Clinical differences between immigrants voluntarily and involuntarily admitted to acute psychiatric units: a 3-year prospective study

Iversen, Valentina Cabral; Berg, John W.; Småvik, Rita; Vaaler, Arne

doi:10.1111/j.1365-2850.2011.01718.x

Cited by 14 publications

(10 citation statements)

References 28 publications

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“…In addition, the present study also supported prior findings suggesting that male patients, patients suffering from psychotic disorders, and patients that are referred to inpatient stays, are more likely to be involuntarily admitted [10,34,35]. …”

Section: Discussionsupporting

confidence: 89%

“…Moreover, we lack data on some variables that could be of importance to the use of involuntary admission, including degree of disability, financial status, employment, educational level, ethnicity, attitudes of doctors, caregivers and patients, etc. [5,6,8,10,23,34,48-51]. The model predicts between 9.0% (Cox & Snell R Square) and 28.7% (Nagelkerke R Square) of the variance in legal status at admission.…”

Section: Discussionmentioning

confidence: 94%

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Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study

Myklebust

Sørgaard

Wynn

2014

BMC Health Serv Res

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BackgroundStudies on the effect of organizational factors on the involuntary admission of psychiatric patients have been few and yielded inconclusive results. The objective was to examine the importance of type of service-system, level of care, length of inpatient stay, gender, age, and diagnosis on rates of involuntary admission, by comparing one deinstitutionalized and one locally institutionalized service-system, in a naturalistic experiment.Methods5538 admissions to two specialist psychiatric service-areas in North Norway were studied, covering a four-year period (2003-2006). The importance of various predictors on involuntary admission were analyzed in a logistic regression model.ResultsInvoluntary admission to the services was associated with the diagnosis of psychosis, male sex, being referred to inpatient treatment, as well as type of service-system. Patients from the deinstitutionalized system were more likely to be involuntarily admitted.ConclusionsSeveral factors predicted involuntary status, including male sex, the diagnosis of psychosis, and type of service-system. The results suggests that having psychiatric beds available locally may be more favourable than a traditional deinstitutionalized service system with local outpatient clinics and central mental hospitals, with respect to the use of involuntary admission.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 94%

Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study

Myklebust

Sørgaard

Wynn

2014

BMC Health Serv Res

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“…Surprisingly, more refugees than asylum seekers indicated problems judging life ten years from now. Involuntary psychiatric admissions are widespread among patients with an immigrant background, although the exact rules by law are different from country to country [27]. In Norway some 75% of immigrants are referred under compulsion, whereas 50% of ethnic Norwegians.…”

Section: What May Explain These Findings?mentioning

confidence: 99%

The Psychology of Immigration, Relief or a Burden? Immigrant Need and Use of Psychiatric Care

Berg¹

2012

Mental Illnesses - Understanding, Prediction and Control

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“…A Norwegian study concludes that immigrant patients diagnosed with mental disorders are more often involuntarily admitted to the hospital than natives (Iversen, Berg, Småvik & Vaaler, 2011).…”

Section: "Many Problems Occur Because Of Alcohol Use But Instead Of Tmentioning

confidence: 99%

The Intercultural Challenges of General Practitioners in Norway with Migrant Patients

Goth

Berg

Akman

2010

Intl J of Migration, H and SC

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Migrants to Norway disproportionately use emergency medical services while under-using primary care, obviating the medical and cost advantages of the Regular General Practitioner (RGP) scheme. Little is known about migrants' use of the RGP scheme and the obstacles that affect ability and motivation to obtain or comply with treatment. The authors questioned 12 GPs around Oslo who serve migrants, using a semi-structured interview guide. GPs defined migrants in terms of socio-cultural difference rather than legal status, these differences often obstructing doctor-patient communication and understanding. GPs reported that migrants often seem helpless in dealing with the public health service owing to language difficulties, differences in expectations and a systemic failure to co-ordinate care. The findings suggest the importance of providing information about health services in a migrant's mother tongue upon arrival in Norway, of GPs taking detailed patient histories from the beginning to identify obstacles to communication and treatment, and of co-ordinating emergency services with other care

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Clinical differences between immigrants voluntarily and involuntarily admitted to acute psychiatric units: a 3-year prospective study

Cited by 14 publications

References 28 publications

Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study

Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study

The Psychology of Immigration, Relief or a Burden? Immigrant Need and Use of Psychiatric Care

The Intercultural Challenges of General Practitioners in Norway with Migrant Patients

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