Configurations of Clinical Discussions, Modulated According to the Common Patient Stereotypes, and So Constructed Among Supervisors and Residents in a Brazilian University Psychiatric Outpatient Service

SynopsisA sample of 91 new referrals to a community based psychiatric outpatient service was compared with a cross-matched control sample of 107 patients attending the general practitioner's surgery. The subjects in both groups completed the General Health Questionnaire and there was a very marked difference between the scores of the two groups. Seventy-five of the psychiatric group had a high score on the questionnaire, and a large number of these were extremely high, while 74 of the general practice group had a low score. The ‘false’ positives and negatives are discussed. It is considered that the validity of this questionnaire as a screening device for demonstrating psychiatric morbidity and severity in general practice is further established in this study by showing that in matched samples the expected psychiatric morbidity in general practice can be compared with the much greater morbidity in psychiatric outpatient referrals. For the psychiatric sample more patients showed high scores and these tended to be much higher.

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Children who Light Fires: A Comparison between Firesetters and Non-Firesetters Referred to a Child Psychiatric Outpatient Service

Australian & New Zealand Journal of Psychiatry ◽

10.3109/00048678409161298 ◽

1984 ◽

Vol 18 (3) ◽

pp. 251-255 ◽

Cited By ~ 16

Author(s):

Robert Kosky ◽

Sven Silburn

Keyword(s):

Socioeconomic Status ◽

Outpatient Service ◽

Conduct Disordered ◽

Psychiatric Outpatient ◽

Child Psychiatric ◽

Previous Contact ◽

Male Sex ◽

Contrast Group ◽

Welfare Agencies ◽

Age And Sex

This study compares firesetting children with an age- and sex-matched group of non-firesetting children referred to a child psychiatric outpatient service. Firesetting was associated with male sex, separated parents and with previous contact with welfare agencies. It was not associated with socioeconomic status. Firesetters were distinguished from the contrast group by higher levels of conduct disordered behaviour, particularly in children above the age of 11 years. Both groups had similar high levels of emotional disorder at all ages. These clinical features emphasise that firesetters have a mixed clinical picture with widespread psychopathology.

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Post-print: Mindfulness for Psychosis Groups; Description and preliminary evaluation of a novel routine care pathway in Hong Kong

10.31234/osf.io/kf3a2 ◽

2020 ◽

Author(s):

KT Ting ◽

Wendy Tam ◽

Pamela Charlotte Jacobsen

Keyword(s):

Hong Kong ◽

Clinical Outcomes ◽

Care Pathway ◽

Outpatient Service ◽

Routine Care ◽

Drop Out ◽

Care Pathways ◽

Preliminary Evaluation ◽

Psychiatric Outpatient ◽

Current Guidance

There is no current guidance on where Mindfulness for Psychosis groups should best be situated within care pathways. The objectives of this paper are to 1) describe a novel care pathway tested out in a psychiatric outpatient service in Hong Kong, and 2) to present feasibility outcomes on attendance and drop-out, and routine clinical outcomes.

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Use of mobile phones by patients with serious mental illness attending a general hospital psychiatric outpatient service in India

Asian Journal of Psychiatry ◽

10.1016/j.ajp.2019.08.015 ◽

2019 ◽

Vol 45 ◽

pp. 61-62 ◽

Cited By ~ 1

Author(s):

Mamta Sood ◽

Ananya Mahapatra ◽

Rakesh Kumar Chadda

Keyword(s):

Mental Illness ◽

General Hospital ◽

Mobile Phones ◽

Serious Mental Illness ◽

Outpatient Service ◽

Psychiatric Outpatient

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Ambientation/Acculturation of a Psychologist as “Methodological Internship” for Developing Qualitative Research to Study Clinical Supervisions at a Psychiatric Outpatient Service of Brazilian General Hospital

European Psychiatry ◽

10.1016/j.eurpsy.2017.01.1539 ◽

2017 ◽

Vol 41 (S1) ◽

pp. s799-s799

Author(s):

M.E.D.F. Bremberger ◽

R.A. Bastos ◽

V.L.P. Alves ◽

E.R. Turato

Keyword(s):

Qualitative Research ◽

Qualitative Method ◽

Outpatient Service ◽

Cultural Dimensions ◽

University Hospital ◽

Psychiatric Setting ◽

Psychiatric Outpatient ◽

Active Observation ◽

Peer Reviewers ◽

Competing Interest

Qualitative research in a psychiatric setting requires methodological updates on its modus operandi for professionals who migrated paradigmatically from other academic areas. The mere adoption of the concept of acculturation, from anthropology to field of health services, may not correspond to specificities of assistance and research in this field.ObjectiveTo discuss results of a certain environment and acculturation strategy for development of humanistic research that took place in a psychiatric outpatient service of a university hospital.MethodObservation of environment of psychiatric supervision for qualitative method in health setting, in period of six months. The first author, doctoral student, psychologist, systematically attended discussions of clinical cases, observing relationship between supervisors and residents. Data were recorded in field diary, followed by free-floating readings and critical analyses. These were also submitted to peer reviewers of the LPCQ-laboratory of clinical-qualitative research.Results– The experience, similar to an “internship”, has been confirmed as necessary to conduct qualitative research in this field;– It allowed accurate apprehension of features of environmental functioning and, above all, cultural dimensions of language of participants;– This proved pertinent for clearing the theme-problem to be researched;– Postgraduate researchers, in particular those graduates under other paradigms, have strengthened their methodological knowledge on this field, and have been inserted epistemologically for which they will have built new knowledge;– Finally, this methodological stage improved the so-called active observation and phenomenological listening of the researchers regarding those observed.ConclusionsThe experience contributed significantly to establishing and validating the qualitative methodological course.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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FC21-05 - Clinical and economical effects one year after establishing a decentralized psychiatric outpatient service

European Psychiatry ◽

10.1016/s0924-9338(11)73635-5 ◽

2011 ◽

Vol 26 (S2) ◽

pp. 1931-1931

Author(s):

J. Valdes-Stauber ◽

R. Kilian ◽

A. Putzhammer

Keyword(s):

Length Of Stay ◽

Catchment Area ◽

Psychiatric Care ◽

Outpatient Service ◽

Clinical Effects ◽

Psychiatric Outpatient ◽

Cumulative Length ◽

One Year ◽

Care Costs ◽

Outpatient Psychiatric Care

BackgroundIntensification of outpatient psychiatric care may improve the care quality in community but also increase the total care costs in the first period as well as reduce in-patient cumulative length of stay over the medium term.ObjectiveWe investigate the economic and clinical effects of establishing of a psychiatric outpatient-service in a South-Bavarian catchment area one year before and one year after establishing.MethodsAll admitted patients in a psychiatric acute ward corresponding to the catchment area of the new outpatient- service are registered one year before establishing (2007, n = 145) and one year after (2009, n = 167). Associations between clinical, demographic and economical variables were investigated by means of multivariate regression analysis. Control variables are sex, age and psychiatric diagnostic groups.ResultsCumulative length of stay (b = −1.72, p = 0.68) and number of admissions (b = −0.10; p = 0.28) decreased, but not significantly. In-patient as well as global care costs remains the same. Costs of prescribed psychopharmacological drugs (b = 54.4; p = 0.36) and outpatient psychiatric care (b = 67.8; p = 0.15) increase obviously, but not significantly.ConclusionsAdditional implementation of an outpatient-service is not related to increase of service use costs. We found out, that in the first year there is a demand increasing effect. The effects on in-patient parameters and diagnosis groups have to be observed for the following years.

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