Time Trends in the Care-Based Incidence of Schizophrenia

1995 ◽  
Vol 167 (6) ◽  
pp. 777-782 ◽  
Author(s):  
A. J. Oldehinkel ◽  
R. Giel
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Time Trends ◽  
Admission Rate ◽  
Incidence Rates ◽  
Case Register ◽  
Admission Rates ◽  
Definition Of ◽  
First Admission

BackgroundSeveral studies have suggested a declining first-admission rate for schizophrenia. This study examines the care-based incidence of schizophrenia in a Dutch register area.MethodData from Groningen psychiatric case register were used to compare first-admission rates for schizophrenia over 1976–90 with those of other functional psychoses, and to consider various potential biases.ResultsDiagnostic habits probably affected time trends in incidence rates. Using a broader definition of schizophrenia, no evidence was found for a decrease in the incidence of schizophrenia. Although first admissions to intramural services showed a (non-significant) decrease, this effect seemed to be neutralised when all mental health services were taken into account.ConclusionsCare-based studies of time trends in psychiatric disorders should embrace all mental health services. Furthermore, unless a diagnostic classification system with univocal criteria is used, bias caused by changing diagnostic habits cannot be ruled out.

scholarly journals Venous thromboembolism incidence in mental health services for older people: survey of in-patient units

2013 ◽  
Vol 37 (9) ◽  
pp. 283-285 ◽  
Author(s):  
Martin van Zyl ◽  
Gillian Wieczorek ◽  
Joe Reilly
Keyword(s):  
Mental Health ◽  
Venous Thromboembolism ◽  
Mental Health Services ◽  
Health Services ◽  
Older People ◽  
Current Practice ◽  
Assessment Tool ◽  
Incidence Rates ◽  
Compression Stockings ◽  
National Health Service Trust

Aims and methodTo establish the incidence of venous thromboembolism (VTE) in mental health services for older people (MHSOP) in-patient units, and investigate current practice in terms of assessment of risk of VTE and treatment given. We conducted an incidence survey of VTE on in-patient units in MHSOP in a National Health Service trust, searching data of in-patients discharged over a 2-year period.ResultsOverall, 1495 individual patient records were searched. There were 17 confirmed VTEs, which is comparable with VTE incidence rates in general hospitals. There were no risk assessments done on admission and no thromboprophylaxis given. Use of compression stockings and mobilisation was limited.Clinical implicationsThe study confirmed a significant VTE incidence and the need for increased awareness among MHSOP staff. This can be met by improved training of VTE awareness and management for clinical staff and the use of a VTE assessment tool on MHSOP in-patient units.

Consultant responsibilities in child and adolescent mental health services teams: a systems dilemma

2003 ◽  
Vol 27 (2) ◽  
pp. 68-70 ◽  
Author(s):  
Peter Reder
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Adolescent Mental Health ◽  
Child And Adolescent ◽  
Clinical Implications ◽  
Ultimate Responsibility ◽  
Legal Responsibilities ◽  
Definition Of ◽  
Child Psychiatrists

Aims and MethodsA number of relevant professional bodies were invited to state their views on the responsibilities of consultant child psychiatrists within multi-disciplinary teams in order to ascertain whether there was any consensus on the issue.ResultsLittle consensus or clarity emerged, save for agreement on child psychiatrists' expertise with medical matters. Only medical organisations believed in a notion of the consultant holding ultimate responsibility, although definition of this remained elusive.Clinical ImplicationsConsultants may need to seek clarity about their clinical and legal responsibilities from their employing Trust. However, there are many other dimensions to responsibility which have relevance for the training of child psychiatrists.

Low Vocational Outcome Among People Diagnosed With Borderline Personality Disorder During First Admission to Mental Health Services in Denmark: A Nationwide 9-Year Register-Based Study

2019 ◽  
Vol 33 (3) ◽  
pp. 326-340 ◽  
Author(s):  
Lene Halling Hastrup ◽  
Mickey T. Kongerslev ◽  
Erik Simonsen
Keyword(s):  
Mental Health ◽  
Labor Market ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Mental Health Services ◽  
Health Services ◽  
Borderline Personality ◽  
Vocational Outcome ◽  
First Admission

Earlier studies report that although people with borderline personality disorder (BPD) experience symptom reduction in the long term, they continue to have difficulties in work recovery. This nationwide 9-year register-based study (N = 67,075) investigated the long-term labor-market attachment of all individuals diagnosed with BPD during first admission to Danish mental health services in comparison with other psychiatric disorders. Controlling for baseline characteristics and co-occurring secondary psychiatric diagnoses, the BPD group had 32% lower odds (OR = 0.68; 95% CI [0.61, 0.76]) of being in work/under education after 9 years. Individuals diagnosed with BPD also showed more impairment in long-term vocational outcome than other personality disorders, and lower labor-market attachment than other psychiatric disorders except for schizophrenia, schizotypal and delusional disorders, and mental and behavioral disorders due to psychoactive substance use. Intervention programs addressing social psychiatric aspects of BPD in terms of work functioning is henceforth an important area for future research.

scholarly journals Excess Cancer Mortality in Psychiatric Patients

2008 ◽  
Vol 53 (11) ◽  
pp. 753-761 ◽  
Author(s):  
Stephen Kisely ◽  
Joseph Sadek ◽  
Adrian MacKenzie ◽  
David Lawrence ◽  
Leslie Anne Campbell
Keyword(s):  
Mental Health ◽  
Mental Illness ◽  
General Population ◽  
Health Services ◽  
Cancer Incidence ◽  
Cancer Mortality ◽  
Psychiatric Patients ◽  
Admission Rates ◽  
Rate Ratios ◽  
First Admission

Objectives: There are conflicting data on cancer incidence and mortality in psychiatric patients, although most studies suggest that while cancer mortality is higher, incidence is no different from that in the general population. Different methodologies and outcomes may account for some of the conflicting results. We investigated the association between mental illness and cancer incidence, first admission rates, and mortality in Nova Scotia using a standard methodology. Method: A population-based record-linkage study of 247 344 patients in contact with primary care or specialist mental health services during 1995 to 2001 was used. Records were linked with cancer registrations and death records. Results: Cancer mortality was 72% higher in males (95%CI, 63% to 82%) and 59% higher in females (95%CI, 49% to 69%) among patients in contact with mental health services. This was reflected in similarly elevated first admission rates. However, there was weaker and less consistent evidence for increased incidence. For several cancer sites, incidence rate ratios were lower than might be expected given the mortality and first admission rate ratios, and no higher than that of the general population. These were melanoma, prostate, bladder, and colorectal cancers in males. Conclusion: People with mental illness in Nova Scotia have increased mortality from cancer, which cannot always be explained by increased incidence. Possible explanations for further study include delays in detection or initial presentation leading to more advanced staging at diagnosis, and difficulties in communication or access to health care.

Sign in / Sign up

Export Citation Format

Share Document