Some of the devices in the public health system in our country that perform an integral approach to people with severe mental illness (SMI) are the Rehabilitation Unit (RU) and the Day Hospital (DH). A peculiarity of our Healthcare Area is that both units share resources and location, so this fact could change health care rates expected for each of them. Objectives: To evaluate the differences and similarities between both devices to level of care. Method: The sample consisted of all patients who came in the last year to both, the DH and to the RU in Algeciras (Spain). The variables studied were "new cases", "patients treated" and "ratio of admissions/discharges" in those units. The information was collected from the database system from the Mental Health Information of Andalusia. Results: We recorded 46% of new cases in the RU, compared to 54% in DH. Of all patients treated, 47% underwent rehabilitative activities, while 53% participated in the workshops of DH. On the other hand, the percentage of patients diagnosed with SMI was 84% in RU and 67% in DH. With respect to admissions/discharges ratio, the RU recorded 0.94 and the DH 0.83. Conclusions: No significant differences in the level of care between RU and DH. Welfare rates could be quantitatively different if the devices had been physically separated.
Health care processes for people with severe mental illness (SMI) include an integral approach to the disorder, understanding as such the addition of various interventions destined to improve patient´s biopsychosocial role. Objectives: To evaluate the type of intervention received by patients with SMI in two mental health care devices that look after this group: a Day Hospital (DH) and a Rehabilitation Unit (RU). Method: A sample of patients had attended the devices mentioned in the last year was selected and it was collected data on the number and type of interventions received (pharmacological, individual, family and group) through the Information System of Andalusia Mental Health. Results: Regarding DH, most interventions performed were type group (65.5%), followed by pharmacological interventions (26.1%), individual psychotherapy (6.4%) and interventions with families (2 %). Similarly, in the RU was registered an 80% of group interventions, a 16.1% of pharmacological interventions, a 2.6% and a 1.3% of individual and family interventions, respectively. Conclusions: While most of the proceedings are group interventions, it is expected due to the framing of this type of device, other types of interventions that contribute to an integral approach to SMI are also performed.
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