The Case for Psychiatric Record Linkage<sup>*</sup>

Cm, Woogh

doi:10.1177/070674378703200616

Cited by 8 publications

(2 citation statements)

References 39 publications

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“…is a psy chi at ric case reg is ter es tab lished in 1984 (21,22). Since then, the KPRLS has col lected and linked de mographic, di ag nos tic, and ser vice use in for ma tion for all in patients and out pa tients seen by the psy chi at ric ser vices of the 3 Kingston hos pi tals (2 gen eral and 1 pro vin cial psy chi at ric facil ity).…”

Section: The Kingston Psy Chi At Ric Re Cord Link Age Sys Tem (Kprls)mentioning

confidence: 99%

Is Schizophrenia on the Decline in Canada?

Woogh

2001

Can J Psychiatry

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Ob jec tive:To ex am ine changes in prev a lence rates of treated schizo phre nia over 10 years in a small ur ban teach ing cen tre us ing data from the Kingston Psy chi at ric Re cord Link age Sys tem (KPRLS). Method:The KPRLS, a psy chi at ric case reg is ter es tab lished in 1984, col lects and links de mo graphic, di ag nos tic, and ser vice use in for ma tion for all psy chi at ric in pa tients, out pa tients and emer gency con tacts at the 3 hos pi tals in Kingston, On tario. A pre lim inary com par i son of first ad mis sions for schizo phre nia used chart re view (1976)(1977)(1978) and KPRLS data (1996KPRLS data ( -1998. The KPRLS data were used to cal cu late pop u la tion-based prev a lence rates of treated schizo phre n ia in 3 cen sus years (1986, 1991, 1996) for pa tients in the 2 coun ties clos est to Kingston. Re sults:The pre lim i nary com par i son showed a 42% de crease in the num ber of first-admission schizo phre nia cases over 20 years. In the main study, the an nual in pa tient prev a lence rates de creased sig nif i cantly (52%) from 1986 to 1996 with no cor re spond ing change in out pa tient rates, re gard less of sex. Al though to tal ma jor af fec tive dis or ders in creased, this was due to an in crease in major de pres sion, not bi po lar dis or der. Con clu sions:This is the first Ca na dian case-register study to sup port the widely re ported fall ing rates of schizo phre nia in other parts of the world over the last 40 years. Since this is a geo graph i cally lim ited prev a lence study based on only 10 years of data, further re search over lon ger pe ri ods of time in other re gions of the coun try is re quired to sup port or re fute these find ings.(Can J Psy chi a try 2001;46:61-67) Key Words: schizophrenia, prevalence rates, psychiatric case register, epidemiology M any stud ies in the ep i de mi o log i cal lit er a ture sug gest that rates of schizo phre nia have fallen since the late 1960s, al though oth ers con tra dict this find ing. The data are de rived from case reg is ters, of fi cial sta tis tics, in di vid ual hospi tals, and com mu nity-based ser vices. Re ported sta tis tics range from event-based to treated prev a lence to in ci dence rates.Most of the case-register stud ies show a de cline in rates of schizo phre nia. In an age-standardized study of first psy chi atric con tacts in north east Scot land from 1969 to 1984, Ea gles and oth ers showed a sig nif i cant de crease in schizo phre nia with no con com i tant rise in other di ag nos tic groups (1). Geddes and oth ers in Scot land, us ing age-standardized first-admission co horts, found a sig nif i cant de cline in schizophre nia from 1969 to 1988, again with no re cip ro cal in crease in other di ag no ses, and in fact, they found a de crease in the rates for com bined psy cho ses (2). Kendell and oth ers in Ed inburgh found a sig nif i cant fall in first-admission rates from 1971 to 1989 but con cluded that chang ing di ag nos tic cri te ria and in ac cu rate la bel ling of first ad mis sions could ...

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Section: The Kingston Psy Chi At Ric Re Cord Link Age Sys Tem (Kprls)mentioning

confidence: 99%

Is Schizophrenia on the Decline in Canada?

Woogh

2001

Can J Psychiatry

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“…Kingston, Ontario has a PCR which contains information on inpatient and outpatient services for two acute care hospitals and one psychiatric hospital (Woogh, 1987(Woogh, , 1988. A similar register exists in Thunder Bay, Ontario.…”

Section: Mental Ilealth Inforrnation Systems and Case Registens In Camentioning

confidence: 99%

Reliability of the Manitoba Mental Health Management Information System for Research

Robinson

Tataryn²

1997

Can J Psychiatry

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Current evaluation and future needs of a mental health data linkage system in a remote region: A canadian experience

Squire

Bédard²,

Hegge³

et al. 2002

The Journal of Behavioral Health Services & Research

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Linking client data across care sectors and agencies is becoming essential to ensure continuity of care, evaluation, and planning of mental health services delivery. The Data Linkage System (DLS), a record-linked, client-based, mental health database in northwestern Ontario, was established in response to this need. It is a voluntary system currently used by 30 of 40 mental health programs. The study surveyed program administrators to determine the system's utilization, perceived value, and future needs regarding data collection. The survey results delineated the perceived usefulness of the DLS in a remote region. The findings will provide direction for continued development of the DLS.

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The Case for Psychiatric Record Linkage^*

Cited by 8 publications

References 39 publications

Is Schizophrenia on the Decline in Canada?

Is Schizophrenia on the Decline in Canada?

Reliability of the Manitoba Mental Health Management Information System for Research

Current evaluation and future needs of a mental health data linkage system in a remote region: A canadian experience

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The Case for Psychiatric Record Linkage*

Cited by 8 publications

References 39 publications

Is Schizophrenia on the Decline in Canada?

Is Schizophrenia on the Decline in Canada?

Reliability of the Manitoba Mental Health Management Information System for Research

Current evaluation and future needs of a mental health data linkage system in a remote region: A canadian experience

Contact Info

Product

Resources

About

The Case for Psychiatric Record Linkage^*