Decline in the Diagnosis of Schizophrenia among First Admissions to Scottish Mental Hospitals from 1969–78

1985 ◽  
Vol 146 (2) ◽  
pp. 151-154 ◽  
Author(s):  
John M. Eagles ◽  
Lawrence J. Whalley
Keyword(s):  
Affective Disorder ◽  
Community Based ◽  
Affective Psychoses ◽  
Admission Rates ◽  
Mental Hospitals ◽  
First Admission

SummaryAnnual age-standardised first admission rates from 1969–78 for Scottish mental hospitals were calculated for schizophrenia, paranoid states, reactive psychoses, all affective psychoses, mania, and depressive neuroses. Significant decreases were found in the diagnosis of schizophrenia (P <0.001) and, to a lesser extent, affective psychoses (P <0.01) and depressive neuroses (P <0.02). The incidence of paranoid states, reactive psychoses, and mania did not change significantly.Several factors possibly contributing to the decline in diagnoses of schizophrenia are discussed, but it is concluded that the figures probably reflect a genuine fall in incidence. The decline in the categories of affective disorder is likely to reflect trends towards increasing provision of community-based care.

Persistence of the Decline in the Diagnosis of Schizophrenia Among First Admissions to Scottish Hospitals from 1969 to 1988

1993 ◽  
Vol 163 (5) ◽  
pp. 620-626 ◽  
Author(s):  
John R. Geddes ◽  
Roger J. Black ◽  
Lawrence J. Whalley ◽  
John M. Eagles
Keyword(s):  
Birth Cohort ◽  
Age Groups ◽  
Admission Rate ◽  
Cohort Effect ◽  
Affective Psychoses ◽  
Admission Rates ◽  
Younger Age ◽  
Birth Cohort Effect ◽  
First Admission

Age-standardised rates were calculated for first admissions to hospital in Scotland with ICD-9 diagnoses of schizophrenia, affective psychoses, paranoid psychoses, reactive psychoses and depressive neuroses (ICD-9 295, 296, 297, 298 and 300.4) for the period 1969–88. First-admission rates for schizophrenia declined by an average of 3.3% per year in males and 4.4% per year in females over the period. The first-admission rate in males in 1988 was 8.4/100 000 (57% of 1969 rate) and in females was 4.8/100 000 (43% of 1969 rate). Rates for depressive neuroses, affective psychoses, reactive psychoses and combined psychoses also fell. Rates for mania rose, as did those for paranoid states in males. The decrease in first-admission rates is likely to reflect a true decrease in the incidence of schizophrenia over the period. The decline was unlikely to be accounted for by diagnostic change because there was no reciprocal increase in any other diagnosis sufficient to account for the change, and the rates for combined psychoses also decreased. There was evidence that rates for schizophrenia declined to a greater extent in younger age groups, especially in females. This could imply the presence of a birth cohort effect.

A Statistical Study of the Influence of Marriage on the Hospital Care of the Mentally Sick

1956 ◽  
Vol 102 (428) ◽  
pp. 467-486 ◽  
Author(s):  
Vera Norris
Keyword(s):  
Hospital Care ◽  
Mental Hospital ◽  
Statistical Study ◽  
Hospital Admissions ◽  
Mental Disease ◽  
The United States ◽  
Admission Rates ◽  
Mental Hospitals ◽  
Sick Population ◽  
First Admission

The handicap of the single as compared with the married state in respect of the first admission rates to mental hospitals has been demonstrated by several workers. Dayton (1939), Malzberg (1940) and 0degaard (1946), to mention but a few, have all shown that the admission rates for single persons are greater than those for married persons of the same age. Hospital first admission rates for mental disorders are more likely to give reliable estimates of the incidence of mental disease than are hospital rates for other types of illness, nevertheless hospital admissions are but a sample of the sick population in the community and, generally speaking, there is no means of knowing whether or not it is a representative sample of the total sick population. For this reason, in this paper it is only the effect of marital status on the hospital care of the mentally sick that it is to be considered. This appears to be a necessary restriction in view of the fact that the data analysed here relate only to hospital admissions, but ⊘degaard (1946) categorically stated, although his data, too, were derived from mental hospitals:“It is shown beyond doubt that the incidence of mental disease is much higher in the single than in the married, and that this ‘predominance of the single’ among our insane is no statistical figment caused by such factors as differences in age distribution or in the tendency to hospitalize the insane.”The purpose of this paper is not to discuss differential admission rates between single and married, although some data will be presented to show that the difference exists here as well as in Scandinavia and the United States, for I have dealt with that problem elsewhere.∗ The very great differences between the first admission rates for single and married persons led me to ask the question: “What other differences arise between single and married persons with respect to mental hospital care?” The data of a statistical study of mental hospital admissions which I have already completed provide some information on this point.

