ArticleInternational journal of integrated care2009
Does mental health service integration affect compulsory admissions?
Article in International journal of integrated care, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Zero Tolerance for Coercion? Historical, Cultural and Organisational Contexts for Effective Implementation of Coercion-Free Mental Health Services around the World.Healthcare (Basel, Switzerland) · 2023Article
- Beyond Patient Characteristics: A Narrative Review of Contextual Factors Influencing Involuntary Admissions in Mental Health Care.Healthcare (Basel, Switzerland) · 2023Review
- Measuring the level of compulsory hospitalisation in mental health care: The performance of different measures across areas and over time.International journal of methods in psychiatric research · 2021Article
- Factors associated with involuntary psychiatric hospitalization in Portugal.International journal of mental health systems · 2021Article
- Socio-Demographic and Clinical Characteristics of Adults With Psychotic Symptomatology Under Involuntary Admission and Readmission for Compulsory Treatment in a Referral Psychiatric Hospital in Cyprus.Frontiers in psychiatry · 2021Article
- Identification of risk factors for involuntary psychiatric hospitalization: using environmental socioeconomic data and methods of machine learning to improve prediction.BMC psychiatry · 2020Article
- A retrospective analysis of determinants of involuntary psychiatric in-patient treatment.BMC psychiatry · 2019Article
- Geographic variations in involuntary care and associations with the supply of health and social care: results from a nationwide study.BMC health services research · 2018Article
- Differences in the use of involuntary admission across the Veneto Region: which role for individual and contextual variables?Epidemiology and psychiatric sciences · 2016Article
- The Low Proportion and Associated Factors of Involuntary Admission in the Psychiatric Emergency Service in Taiwan.PloS one · 2015Article
- Voluntary versus involuntary hospital admission in child and adolescent psychiatry: a German sample.European child & adolescent psychiatry · 2014Article
- Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study.BMC health services research · 2014Article
- Impact of psychiatrists' qualifications on the rate of compulsory admissions.The Psychiatric quarterly · 2013Article
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOver 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.
methodsIn 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.
resultsOver 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.
conclusionsServices 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.
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