Predictors of changes in needs for care in patients receiving community psychiatric treatment: a 4-year follow-up study

2007 ◽  
Vol 116 (s437) ◽  
pp. 31-41 ◽  
Author(s):  
A. Lasalvia ◽  
C. Bonetto ◽  
G. Salvi ◽  
S. Bissoli ◽  
M. Tansella ◽  
...  
2006 ◽  
Vol 6 ◽  
pp. 2220-2238 ◽  
Author(s):  
Søren Ventegodt ◽  
Suzette Thegler ◽  
Tove Andreasen ◽  
Flemming Struve ◽  
Lars Enevoldsen ◽  
...  

This is a study of 109 patients who attended the Research Clinic for Holistic Medicine in Copenhagen during the 2004–2006 period, grouped according to the symptoms they presented with. Every new patient was asked to answer a 10-question composite questionnaire containing QOL1, QOL5, and four questions on ability to function socially, ability to function sexually, ability to love, and ability to work, rated on a 5-point Likert scale, on initial contact and after 1–3 months, when the patient had received about five treatments, the patient was asked to complete the questionnaire again, and finally again after 1 year. All had been to their general practitioner first with their problems and 30% had been in psychological/psychiatric treatment before. The patients were treated with short-time psychodynamic therapy (less than 40 sessions) including bodywork when necessary. More than half the patients had a bad or very bad self-assessed mental health before treatment, but after treatment only 15% reported a bad or very bad mental health (p < 0.001). Most had a complex of mental, somatic, existential, and sexual problems. Of the patients, 69.72% did the retest after treatment. We conclude that clinical holistic medicine was able to help the majority of these patients, even when patients had not been sufficiently helped by drugs, psychiatry, or psychology before. We found that outcome of therapy was not connected with severity of initial condition, but probably with the former experience of treatment. If psychiatric or psychological treatment had already failed, the patients were more difficult to help. The Square Curve Paradigm was used to document a large, immediate and lasting effect of the therapy.


1985 ◽  
Vol 147 (4) ◽  
pp. 366-370 ◽  
Author(s):  
Ian Berg ◽  
Ann Jackson

Efforts were made to follow up 168 young teenage school refusers ten years, on average, after they had been treated as inpatients in an adolescent psychiatric unit. Almost half were well or much improved throughout the follow-up period. Outcome was most satisfactory in intellectually bright children treated under the age of 14 and among those who were well or substantially better shortly after discharge. Thirty per cent of the group had received treatment for psychiatric illness, 14% had seen a psychiatrist and 5% had been admitted to hospital for psychiatric treatment during the follow-up period. Thirty per cent appeared to be disturbed at the time that they were reviewed. The ‘decennial-inception’ and ‘point-prevalence’ rates for psychiatric disorder appeared unduly high by comparison with local and national rates of disturbance.


Addiction ◽  
1997 ◽  
Vol 92 (4) ◽  
pp. 459-468 ◽  
Author(s):  
D. G. PATTERSON ◽  
J. MACPHERSON ◽  
N. M. BRADY

Author(s):  
Harald Hannerz ◽  
Karen Albertsen ◽  
Martin Lindhardt Nielsen ◽  
Anne Helene Garde

2012 ◽  
Vol 140 (5-6) ◽  
pp. 344-349
Author(s):  
Smiljka Popovic-Deusic ◽  
Marija Mitkovic ◽  
Milica Pejovic-Milovancevic ◽  
Dusica Lecic-Tosevski ◽  
Saveta Draganic-Gajic ◽  
...  

Introduction. Adjustment disorders represent a frequent diagnostic entity especially among adolescents. They involve a wide spectrum of various emotional and behaviour problems. Objective. The aim was to investigate characteristics of diagnostic category known as adjustment disorders among hospital treated adolescents for the first time at the Clinical Department for Children and Adolescents of the Institute of Mental Health in Belgrade, during five consecutive years, as well as to investigate the outcome of the disorder in follow-up period. Methods. We conducted a retrospective investigation of the first time hospital treated adolescents from Belgrade with discharge diagnosis of adjustment disorders during 2000-2004. The follow up was conducted 5-10 years after a first discharge from the hospital. Results. During the investigated period 75 adolescents from Belgrade were hospitalized for the first time with diagnosis adjustment disorder. From the studied patients the main sample was formed that included 24 (32%) males and 51 (68%) females. After 5-10 years a follow-up of 52 patients was conducted (sample at follow-up) which included 16 (30.77%) males and 36 (69.23%) females. Of the main sample, 70% of the patients were under follow-up. After the first hospitalization 58% of adolescents continued with further psychiatric treatment, either as rehospitalized or out-of-hospital patients. Conclusion. Our findings showed that 38% of adolescents under follow-up for 5-10 years after the first discharge from hospital with the diagnosis adjustment disorders had multiple hospitalizations. The outcome of the disorder among these patients was the worst, because three-quarters of the patients were rediagnosed in the follow-up period with a new psychiatric disorder, often from psychotic spectrum.


1976 ◽  
Vol 128 (4) ◽  
pp. 361-368 ◽  
Author(s):  
H. Gethin Morgan ◽  
Jacqueline Barton ◽  
Susan Pottle ◽  
Helen Pocock ◽  
Christopher J. Burns-Cox

SummaryTwo-hundred-and-seventy-nine patients (103 men, 176 women) were followed-up 1–2 years after an act of non-fatal deliberate self-harm. Of 155 patients offered a psychiatric out-patient appointment at the time, only 68 completed the treatment. A further act of deliberate self-harm was committed by 26 men and 41 women within twelve months. The factors most highly associated with repetition were previous psychiatric treatment, a previous act of deliberate self-harm, and a criminal record. These factors held good for a separate series of patients. Significantly more repeaters received prolonged psychiatric care after the initial episode of deliberate self-harm. The implications of these findings for the clinical management of such patients are discussed.


Sign in / Sign up

Export Citation Format

Share Document