The Amsterdam Studies of Acute Psychiatry - II (ASAP-II): a comparative study of psychiatric intensive care units in the Netherlands

Koppelmans, Vincent; Schoevers, Robert A.; Wijk, Cecile Gijsbers van; Mulder, W.; Hornbach, Annett; Barkhof, Emile; Klaassen, André; Egmond, Marieke van; Venrooij, Janine van; Bijpost, Yan; Nusselder, Hans; Herrewaarden, Marjan van; Maksimovic, Igor; Achilles, Alexander; Dekker, Jack

doi:10.1186/1471-2458-9-318

Cited by 7 publications

(4 citation statements)

References 28 publications

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“…In this way, after a first wave (between 2005 and 2009) of locally implementing the model of psychiatric intensive care to locked wards, a second wave (from 2010, in alignment with the bed reduction policy) is coming up allowing for good benchmarking and outcomes research on therapeutic interventions in PICUs in Belgium. A similar evolution was seen in the Netherlands with the planning of the ASAP-II study (Koppelmans et al 2009). This study aims at comparing different Dutch PICUs on, amongst others, treatment aspects, outcome variables and rates of coercive actions.…”

Section: The Imminent Change In Mental Health Care Organization and Tsupporting

confidence: 69%

Psychiatric intensive care units in Belgium: a new mental health service provision meriting research?

Øvreeide

Bervoets²

2011

J. Psychiatr. Intensive Care

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Belgium has a large capacity of psychiatric beds as compared to most other European countries and is on the verge of reducing this capacity. An accompanying augmentation of assertive community treatment strategies alongside acute crisis resolution has already begun. The latter function has been implemented in recently developed psychiatric intensive care units. Whether this development will result in improved care for psychiatric patients and in a reduction in cost for the government remains unanswered. Outcomes research in psychiatric intensive care is ongoing in the United Kingdom but this is not the case in Belgium. In this commentary we suggest that this moment of change is a perfect time for initiating research on psychiatric intensive care units in Belgium preferably in close collaboration with experienced staff in the United Kingdom.

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Section: The Imminent Change In Mental Health Care Organization and Tsupporting

confidence: 69%

Psychiatric intensive care units in Belgium: a new mental health service provision meriting research?

Øvreeide

Bervoets²

2011

J. Psychiatr. Intensive Care

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“…An additional Bonferroni post-hoc analysis was used to assess the differences between the patient groups who enrolled at different times. Differences between the patient groups in nominal and ordinal variables were examined using cross-tabulations and were tested for statistical significance with a χ 2 test [ 50 ]. All analyses were performed with the statistical software package SPSS version 15.0.…”

Section: Methodsmentioning

confidence: 99%

Who is accessing public-sector anti-retroviral treatment in the Free State, South Africa? An exploratory study of the first three years of programme implementation

et al. 2010

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BackgroundAlthough South Africa has the largest public-sector anti-retroviral treatment (ART) programme in the world, anti-retroviral coverage in adults was only 40.2% in 2008. However, longitudinal studies of who is accessing the South African public-sector ART programme are scarce. This study therefore had one main research question: who is accessing public-sector ART in the Free State Province, South Africa? The study aimed to extend the current literature by investigating, in a quantitative manner and using a longitudinal study design, the participants enrolled in the public-sector ART programme in the period 2004-2006 in the Free State Province of South Africa.MethodsDifferences in the demographic (age, sex, population group and marital status) socio-economic (education, income, neo-material indicators), geographic (travel costs, relocation for ART), and medical characteristics (CD4, viral load, time since first diagnosis, treatment status) among 912 patients enrolled in the Free State public-sector ART programme between 2004 and 2006 were assessed with one-way analysis of variance, Bonferroni post-hoc analysis, and cross tabulations with the chi square test.ResultsThe patients accessing treatment tended to be female (71.1%) and unemployed (83.4%). However, although relatively poor, those most likely to access ART services were not the most impoverished patients. The proportion of female patients increased (P < 0.05) and their socio-economic situation improved between 2004 and 2006 (P < 0.05). The increasing mean transport cost (P < 0.05) to visit the facility is worrying, because this cost is an important barrier to ART uptake and adherence. Encouragingly, the study results revealed that the interval between the first HIV-positive diagnosis and ART initiation decreased steadily over time (P < 0.05). This was also reflected in the increasing baseline CD4 cell count at ART initiation (P < 0.05).ConclusionsOur analysis showed significant changes in the demographic, socio-economic, geographic, and medical characteristics of the patients during the first three years of the programme. Knowledge of the characteristics of these patients can assist policy makers in developing measures to retain them in care. The information reported here can also be usefully applied to target patient groups that are currently not reached in the implementation of the ART programme.

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“…The admission policy describes only accepting patients who are legally detained under the Mental Health Act 2001 and only after they 'cannot be safely assessed or treated in an open acute inpatient facility'. This shows dissimilarities exist between PICU's in different countries in terms of legal status, patient selection criteria, type of care and treatment outcome (Crowhurst & Bowers, 2002;Karen Barlow et al 2000;Bowers et al 2008;Koppelmans & Schoevers, 2009;Bailey, 2014;Winkler et al 2019). It is unclear whether these differences in service operation and admission criteria of PICU's are built on community needs, or a result of historical or financial developments.…”

Section: Introductionmentioning

confidence: 99%

Admission patterns in a psychiatric intensive care unit in Ireland: a longitudinal follow-up

Raaj¹,

Navanathan

Matti

et al. 2021

Ir. j. psychol. Med.

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Objective: This study aims to describe the course of admission and clinical characteristics of admissions to a psychiatric intensive care unit (PICU) in the Phoenix Care Centre (PCC), Dublin, Ireland. Methods: This retrospective chart study was conducted at the PCC, Dublin, Ireland. The cohort included all admission episodes (n = 91 complete data) over a three-year study period between January 2014 and January 2017. Results: The mean age of admitted cases was 37.1 (s.d. = 11.3; range 18–63). The mean length of stay (LOS) was 59.3 days (s.d. = 61.0; median 39.5 days). All patients were admitted under Mental Health Act legislation. Antipsychotic polypharmacy was used in 61% (n = 55) of the admissions. A diagnosis of acute psychotic disorder (B = −1.027, p = 0.003, 95% CI: −1.691, −0.363) was associated with reduced LOS in PICU. Conclusion: Our study describes the cohort of patients admitted as being predominantly male, younger-aged, single, having a diagnosis of schizophrenia and being legally detained. The primary indication for referral is risk of assault, which highlights the need for the intensive and secure treatment model that a PICU can provide.

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The Amsterdam Studies of Acute Psychiatry - II (ASAP-II): a comparative study of psychiatric intensive care units in the Netherlands

Cited by 7 publications

References 28 publications

Psychiatric intensive care units in Belgium: a new mental health service provision meriting research?

Psychiatric intensive care units in Belgium: a new mental health service provision meriting research?

Who is accessing public-sector anti-retroviral treatment in the Free State, South Africa? An exploratory study of the first three years of programme implementation

Admission patterns in a psychiatric intensive care unit in Ireland: a longitudinal follow-up

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