982–1991 were included. Mortality was studied in relation to sex, age, diagnosis, pattern of care and interval from registration. Standardised Mortality Rates (SMRs) and Poisson regression analysis were calculated.ResultsThe overall SMR was 1.63 (95% CI = 1.5–1.8), which is the lowest value reported so far. Mortality was higher among men (SMR = 2.24; 95% CI = 1.9–2.6), among patients who were admitted to hospital (SMR = 2.23; 95% CI = 1.9–2.6), among younger age groups (SMR = 8.82; 95% CI = 4.9–14.6) and in the first year after registration (SMR = 2.32; 95% CI = 1.8–2.9). Higher mortality was found in patients with a diagnosis of alcohol and drug dependence (SMR = 3.87; 95% CI = 3.0–4.9). The SMR for suicide was 17.41. Using a Poisson regression model, diagnosis, pattern of care and interval from registration were all found to be significantly associated with mortality. When all these variables were entered together in the model, each maintained its predictive role.ConclusionsThe overall mortality of psychiatric patients treated in a community-based system of care was higher than expected, but lower than the mortality reported in other psychiatric settings. The highest mortality risk was found in the first year after registration.

scholarly journals O3.3. COMORBID SUBSTANCE USE DISORDERS ASSOCIATED WITH LIFE EXPECTANCY REDUCTION IN PEOPLE WITH PSYCHOTIC DISORDERS: AN ELECTRONIC CASE REGISTER STUDY

2019 ◽  
Vol 45 (Supplement_2) ◽  
pp. S166-S166
Author(s):  
Rashmi Patel ◽  
Edward Chesney ◽  
Sam Hollandt ◽  
Chi-Kang Chang ◽  
Megan Pritchard ◽  
...  
Keyword(s):  
Substance Use ◽  
Life Expectancy ◽  
Substance Use Disorders ◽  
Psychotic Disorders ◽  
Register Study ◽  
Case Register

The Accident and Emergency Department Management of Deliberate Self-Poisoning

1988 ◽  
Vol 152 (6) ◽  
pp. 830-833 ◽  
Author(s):  
David W. Owens ◽  
Susan J. Jones
Keyword(s):  
Emergency Department ◽  
Psychiatric Morbidity ◽  
Patient Characteristics ◽  
Psychiatric Services ◽  
Case Register ◽  
Accident And Emergency ◽  
Emergency Department Management ◽  
Previous Contact ◽  
Accident And Emergency Department

Consecutive attenders (525) presenting at the Nottingham Accident and Emergency (A & E) department with deliberate self-poisoning were identified retrospectively. Their case-notes were examined for patient characteristics and clinical management. The Nottingham Psychiatric Case Register was examined for previous contact and use of psychiatric services over a 2-year follow-up period. Significant differences were found between those patients admitted to a ward and those who returned home from the A & E Department, in respect of likelihood of psychiatric morbidity and use of psychiatric services. One in three self-poisoning patients returns home directly from the accident department, and there seemed to be appropriate selection.

Labour and delivery complications at birth and later mania; An Irish case register study

2000 ◽  
Vol 41 (1) ◽  
pp. 71
Author(s):  
R. Browne ◽  
M. Byrne ◽  
N. Mulryan ◽  
A. Scully ◽  
M. Morris ◽  
...  
Keyword(s):  
Register Study ◽  
Delivery Complications ◽  
Case Register ◽  
Irish Case
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