High and long-term users of the mental health services

Tansella, Michele; Micciolo, Rocco; Balestrieri, Matteo; Gavioli, I.

doi:10.1007/bf00578749

Cited by 52 publications

(44 citation statements)

References 11 publications

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“…4) In Mantua there was a significantly higher proportion of admitted patients with a diagnosis of functional psychosis. There is no reason to assume that the morbidity is different in Cremona compared to Mantua, but the difference seems to reflect a selection of admitted patients with priority given to the patients suffering from the most impairing psychiatric illness, needing more intensive inpatient care, such as young schizophrenic patients (Tansella et al 1986a(Tansella et al , 1986b; Torre al, 1.982). The selection is probably a consequence of fewer beds being available and more intensive out-patient care as mentioned above.…”

Section: Discussionmentioning

confidence: 99%

Admission To General Hospital Psychiatric Wards in Italy

Girolamo¹,

Mors²,

Rossi³

et al. 1988

Int J Soc Psychiatry

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Epidemiological comparisons carried out in Italian settings regarded very different areas. In this paper, we investigate the effects on the hospital activity of two different organizational models of care in two neighbouring areas in Northern Italy, Cremona and Mantua, very similar in sociodemographic features. Cremona is hospital oriented, while Mantua has well developed community services. All the patients of the catchment areas admitted during 1986 were studied. Age distribution for males, marital status, education and percentage of employed were very similar in the two samples. However, age distribution and mean age at the time of the first ever psychiatric admission for females were different, as well as the percentage of patients living alone and the percentage of patients discharged home. But the cogent finding was the number of admissions, much higher in Cremona than in Mantua, especially for some age groups. Some explanations of this strong difference, regarding two neighbouring and similar areas, are discussed.

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Section: Discussionmentioning

confidence: 99%

Admission To General Hospital Psychiatric Wards in Italy

Girolamo¹,

Mors²,

Rossi³

et al. 1988

Int J Soc Psychiatry

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“…As a general finding, it has been shown that a small proportion of patients use a large proportion of the resources (Tansella et al, 1986;Hansson & Sandlund, 1992). As a general finding, it has been shown that a small proportion of patients use a large proportion of the resources (Tansella et al, 1986;Hansson & Sandlund, 1992).…”

Section: Factors Which Interfere With Service Utilisationmentioning

confidence: 91%

“…By adding also the criterion of the duration of contacts further information is obtained; Tansella et al (1986) proposed a further division in long-term and non long-term users on the basis of the length of the 10. Type and intensity of care are included in these indices.…”

Section: The Patterns Of Carementioning

confidence: 99%

Service utilisation: a pivotal measure in assessing service needs and service outcome

Ruggeri

1997

Epidemiol. psichiatr. soc, Monograph suppl.

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In past years the study of service utilization has given a great contribution to the evaluation of mental health services. Nowadays, the challenge that must be faced is to obtain from service utilization research useful knowledge for clinical practice and service planning.Psychiatric care organization should be based on coherent and comprehensive assessments of the population's morbidity and needs for care, and take into account costs and benefits of different forms of treatments in relieving mental disorders and meeting mental health needs. While the former issue has been widely studied, the last two are mostly unexplored. Specifically, there is limited amount of information available on the significance that certain patterns of service utilization, or changes in service utilization, may have for the patient, his/her relatives and the community, and on the correlation between certain characteristics of service utilization and the overall quality of care.In this perspective, service utilization must not be considered an isolated step in the patient's career; the causal link between needs, use, and outcome of services should be identified. A full understanding of the role of service utilization in psychiatry thus necessitates taking into consideration events occurring at various steps of a person's history:step 1: a person develops a mental disorder;step 2: in certain cases this will determine a mental health service need;step 3: in certain cases the service need will determine mental health service utilization;step 4: use of mental health services will have a certain outcome.

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“…The annual SCS ranges from 1 point (only one outpatient contact in 365 days) to 1095 points (365 days spent in hospital). In accordance with Tansella et al (16), patients were classified as high and low service users by dicho- Table 1 Annual prevalence and incidence% rates per 10,000 inhabitants: z 15 years (Groningen) and 2 14 years (south Verona 3.…”

Section: Methodsmentioning

confidence: 98%

Use of mental health services in south Verona and Groningen

Sytema¹,

Balestrieri²,

Giel³

et al. 1989

Acta Psychiatr Scand

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A comparison was made of the utilization of mental health services in a psychiatric case register area in Italy (south Verona) and one in the Netherlands (Groningen). All residents living in these areas who contacted a mental health service in 1982 were traced and followed for a period of one year. The year prevalence rates differed considerably (110/10,000 in south Verona and 329/10,000 in Groningen). Rates of single consulters were similar in both areas, while those of chronic inpatients were more than 11 times higher in Groningen than in south Verona. After excluding both single consulters and chronic inpatients, when comparing service consumption according to fixed classes of scores, the category of highest service use accounted for 60% of care provided in Groningen as compared with less than 30% in south Verona. The proportion of total service consumption due to inpatient care was about the same in both areas, but brief admissions were more common in south Verona. Moreover, when service use was considered as a relative construct, about 10% of patients in both areas could be called high users. Finally, long-term patients were more prevalent in Groningen (26%) than in south Verona (13%).

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High and long-term users of the mental health services

Cited by 52 publications

References 11 publications

Admission To General Hospital Psychiatric Wards in Italy

Admission To General Hospital Psychiatric Wards in Italy

Service utilisation: a pivotal measure in assessing service needs and service outcome

Use of mental health services in south Verona and Groningen

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