Does mental health service integration affect compulsory admissions?
Background: Over recent years, the number of compulsory admissions in many countries has increased, probably as a result of the shift from inpatient to outpatient mental health care. This might be mitigated by formal or collaborative relationships between services. <br><br> Methods: In a...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2009-09-01
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| Series: | International Journal of Integrated Care |
| Subjects: | |
| Online Access: | http://www.ijic.org/articles/324 |
| _version_ | 1828823692427132928 |
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| author | André I. Wierdsma Cornelis L. Mulder |
| author_facet | André I. Wierdsma Cornelis L. Mulder |
| author_sort | André I. Wierdsma |
| collection | DOAJ |
| description | Background: Over recent years, the number of compulsory admissions in many countries has increased, probably as a result of the shift from inpatient to outpatient mental health care. This might be mitigated by formal or collaborative relationships between services. <br><br> Methods: In a retrospective record linkage study, we compared two neighboring districts, varying in level of service integration. Two periods were combined: 1991–1993 and 2001–2003. We included patients aged 18–60, who had a first emergency compulsory admission (n=830). Their psychiatric history was assessed, and service-use after admission was monitored over a 12-month follow-up. <br><br> Results: Over a 10-year period, compulsory admission rates increased by 47%. Difference in relative increase between the integrated and non-integrated services was 14%. Patient characteristics showed different profiles in the two districts. Length of stay was >10 days shorter in the integrated district, where the proportion of involuntary readmissions decreased more, and where aftercare was swift and provided to about 10% more patients than in the non-integrated district. <br><br> Conclusions: Services outcomes showed better results where mental healthcare was more integrated. However, limited effects were found and other factors than integration of services may be more important in preventing compulsory admissions. |
| first_indexed | 2024-12-12T13:40:19Z |
| format | Article |
| id | doaj.art-764ec61128c54aa980c879d138ba44fa |
| institution | Directory Open Access Journal |
| issn | 1568-4156 |
| language | English |
| last_indexed | 2024-12-12T13:40:19Z |
| publishDate | 2009-09-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | International Journal of Integrated Care |
| spelling | doaj.art-764ec61128c54aa980c879d138ba44fa2022-12-22T00:22:49ZengUbiquity PressInternational Journal of Integrated Care1568-41562009-09-019310.5334/ijic.324324Does mental health service integration affect compulsory admissions?André I. WierdsmaCornelis L. MulderBackground: Over recent years, the number of compulsory admissions in many countries has increased, probably as a result of the shift from inpatient to outpatient mental health care. This might be mitigated by formal or collaborative relationships between services. <br><br> Methods: In a retrospective record linkage study, we compared two neighboring districts, varying in level of service integration. Two periods were combined: 1991–1993 and 2001–2003. We included patients aged 18–60, who had a first emergency compulsory admission (n=830). Their psychiatric history was assessed, and service-use after admission was monitored over a 12-month follow-up. <br><br> Results: Over a 10-year period, compulsory admission rates increased by 47%. Difference in relative increase between the integrated and non-integrated services was 14%. Patient characteristics showed different profiles in the two districts. Length of stay was >10 days shorter in the integrated district, where the proportion of involuntary readmissions decreased more, and where aftercare was swift and provided to about 10% more patients than in the non-integrated district. <br><br> Conclusions: Services outcomes showed better results where mental healthcare was more integrated. However, limited effects were found and other factors than integration of services may be more important in preventing compulsory admissions.http://www.ijic.org/articles/324compulsory admissionservice integrationcontinuity of carecase register |
| spellingShingle | André I. Wierdsma Cornelis L. Mulder Does mental health service integration affect compulsory admissions? International Journal of Integrated Care compulsory admission service integration continuity of care case register |
| title | Does mental health service integration affect compulsory admissions? |
| title_full | Does mental health service integration affect compulsory admissions? |
| title_fullStr | Does mental health service integration affect compulsory admissions? |
| title_full_unstemmed | Does mental health service integration affect compulsory admissions? |
| title_short | Does mental health service integration affect compulsory admissions? |
| title_sort | does mental health service integration affect compulsory admissions |
| topic | compulsory admission service integration continuity of care case register |
| url | http://www.ijic.org/articles/324 |
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