PMID: 9172940Jan 1, 1997Paper

Variability of managerial and clinical decisions in mental health services of the Lombardy Region: the vignette method

Epidemiologia e psichiatria sociale
G BiffiP Morosini

Abstract

This paper concerns one of the four research projects developed during a training course in clinical epidemiology managed by the Lombardy training centers IREF. To compare the recommendations for treatment concerning 9 vignettes derived from the Australian Quality Assurance Project. Six Mental Health Services of Regione Lombardia. For each vignette, all psychiatrists working in the 6 Mental Health Services were asked to fill in a questionnaire about treatment location, psychopharmacology, psychotherapy, priority between psychotherapy and psychopharmacology and degree of difficulty in answering. 44 out of 52 target psychiatrists took part to the study. Remarkable variability for treatment location and psychotherapies; moderate variation for psychodrugs prescriptions and a good agreement for diagnoses were observed. In drugs prescription an access of association was observed. The most prevalent model of psychotherapy was the psychodynamic, followed by the cognitive-behavioural and the family-systemic. There was a tendency toward a flexible approach, as suggested by recommendations of different psychotherapeutic models according to the nature of the disorder. No case were judged very difficult; only in 3 cases a judgement of "some...Continue Reading

References

May 1, 1990·Psychological Medicine·K T Mueser, H Berenbaum
Mar 1, 1982·The Australian and New Zealand Journal of Psychiatry
Sep 1, 1982·The Australian and New Zealand Journal of Psychiatry·D O'Brien

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Citations

May 31, 2001·Epidemiologia e psichiatria sociale·P DazzanB Carpiniello
Jul 27, 2006·Epidemiologia e psichiatria sociale·Liliana AlleviMirella Ruggeri

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