Ageing and Affective Disorders: The Age at First Onset of Affective Disorders in Scotland, 1969–1978

1985 ◽  
Vol 147 (2) ◽  
pp. 180-187 ◽  
Author(s):  
John M. Eagles ◽  
Lawrence J. Whalley
Keyword(s):  
Affective Disorder ◽  
Affective Disorders ◽  
Steady Increase ◽  
Social Psychological ◽  
Affective Psychosis ◽  
Affective Psychoses ◽  
Admission Rates ◽  
Clear Cut ◽  
Psychiatric Units ◽  
First Onset

SummaryFirst admission rates from 1969–78 for Scottish psychiatric units were calculated for discharge diagnoses of affective psychosis for each five-year age-group from 15 years to over 74 years. There were clear-cut linear increases in rates of depressive psychoses, mania, and all affective psychoses, consistent with a relatively steady increase in the rate of first-onset affective psychoses with increasing age. These findings are discussed in terms of social, psychological, and biological hypotheses of the causes of affective disorder. It is argued that no single factor could produce the observed linear increases with age and that the data appear more consistent with an integrative aetiological model of affective disorder.

scholarly journals MyCare study: protocol for a controlled trial evaluating the effect of a community-based intervention on psychosocial, clinical outcomes and hospital admission rates for adults with severe mental illness

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e040610
Author(s):  
Renée O'Donnell ◽  
Melissa Savaglio ◽  
Debra Fast ◽  
Ash Vincent ◽  
Dave Vicary ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
Hospital Admission ◽  
Clinical Outcomes ◽  
Controlled Trial ◽  
Community Based ◽  
Admission Rates ◽  
Mental Health Support ◽  
Health Support

IntroductionPeople with serious mental illness (SMI) often fail to receive adequate treatment. To provide a higher level of support, mental health systems have been reformed substantially to integrate mental healthcare into the community. MyCare is one such community-based mental health model of care. This paper describes the study protocol of a controlled trial examining the effect of MyCare on psychosocial and clinical outcomes and hospital admission and duration rates for adults with SMI.Methods and analysisThis is a multisite non-randomised controlled trial with a 3, 6 and 12-month follow-up period. The study participants will be adults (18–64 years of age) with SMI recruited from Hobart, Launceston and the North-West of Tasmania. The treatment group will include adults who receive both the MyCare intervention and standard mental health support; the control group will include adults who receive only standard mental health support. The primary outcome includes psychosocial and clinical functioning and the secondary outcome will examine hospital admission rates and duration of stay. Mixed-effects models will be used to examine outcome improvements between intake and follow-up. This trial will generate the evidence needed to evaluate the effect of a community mental health support programme delivered in Tasmania, Australia. If MyCare results in sustained positive outcomes for adults with SMI, it could potentially be scaled up more broadly across Australia, addressing the inequity and lack of comprehensive treatment that many individuals with SMI experience.Ethics and disseminationThis study has been approved by the Tasmanian Health and Medical Human Research Ethics Committee. The findings will be disseminated to participants and staff who delivered the intervention, submitted for publication in a peer-reviewed journal and shared at academic conferences.Trial registration numberACTRN12620000673943.

Comparison of 19th century and contemporary first admission rates.

2015 ◽  
pp. 45-89
Author(s):  
Herbert Goldhamer ◽  
Andrew W. Marshall
Keyword(s):  
19Th Century ◽  
Admission Rates ◽  
First Admission
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