PMID: 8590110Dec 1, 1995Paper

Heavy utilization of inpatient and outpatient services in a public mental health service

Psychiatric Services : a Journal of the American Psychiatric Association
S KentP Yellowlees

Abstract

The purpose of the study was to develop a descriptive profile of heavy users of services in the South Australian Mental Health Services. Case notes for 50 heavy users were reviewed to obtain demographic and diagnostic information and data on service use over a three-year period. To supplement and verify this information, 35 of the patients were given structured interviews. The mean age of the 50 patients was 34.9 years, and there was a slight predominance of females. Most patients had never married and had been unemployed for a long time. All had a low income. The mean number of years of education was ten. The group was seriously disabled by psychiatric illness. The most common diagnosis was schizophrenia, followed by schizoaffective disorder and bipolar disorder. Comorbid axis I disorder and personality disorder or physical illness was common. Drug and alcohol abuse often complicated patient management and patients' ability to live successfully in the community. The average annual cost per patient was $13,598 (Australian), largely from inpatient care. This study contributes to an emerging global profile of the heavy service user. Such a profile may help service systems identify patients in this subgroup and target management s...Continue Reading

Citations

Oct 18, 2008·The Kaohsiung Journal of Medical Sciences·Chieh-Hsin LinChing-Hua Lin
Oct 2, 2015·Journal of Psychiatric Research·Lenka PřibylováJarmila Dolečková
Mar 15, 2006·European Psychiatry : the Journal of the Association of European Psychiatrists·Barbara LayWulf Rössler
Sep 6, 2005·European Psychiatry : the Journal of the Association of European Psychiatrists·Jennifer BeechamCarla Drahorad
May 14, 2011·European Neuropsychopharmacology : the Journal of the European College of Neuropsychopharmacology·A MurruE Vieta
Feb 11, 2014·Health Policy·David Vivas-ConsueloLaia Buigues-Pastor
Feb 7, 2007·The International Journal of Social Psychiatry·Christiane RoickMatthias C Angermeyer
Jan 27, 2005·Social Psychiatry and Psychiatric Epidemiology·Christiane RoickMatthias C Angermeyer
Jun 21, 2016·Journal of Clinical Psychopharmacology·Dong-Jing FuLarry Alphs
Feb 15, 2007·The Journal of Nervous and Mental Disease·Jonathan D Prince
Mar 19, 2019·Open Forum Infectious Diseases·Orion McCotterKaitlin Benedict
Mar 10, 2015·The World Journal of Biological Psychiatry : the Official Journal of the World Federation of Societies of Biological Psychiatry·Andrea MurruEduard Vieta
Jun 17, 2016·The South African Journal of Psychiatry : SAJP : the Journal of the Society of Psychiatrists of South Africa·Laila Paruk, Albert B R Janse van Rensburg
Mar 2, 2016·Drugs·Jean-Pierre Lindenmayer, Amandeep Kaur
Jul 1, 2019·European Psychiatry : the Journal of the Association of European Psychiatrists·Andrea MurruEduard Vieta

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