PMID: 9172942Jan 1, 1997Paper

Request for psychiatric admission: data from eight general hospital psychiatric wards in Lombardy

Epidemiologia e psichiatria sociale
P PolitiM Regazzetti

Abstract

To describe requests of admissions to eight General Hospital Psychiatric Wards (SPDC) in Lombardy, Italy, during November 1995. Descriptive prospective multicenter study. SPDCs of Busto Arsizio (VA), Calcinate (BG), Desio (MI), Magenta (MI), Merate (LC), Milano San Paolo I, Pavia, Treviglio (BG). The global catchment area sums up to 11% of the whole regional area, and to 18% of the population. We used a previously developed flow chart with two major key points: who decided to go to the hospital? Did a doctor confirm this initiative? Main sociodemographic characteristics, ICD10 diagnosis and previous psychiatric admissions were collected for each admission. Admissions were 315, patients 246. In 9.5% of cases patients asked for admission without any medical advice. In one third of cases the ward psychiatrist was the first doctor to visit the patient. Compulsive admissions (TSO) were 45 (14.3%), although patient's initiative lacked in 55.6% of cases. A referral from Outpatient Departments (CPS) was present in 28.2%. First-ever admitted were 63 (25.6%): 20.7% sent by CPS, 16% by GPs, 11% by other non psychiatric wards. Although Goldberg & Huxley's model described General Hospital Psychiatric Wards as the last level of intervention,...Continue Reading

References

Mar 1, 1992·General Hospital Psychiatry·D Goldberg
Aug 1, 1991·Psychological Medicine·R GaterK Silhan
Nov 1, 1987·Psychological Medicine·G de GirolamoV Cappiello
May 1, 1973·The Journal of Nervous and Mental Disease·J S Maxmen, G J Tucker
Mar 1, 1969·Archives of General Psychiatry·W M Mendel, S Rapport
Aug 1, 1994·Psychological Medicine·M BalestrieriM Tansella

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Citations

Jan 30, 2007·Annals of General Psychiatry·Andrea BalleriniAndrea Salteri
Jan 7, 2006·Epidemiologia e psichiatria sociale·Andrea GaddiniLilia Biscaglia

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