Voluntary Versus Involuntary Admissions to Resident Care. Do Diagnostic Patterns Differ?
Journal Title: PARIPEX-Indian Journal of Research - Year 2015, Vol 4, Issue 7
Abstract
A medical doctor must refer patients in need of acute resident psychiatric care in Norway. The wards are mainly of two kinds, open resident wards as part of a district psychiatric centre and closed wards as part of a psychiatric hospital. Treatment under compulsion is only possible at the latter facility. The aim of the study is to compare referrals to facilities with open and closed doors according to frequency and diagnostic patterns. The material consists of resident patients in an acute psychiatric facility with 36 beds serving a catchment area of 165,000 and inan open facility with eight beds in another municipality with a catchment area of 30,000 persons.The former admitted 4.9/1000, the latter 9.3/1000 inhabitants. There were significant differences in referring patterns between the two facilities. More male patients and far less females were referred to the open facility with substance abuse diagnoses. Patients with psychosis were more often referred to the closed ward, with malesthree times as often to the closed ward, and with a smaller difference for women. A higher percentage of patients had affective disorders at the open facility but only significantly different in females. The difference in referral rates observed has no obvious explanation. The long distance from the open to the closed ward facility may be a factor. Further research is needed. A district psychiatric centre with open doors handles patients with substance abuse and affective disorders to a greater extent than the facility with closed doors, whereas psychotic patients are more often taken care of behind a closed door.
Authors and Affiliations
*Professor John E. Berg, Ass. Professor Jorid Grimeland
Keywords
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