2002
DOI: 10.4102/sajpsychiatry.v8i3.930
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Patterns and determinants of acute psychiatric readmissions

Abstract: International trends have seen a policy shift from chronic psychiatric institutions and long hospital admissions towards acute, short hospital stays and community-based care. Following this process a dramatic increase in relapse rates has been noted among a particular subgroup of psychiatric patients. The general decline in number of hospital beds and mental hospital population size seems to have directly paralleled the increasing rate of readmissions for certain patients. Design. A retrospective cohort of 180… Show more

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Cited by 9 publications
(21 citation statements)
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“…Unfortunately, there has been difficulty in finding consistent and accurate predictors of mental health readmission. 1 Although the variables used to predict utilization have differed, most predictive modeling studies of mental health readmission have used a combination of administrative and clinical predictors.…”
Section: Introductionmentioning
confidence: 99%
“…Unfortunately, there has been difficulty in finding consistent and accurate predictors of mental health readmission. 1 Although the variables used to predict utilization have differed, most predictive modeling studies of mental health readmission have used a combination of administrative and clinical predictors.…”
Section: Introductionmentioning
confidence: 99%
“…This may be further compounded by the socio-economic status of the individuals from the referral area and the inadequate educational facilities as a result of the previous apartheid system. The finding that the majority of police referrals were male, had a low level of education, were single and unemployed is not necessarily unique but may merely reflect the profile of the 'typical patient' admitted to CHBH as reported by Behr, et al 19 Only 6.6% of police referrals in this study were reported as having a previous criminal history. This is in contrast to the 40% of police referrals who had a forensic history, as reported by Kneebone, et al 11 with assault and theft being the most common offences.…”
Section: Discussionmentioning
confidence: 39%
“…[18] It is unclear what the male:female ratio of acute psychiatric admissions is currently at CHBAH. The mid-year SA national statistics for 2011 [19] estimated a female:male HIV prevalence ratio of 1.5:1 in South Africans between the ages of 15 and 49 years.…”
Section: Discussionmentioning
confidence: 99%
“…A report on psychiatric admissions to CHBAH in 1996, before the national roll-out of ART, suggested the most common diagnoses in their sample were schizophrenia and bipolar disorder. [18] It should be noted that in 1996, 'psychotic disorder due to HIV' was an emerging concept and was not listed as a diagnosis in their sample. In the current study, a substance use history was not obtained at all in 10.2% of patients' records.…”
Section: Discussionmentioning
confidence: 99%