Frequency of contact with community-based psychiatric services and the lunar cycle: a 10-year case-register study

1997 ◽  
Vol 32 (6) ◽  
pp. 323-326 ◽  
Author(s):  
F. Amaddeo ◽  
G. Bisoffi ◽  
R. Micciolo ◽  
M. Piccinelli ◽  
M. Tansella
Keyword(s):  
Lunar Cycle ◽  
Psychiatric Services ◽  
Register Study ◽  
Community Based ◽  
Case Register ◽  
Frequency Of Contact

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

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.

Cancer mortality among psychiatric patients treated in a community-based system of care: a 25-year case register study

2013 ◽  
Vol 49 (5) ◽  
pp. 693-701 ◽  
Author(s):  
Giovanni Perini ◽  
Laura Grigoletti ◽  
Batul Hanife ◽  
Annibale Biggeri ◽  
Michele Tansella ◽  
...  
Keyword(s):  
Cancer Mortality ◽  
Psychiatric Patients ◽  
System Of Care ◽  
Register Study ◽  
Community Based ◽  
Case Register

scholarly journals The difficult task of predicting the costs of community-based mental health care. A comprehensive case register study

2011 ◽  
Vol 20 (3) ◽  
pp. 245-256 ◽  
Author(s):  
V. Donisi ◽  
J. Jones ◽  
R. Pertile ◽  
D. Salazzari ◽  
L. Grigoletti ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Cost Of Care ◽  
Psychiatric Services ◽  
Health District ◽  
Service Utilisation ◽  
Community Based ◽  
Case Register ◽  
Cost Variance

Background.Previous studies have attempted to forecast the costs of mental health care, using clinical and individual variables; the inclusion of ecological measures could improve the knowledge of predictors of psychiatric service utilisation and costs to support clinical and strategic decision-making.Methods.Using a Psychiatric Case Register (PCR), all patients with an ICD-10 psychiatric diagnosis, who had at least one contact with community-based psychiatric services in the Verona Health District, Northern Italy, were included in the study (N = 4558). For each patient, one year's total cost of care was calculated by merging service contact data with unit cost estimates and clinical and socio-demographic variables were collected. A socio-economic status (SES) index was developed, as a proxy of deprivation, using census data. Multilevel multiple regression models, considering socio-demographic and clinical characteristics of patients as well as socioeconomic local characteristics, were estimated to predict costs.Results.The mean annual cost for all patients was 2,606.11 Euros; patients with an ongoing episode of care and with psychosis presented higher mean costs. Previous psychiatric history represented the most significant predictor of cost (36.99%R2increase) and diagnosis was also a significant predictor but explained only 4.96% of cost variance. Psychiatric costs were uniform throughout the Verona Health District and SES characteristics alone contributed towards less than 1% of the cost variance.Conclusions.For all patients of community-based psychiatric services, a comprehensive model, including both patients' individual characteristics and socioeconomic local status, was able to predict 43% of variance in costs of care.

The development and use of the Verona Expectations for Care Scale (VECS) and the Verona Service Satisfaction Scale (VSSS) for measuring expectations and satisfaction with community-based psychiatric services in patients, relatives and professionals

1993 ◽  
Vol 23 (2) ◽  
pp. 511-523 ◽  
Author(s):  
Mirella Ruggeri ◽  
Rosa Dall'Agnola
Keyword(s):  
Content Validity ◽  
Psychiatric Services ◽  
Service Satisfaction ◽  
The South ◽  
Community Based ◽  
Satisfaction Scale ◽  
Case Register ◽  
Parallel Measurement ◽  
One Year ◽  
Test Retest Reliability

SynopsisIn this paper the global design of a research project aiming at measuring expectations and satisfaction of patients, relatives, and professionals with community-based psychiatric services (CPS) in a multidimensional, sensitive, valid and reliable way is described. Some psychometric properties of two newly developed instruments, partly adapted from the Service Satisfaction Scale (SSS), the Verona Expectations for Care Scale (VECS) and the Verona Service Satisfaction Scale (VSSS), are discussed. Three groups were selected for inclusion in the study: all patients living with their families who had more than 18 contacts in the last three years, according to the South-Verona Psychiatric Case Register; the relative who had been mainly caring for the patient; and all professionals working in the South-Verona CPS for at least one year. Data on 75 patients and 76 relatives are presented and show that VECS and VSSS have good content validity and test–retest reliability in both groups. Notwithstanding some differences, patients and relatives expressed similar expectations and were mostly satisfied. The current study is the first to provide a parallel measurement of expectations and satisfaction in all three above-mentioned groups; moreover, it is the first to investigate consumers' satisfaction with a CPS organized according to the principles of the Italian Psychiatric Reform.

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

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.

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