Skip header and navigation

3 records – page 1 of 1.

[A case of sexual abuse with several victims in a small municipality. A cooperation project between health services]

https://arctichealth.org/en/permalink/ahliterature34559
Source
Tidsskr Nor Laegeforen. 1996 Nov 30;116(29):3506-8
Publication Type
Article
Date
Nov-30-1996
Author
M. Horneland
A M Hanstad
Author Affiliation
Psykiatrisk poliklinikk adveling Stavanger Rogaland psykiatriske sjukehus, Hillevåg, Stavanger.
Source
Tidsskr Nor Laegeforen. 1996 Nov 30;116(29):3506-8
Date
Nov-30-1996
Language
Norwegian
Publication Type
Article
Keywords
Adolescent
Adult
Child
Child Abuse, Sexual - psychology - therapy
Community Health Services
English Abstract
Family Practice
Female
Humans
Male
Norway
Psychotherapy, Group
Social Support
Abstract
This article describes the management of an extensive case of sexual abuse in a small Norwegian community. The victims were adult men who had been exploited in childhood and adolescence by the same abuser. A demand for support was addressed to the health services when these men realised as adults that they shared this experience. The community health service and the psychiatric department decided to arrange psycho-educative meetings in the community centre. Victims, their families and local professional helpers were invited. The meetings gave general information about sexual abuse, early and late symptoms and the treatment facilities available locally. In one facility a psychiatrist and a general practitioner led a treatment group together. Five of the victims took part in this group. Fortunately, this case never reached the public press. Cooperation between specialist and community health services in managing such cases is regarded as essential.
PubMed ID
9019860 View in PubMed
Less detail

Early detection strategies for untreated first-episode psychosis.

https://arctichealth.org/en/permalink/ahliterature71893
Source
Schizophr Res. 2001 Aug 1;51(1):39-46
Publication Type
Article
Date
Aug-1-2001
Author
J O Johannessen
T H McGlashan
T K Larsen
M. Horneland
I. Joa
S. Mardal
R. Kvebaek
S. Friis
I. Melle
S. Opjordsmoen
E. Simonsen
H. Ulrik
P. Vaglum
Author Affiliation
Rogaland Psychiatric Hospital, P.O. Box 1163, Hillevåg, 4095, Stavanger, Norway. joj@rps.no
Source
Schizophr Res. 2001 Aug 1;51(1):39-46
Date
Aug-1-2001
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Antipsychotic Agents - therapeutic use
Comparative Study
Denmark
Ethics, Medical
Female
Health education
Health Services Accessibility
Humans
Male
Middle Aged
Norway
Outcome and Process Assessment (Health Care)
Psychotic Disorders - diagnosis - drug therapy
Referral and Consultation
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.
Schizophrenia - diagnosis - drug therapy
Schizotypal Personality Disorder - diagnosis - drug therapy
Abstract
Some studies in first-episode schizophrenia correlate shorter duration of untreated psychosis (DUP) with better prognosis, suggesting that timing of treatment may be important. A three-site prospective clinical trial in Norway and Denmark is underway to investigate the effect of the timing of treatment in first-episode psychosis. One health care sector (Rogaland, Norway) is experimental and has developed an early detection (ED) system to reduce DUP. Two other sectors (Ullevål, Norway, and Roskilde, Denmark) are comparison sectors and rely on existing detection and referral systems for first-episode cases. The study ultimately will compare early detected with usual detected patients. This paper describes the study's major independent intervention variable, i.e. a comprehensive education and detection system to change DUP in first onset psychosis.System variables and first results from the four-year inclusion period (1997-2000) are described. It includes targeted information towards the general public, health professionals and schools, and ED teams to recruit appropriate patients into treatment as soon as possible. This plus easy access to psychiatric services via ED teams systematically changed referral patterns of first-episode schizophrenia. DUP was reduced by 1.5 years (mean) from before the time the ED system was instituted (to 0.5 years). The ED strategies appear to be effective and to influence directly the community's help-seeking behaviour.
PubMed ID
11479064 View in PubMed
Less detail

[Primary care physician's evaluation of psychiatric outpatient clinics].

https://arctichealth.org/en/permalink/ahliterature217502
Source
Tidsskr Nor Laegeforen. 1994 Aug 30;114(20):2402-4
Publication Type
Article
Date
Aug-30-1994
Author
S. Heskestad
M. Horneland
Author Affiliation
Avdeling poliklinikk Sandnes.
Source
Tidsskr Nor Laegeforen. 1994 Aug 30;114(20):2402-4
Date
Aug-30-1994
Language
Norwegian
Publication Type
Article
Keywords
Ambulatory Care Facilities - standards
Evaluation Studies as Topic
Humans
Mental Health Services - standards
Norway
Physicians, Family - psychology
Questionnaires
Referral and Consultation
Abstract
In order to study to what degree physicians responsible for primary care are satisfied with the service provided by psychiatric outpatient clinics, we selected a catchment area of 240,000 inhabitants in Rogaland county, Norway. This area is served by 154 primary care physicians and two psychiatric outpatient clinics staffed with a total of 19 psychiatrists, psychologists, social workers and nurses. 90% of the primary care doctors answered a questionnaire on their degree of satisfaction with the psychiatric outpatient unit. 63% reported needing more and better service. 60% had patients who should have been referred, but were not, and 44% indicated that, in their experience, the patients were treated by professions other than the desired ones. 60% reported that the greatest need was for evaluation of patients, and 38% wanted more long-term treatment. The physicians found refusal of referrals unacceptable without having an opportunity to discuss the case first. Waiting lists could be accepted, but preferably after advice had been given on treatment.
PubMed ID
7997996 View in PubMed
Less detail