Community psychiatry in the Sub-Arctic. Experiences with the shift from hospital-based to community-based psychiatric services in Northern Norway

Hansen, Vidje; Øiesvold, Terje

doi:10.1017/s1121189x00003286

Cited by 4 publications

(3 citation statements)

References 20 publications

(8 reference statements)

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“…Changes in the out-patient services and primary care services influence the acute psychiatric admission rates [ 1 , 2 ]. The total number of beds in the Norwegian psychiatric health service has declined by 57 % from 1970 to 2002 [ 3 ]. In the same period, out-patient services and primary care services have increased greatly [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

“…The total number of beds in the Norwegian psychiatric health service has declined by 57 % from 1970 to 2002 [ 3 ]. In the same period, out-patient services and primary care services have increased greatly [ 3 ]. Nevertheless, the number of admissions per year and the number of people admitted have increased, and the length of hospital stay has decreased [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…In Northern Norway, with Tromsø as regional capital, the total number of beds-to-population in psychiatric institutions is significantly lower than for the rest of the country [ 3 ]. Hence the pressure on the acute beds might be even higher than in the rest of the country, and the need to know if the referrals are appropriate is urgent.…”

Section: Introductionmentioning

confidence: 99%

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Acute psychiatric admissions from an out-of-hours Casualty Clinic; how do referring doctors and admitting specialists agree?

Deraas

Hansen

Giaever

et al. 2006

BMC Health Serv Res

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Background: Over the last decades there has been an increasing pressure on the acute psychiatric wards in Norway. The major contributor to psychiatric acute admissions at the University Hospital of North Norway in the city of Tromsø in 2001 was the GP-based Tromsø Casualty Clinic, only open out-of-hours. We explored all acute psychiatric referrals from Tromsø Casualty Clinic in 2001. The purpose of the study was to characterize the admissions and assess the agreement between the referring doctors and the hospital specialists according to the need for hospitalization, agreement on application of the law and the diagnostic evaluation to assess whether the admissions were appropriate.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Acute psychiatric admissions from an out-of-hours Casualty Clinic; how do referring doctors and admitting specialists agree?

Deraas

Hansen

Giaever

et al. 2006

BMC Health Serv Res

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The Barents project in psychiatry: a systematic comparative mental health services study between Northern Norway and Archangelsk County

Rezvyy

Øiesvold

Parniakov

et al. 2006

Soc Psychiat Epidemiol

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Geographical accessibility and duration of untreated psychosis: distance as a determinant of treatment delay

et al. 2017

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BackgroundThe duration of untreated psychosis is determined by both patient and service related factors. Few studies have considered the geographical accessibility of services in relation to treatment delay in early psychosis. To address this, we investigated whether treatment delay is co-determined by straight-line distance to hospital based specialist services in a mainly rural mental health context.MethodsA naturalistic cross-sectional study was conducted among a sample of recent onset psychosis patients in northern Norway (n = 62). Data on patient and service related determinants were analysed.ResultsHalf of the cohort had a treatment delay longer than 4.5 months. In a binary logistic regression model, straight-line distance was found to make an independent contribution to delay in which we controlled for other known risk factors.ConclusionsThe determinants of treatment delay are complex. This study adds to previous studies on treatment delay by showing that the spatial location of services also makes an independent contribution. In addition, it may be that insidious onset is a more important factor in treatment delay in remote areas, as the logistical implications of specialist referral are much greater than for urban dwellers. The threshold for making a diagnosis in a remote location may therefore be higher. Strategies to reduce the duration of untreated psychosis in rural areas would benefit from improving appropriate referral by crisis services, and the detection of insidious onset of psychosis in community based specialist services.

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Community psychiatry in the Sub-Arctic. Experiences with the shift from hospital-based to community-based psychiatric services in Northern Norway

Cited by 4 publications

References 20 publications

Acute psychiatric admissions from an out-of-hours Casualty Clinic; how do referring doctors and admitting specialists agree?

Acute psychiatric admissions from an out-of-hours Casualty Clinic; how do referring doctors and admitting specialists agree?

The Barents project in psychiatry: a systematic comparative mental health services study between Northern Norway and Archangelsk County

Geographical accessibility and duration of untreated psychosis: distance as a determinant of treatment delay

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