Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study
Abstract Background Studies on the effect of organizational factors on the involuntary admission of psychiatric patients have been few and yielded inconclusive results. The objective was to examine the importance of type of service-system, level of care, length of inpatient stay, gender, age, and di...
Main Authors: | , , |
---|---|
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BioMed Central Ltd.
2014
|
Subjects: | |
Online Access: | http://www.biomedcentral.com/1472-6963/14/64 |
id |
ftbiomed:oai:biomedcentral.com:1472-6963-14-64 |
---|---|
record_format |
openpolar |
spelling |
ftbiomed:oai:biomedcentral.com:1472-6963-14-64 2023-05-15T17:39:22+02:00 Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study Myklebust, Lars Sørgaard, Knut Wynn, Rolf 2014-02-10 http://www.biomedcentral.com/1472-6963/14/64 en eng BioMed Central Ltd. http://www.biomedcentral.com/1472-6963/14/64 Copyright 2014 Myklebust et al.; licensee BioMed Central Ltd. Involuntary admission Health service Social psychiatry Research article 2014 ftbiomed 2014-02-16T01:26:32Z Abstract Background Studies on the effect of organizational factors on the involuntary admission of psychiatric patients have been few and yielded inconclusive results. The objective was to examine the importance of type of service-system, level of care, length of inpatient stay, gender, age, and diagnosis on rates of involuntary admission, by comparing one deinstitutionalized and one locally institutionalized service-system, in a naturalistic experiment. Methods 5538 admissions to two specialist psychiatric service-areas in North Norway were studied, covering a four-year period (2003-2006). The importance of various predictors on involuntary admission were analyzed in a logistic regression model. Results Involuntary admission to the services was associated with the diagnosis of psychosis, male sex, being referred to inpatient treatment, as well as type of service-system. Patients from the deinstitutionalized system were more likely to be involuntarily admitted. Conclusions Several factors predicted involuntary status, including male sex, the diagnosis of psychosis, and type of service-system. The results suggests that having psychiatric beds available locally may be more favourable than a traditional deinstitutionalized service system with local outpatient clinics and central mental hospitals, with respect to the use of involuntary admission. Article in Journal/Newspaper North Norway BioMed Central Norway |
institution |
Open Polar |
collection |
BioMed Central |
op_collection_id |
ftbiomed |
language |
English |
topic |
Involuntary admission Health service Social psychiatry |
spellingShingle |
Involuntary admission Health service Social psychiatry Myklebust, Lars Sørgaard, Knut Wynn, Rolf Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study |
topic_facet |
Involuntary admission Health service Social psychiatry |
description |
Abstract Background Studies on the effect of organizational factors on the involuntary admission of psychiatric patients have been few and yielded inconclusive results. The objective was to examine the importance of type of service-system, level of care, length of inpatient stay, gender, age, and diagnosis on rates of involuntary admission, by comparing one deinstitutionalized and one locally institutionalized service-system, in a naturalistic experiment. Methods 5538 admissions to two specialist psychiatric service-areas in North Norway were studied, covering a four-year period (2003-2006). The importance of various predictors on involuntary admission were analyzed in a logistic regression model. Results Involuntary admission to the services was associated with the diagnosis of psychosis, male sex, being referred to inpatient treatment, as well as type of service-system. Patients from the deinstitutionalized system were more likely to be involuntarily admitted. Conclusions Several factors predicted involuntary status, including male sex, the diagnosis of psychosis, and type of service-system. The results suggests that having psychiatric beds available locally may be more favourable than a traditional deinstitutionalized service system with local outpatient clinics and central mental hospitals, with respect to the use of involuntary admission. |
format |
Article in Journal/Newspaper |
author |
Myklebust, Lars Sørgaard, Knut Wynn, Rolf |
author_facet |
Myklebust, Lars Sørgaard, Knut Wynn, Rolf |
author_sort |
Myklebust, Lars |
title |
Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study |
title_short |
Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study |
title_full |
Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study |
title_fullStr |
Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study |
title_full_unstemmed |
Local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study |
title_sort |
local psychiatric beds appear to decrease the use of involuntary admission: a case-registry study |
publisher |
BioMed Central Ltd. |
publishDate |
2014 |
url |
http://www.biomedcentral.com/1472-6963/14/64 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
North Norway |
genre_facet |
North Norway |
op_relation |
http://www.biomedcentral.com/1472-6963/14/64 |
op_rights |
Copyright 2014 Myklebust et al.; licensee BioMed Central Ltd. |
_version_ |
1766140127362416640 |