The new asylums in the community: severely ill psychiatric patients living in psychiatric supported housing facilities. A Danish register-based study of prognostic factors, use of psychiatric services, and mortality

Nordentoft, Merete; Pedersen, Marianne Bruus; Pedersen, Carsten Bøcker; Blinkenberg, Søren; Mortensen, Preben Bo

doi:10.1007/s00127-011-0432-2

Cited by 24 publications

(16 citation statements)

References 14 publications

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“…This suggests that an increasing percentage of the new patients with s chizophrenia can possibly be treated in the community and an increasing percentage of those who are admitted can be treated effectively via a shorter, once in a lifetime inpatient episode. These results are in line with a worldwide trend [20-22]. …”

Section: Discussionsupporting

confidence: 90%

Hospitalization of patients with schizophrenic and affective disorders in Israel in the aftermath of the structural and rehabilitation reforms

Levinson¹,

Lerner

2013

Isr J Health Policy Res

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BackgroundIn the last decade (2001–2010) the Ministry of Health implemented two major inter-related reforms: a ’structural reform’ to reduce the number of psychiatric beds and the ’Rehabilitation of the Mentally Disabled in the Community Law’, which allocated funds for a variety of residential and vocational programs in the community for these patients. The objective of the present paper was to examine the impact of the two reforms on the hospitalization of schizophrenic and affective disorder patients by tracking the patterns of their inpatient care during the last decade.MethodsData on all psychiatric admissions during the period 1990–2011 were extracted from the Israel Psychiatric Case Register to examine changes in the rate of admissions, length of hospitalizations, total inpatient days and tenure in the community. The analysis was done separately for first-in-life vs. all admissions and for patients with schizophrenia vs. patients with affective disorders.ResultsFrom 2006 onward, with no decrease in the number the beds, the number of inpatient days for first-in-life patients with schizophrenia decreased by 29%, their admission rates dropped by 22%, the proportion of short [< 30 days] first in life episodes went up, while the percentage of those whose first in life episode lasted more than one year went down from 2.5% to 0.5%. The parallel results for patients with affective disorders were much less significant.ConclusionsAn increasing percentage of patients with schizophrenia are not admitted to psychiatric wards at all and an increasing percentage of those who are admitted are treated during a shorter episode. The change is probably due to the rehabilitation reform which enabled the structural reform (the reduction in beds) to be implemented effectively.

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Section: Discussionsupporting

confidence: 90%

Hospitalization of patients with schizophrenic and affective disorders in Israel in the aftermath of the structural and rehabilitation reforms

Levinson¹,

Lerner

2013

Isr J Health Policy Res

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“…In addition to results from the interviews, information was available for all patients from Danish Psychiatric Case Register, the Civil Registration System, the cause of Death Register, and the database of supported housing facilities…”

Section: Methodsmentioning

confidence: 99%

From research to practice: how OPUS treatment was accepted and implemented throughout Denmark

Nordentoft

Melau

Iversen

et al. 2013

Early Intervention Psych

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The OPUS treatment was implemented throughout Denmark. Training courses were developed and manuals and books were published. Regional health authorities had access to national grants for implementing early intervention services; as a result, OPUS teams were disseminated throughout the country. The content of the treatment is now further developed, and new elements are being tried out - such as individual placement and support, lifestyle changes, cognitive remediation, specialized treatment for substance abuse and different kinds of user involvement.

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“…Third, the decrease in the risk of DUI might be due to mortality. High mortality rates have been shown both among people with psychiatric disorders [27] as well as among DUI suspects [24,25,28]. …”

Section: Discussionmentioning

confidence: 99%

Mental Disorders Associated with Driving under the Influence of Alcohol and/or Drugs: A Register-Based Study

Karjalainen¹,

Lintonen²,

Joukamaa³

et al. 2012

Eur Addict Res

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Background/Aims: Mental disorders are associated with driving under the influence (DUI), but the evidence is scarce and mostly focused on a limited group of repeat drunken drivers. Thus, the aim of this study was to examine which mental disorders were risk factors for DUI of alcohol only (DUIA), of illicit drugs (DUID) or of alcohol and psychoactive prescription drugs (DUIAP), and whether and how the risk differs over time. Methods: A register-based case-control study was conducted. Cases (n = 44,188) suspected by the police of DUI during 1997–2007 and controls (n = 45,148) were drawn from the general Finnish population. The official national register of hospital treatments was the data source for mental disorders. The effects of mental disorders on DUI were estimated using logistic regression analysis. Results: Substance use disorders increased the risk of DUI overall. Childhood- and adolescence-onset disorders were a strong predictor of DUID, and bipolar and depressive disorders predicted DUIAP. The risk was highest soon after hospital admission with a psychiatric diagnosis, but it decreased over time. Conclusions: Actions to prevent DUI should be developed and implemented during the treatment of mental disorders.

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The new asylums in the community: severely ill psychiatric patients living in psychiatric supported housing facilities. A Danish register-based study of prognostic factors, use of psychiatric services, and mortality

Cited by 24 publications

References 14 publications

Hospitalization of patients with schizophrenic and affective disorders in Israel in the aftermath of the structural and rehabilitation reforms

Hospitalization of patients with schizophrenic and affective disorders in Israel in the aftermath of the structural and rehabilitation reforms

From research to practice: how OPUS treatment was accepted and implemented throughout Denmark

Mental Disorders Associated with Driving under the Influence of Alcohol and/or Drugs: A Register-Based Study

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