Patterns of admission to acute psychiatric in-patient facilities: a national survey in Italy

Preti, Antonio; Rucci, Paola; Santone, Giovanni; Picardi, Angelo; Miglio, Rossella; Bracco, Renata; Norcio, Bruno; Girolamo, Giovanni de

doi:10.1017/s0033291708003607

Cited by 56 publications

(42 citation statements)

References 35 publications

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“…With respect to disability it can also be observed that there is a greater percentage of people that belong to the dependent group (DeC or DeH) who obtain the highest disability scores in all. In the occupational DAS it can be seen that the group of independents does not have disability problems in this area; nevertheless, more than 50% of people who belong to the other three groups do.With respect to the family DAS, we observe that the sample of residential patients have severe family problems, and this may be the reason why they are admitted to hospital or residential services 28 . The results provide evidence that dependent people in the sample are those who present the greatest problems in psychosocial functioning, and those people in the group of independents stand out due to their level of integration in community social activities.…”

Section: Discussionmentioning

confidence: 91%

Use of functioning-disability and dependency for case-mix and subtyping of schizophrenia

et al. 2012

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-Background and Objectives:To evaluate the utility of the constructs functioning and disability (F&D) and dependency for case-mix and subtyping of patients with schizophrenia by psychosocial, clinical, use of services and attention received from informal carers.Methods: A randomly selected total of 205 people with schizophrenia, and their careers were evaluated through PANSS, DAS-sv, Objective and Subjective Burden Scale (ECFOS-II) and use of services.Results: Two groups and Four profiles were identified according to levels of Dependency: The non-dependent group was made of two profiles: independent (I), and persons with disability in the community (DiC). The dependent group included persons with dependency in the community (DeC) and persons with dependency in hospital care (DeH). There are clinical and psychosocial differences between these profiles being the dependent the most severe. Regarding use of services, DeC use the most resources, with the exception DeH (more hospitalization resources). The DeC profile generate greater family burden in the following areas; taking medication, being accompanied to appointments, and management than the DiC, despite both groups showing a high need for support.Conclusions: Dependency is a relevant construct for case-mix and subtyping in schizophrenia, and it is related to severity both at the social and clinical level. DeC generate more family burden than the other profiles, followed by DiC (patients with schizophrenia with disability but non-dependent).

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Section: Discussionmentioning

confidence: 91%

Use of functioning-disability and dependency for case-mix and subtyping of schizophrenia

et al. 2012

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“…A heterogeneidade entre as reformas na assistên-cia conduzidas nos diversos países dificulta a comparação objetiva de estratégias [12][13][14][15][16][17] . Nesse contexto, a necessidade de produzir dados relevantes para a avaliação das mudanças nos serviços de saúde mental já foi apontada por outros autores 18,19 e constitui a essência do presente artigo.…”

Section: Discussionunclassified

Perfil da clientela atendida em um serviço público de urgência psiquiátrica no município de Belo Horizonte, Brasil, no período de 2002 a 2007

Volpe

Silva

Carmo

et al. 2010

J. bras. psiquiatr.

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OBJETIVO: Descrever as características sociodemográficas, o número e os tipos de atendimentos realizados em um serviço público de atendimento de Urgência Psiquiátrica de Belo Horizonte, Brasil, no período de 2002 a 2007. MÉTODOS: Estudo descritivo de séries temporais, com análises de tendência por meio de regressões lineares, em que a variável resposta foi o número anual de atendimentos (totais e por tipo) ou a proporção de atendimentos por diagnóstico e a variável preditora foi o ano. RESULTADOS: O número total de atendimentos no período pesquisado não apresentou alteração significativa, embora tenha ocorrido uma redução do número de primeiras consultas no serviço, com aumento do número de retornos. Foi observada redução dos diagnósticos associados a álcool e drogas de abuso e predominância dos transtornos psicóticos. CONCLUSÃO: No período estudado, o Hospital Galba Velloso - FHEMIG manteve o volume total de atendimentos, mas observou-se redução da proporção de pacientes oriundos da capital, bem como redução da procura por diagnósticos associados a álcool e drogas de abuso, enquanto a categoria diagnóstica mais prevalente foi a dos transtornos psicóticos. Houve redução dos primeiros atendimentos e das internações prolongadas.

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“…In other samples including first episode psychotic patients, the literature indicates a diagnosis of schizophrenia as a risk factor for compulsory hospitalization 36 . In a recent national survey conducted in Italy about patterns of admission to acute psychiatric in-patient facilities, non affective psychoses accounted for a large extent of compulsory admissions 37 . Sociodemographic characteristics, a positive family history of any psychiatric illness, and any non-positive symptoms, were all not significantly associated with a discharge diagnosis of schizophrenia.…”

Section: Discussionmentioning

confidence: 99%

First admissions for psychoses in Eastern Piedmont-Italy

et al. 2009

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-Background and Objectives: 1) To identify the sociodemographic, anamnestic characteristics and presentation symptoms of patients, at the time of first hospitalization, associated with a discharge diagnosis of schizophrenic versus non-schizophrenic psychoses; 2) to define risk factors, at the time of the first admission, for a rehospitalization, regardless of reasons for readmission; 3) to assess the diagnostic stability between first and second hospitalization.Methods: This study includes 245 patients first admitted to the University Psychiatric Clinic of Novara in a period of seven years, discharged with a diagnosis of psychosis as reported in the Discharge Register (ICD-9-CM codes 290-299). Data were collected by consulting medical records and registers of community-based services of the South Novara Mental Health Department. A logistic regression model was used to determine the characteristics associated with a discharge diagnosis of schizophrenia. The relationship between the risk of rehospitalization and patients characteristics was studied using Cox's regression analysis.Results: Risk factors for a discharge diagnosis of schizophrenia were age, compulsory admission, positive symptoms, and previous non-psychotic psychiatric episodes. Risk factors for rehospitalization were a diagnosis of schizophrenia, an age of less than 40 years, the absence of a stable affective relationship, and living with the family of origin. The 92% of the patients diagnosed as schizophrenic on the first hospitalization had the same diagnosis on readmission.Conclusions: Schizophrenia differs from other psychoses in terms of the greater prevalence of both some symptomatological characteristics and an history of previous non psy- Background and objectives

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Patterns of admission to acute psychiatric in-patient facilities: a national survey in Italy

Cited by 56 publications

References 35 publications

Use of functioning-disability and dependency for case-mix and subtyping of schizophrenia

Use of functioning-disability and dependency for case-mix and subtyping of schizophrenia

Perfil da clientela atendida em um serviço público de urgência psiquiátrica no município de Belo Horizonte, Brasil, no período de 2002 a 2007

First admissions for psychoses in Eastern Piedmont-Italy

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