scholarly journals Documenting diagnosis in child and adolescent mental healthcare: A content analysis of diagnostic statements in a psychiatric case register

2020 ◽  
Vol 113 ◽  
pp. 104948 ◽  
Author(s):  
Cliodhna O'Connor ◽  
Johnny Downs ◽  
Fiona McNicholas ◽  
Lauren Cross ◽  
Hitesh Shetty
1996 ◽  
Vol 168 (6) ◽  
pp. 772-779 ◽  
Author(s):  
D. N. Baxter

BackgroundSeveral studies, mainly non-UK based, have reported higher than expected mortality for individuals with mental illness. This investigation in Salford (England) was undertaken to determine local experiences.MethodAn historical cohort design was employed with record linkage to determine status at study end: maximum follow-up was 18 years. All 6952 individuals with schizophrenia, neuroses, affective or personality disorders, enrolled on the psychiatric case register between 1 January 1968 and 31 December 1975 were recruited: there were 199 exclusions. Death was the study end-point.ResultsObserved mortality was 65% higher than expected and elevated throughout the whole of follow-up. Mortality was highest in younger ages, females and subjects born locally. Circulatory disorders, injury and poisoning each caused approximately one-third of the excess deaths.ConclusionsDocumenting mortality risk has important applications for prioritisation, resource allocation, developing control programmes, evaluating service effectiveness, disease forecasting and future research.


2009 ◽  
Vol 195 (3) ◽  
pp. 191-193 ◽  
Author(s):  
Gayan Perera ◽  
Mishael Soremekun ◽  
Gerome Breen ◽  
Robert Stewart

SummaryCase registers have been fundamental to mental health research from the early asylum studies onwards. Having declined in popularity over the past 20 years, they are likely to see a resurgence of interest with the advent of electronic clinical records and the technological capacity to derive anonymised databases from these.


1979 ◽  
Vol 9 (3) ◽  
pp. 567-572 ◽  
Author(s):  
T. Fryers

SynopsisData derived from a psychiatric case-register are presented on the accumulation of new long-stay cases in Salford from 1967 to 1976. The analysis supports the general decline reported in an earlier shorter-term study except for the over 65s, where the trend was reversed. The implications of the findings are discussed.


1982 ◽  
Vol 17 (3) ◽  
pp. 125-131 ◽  
Author(s):  
Eugenio Torre ◽  
Alessandra Marinoni ◽  
Giorgio Allegri

1998 ◽  
Vol 28 (1) ◽  
pp. 173-183 ◽  
Author(s):  
F. AMADDEO ◽  
J. BEECHAM ◽  
P. BONIZZATO ◽  
A. FENYO ◽  
M. TANSELLA ◽  
...  

Background. Analysing costs measures in conjunction with psychiatric case register (PCR) data can provide important epidemiologically-based information on resource utilization. Costing the service use patterns of first-ever patients can indicate the shape and likely resource consequences for mental health services operating within a community-based system of care.Methods. Yearly costs were calculated for the 299 first-ever patients and 768 longer-term patients who contacted the South-Verona Psychiatric Case Register between 1 January 1992 and 31 December 1993. Bivariate and multivariate analyses were used to compare costs between these groups and to test the associations between costs and the sociodemographic and diagnostic data recorded on the PCR.Results. For all diagnostic groups identified, first-ever patients were found to be less costly to support than longer-term patients, even after adjustment for various factors, including whether patients were single consulters. When multivariate analyses were employed, between 20% and 69% of the cost variation for first-ever patients could be explained by patient and other characteristics, and the effect of the contact (first or subsequent) variable was reduced.Conclusion. This study considered only the costs to the specialist psychiatric services but the methodology allows the likely annual resource implications of supporting new patients to be predicted from data collected at first contact. Such information can help ensure that services are adequately funded and that the resources are deployed appropriately between client groups.


Sign in / Sign up

Export Citation Format

Share Document