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16 records – page 1 of 2.

Changes in mortality after first psychiatric admission: a 20-year prospective longitudinal clinical study.

https://arctichealth.org/en/permalink/ahliterature131950
Source
Nord J Psychiatry. 2012 Apr;66(2):97-106
Publication Type
Article
Date
Apr-2012
Author
Siri Nome
Fred Holsten
Author Affiliation
Centre for Research and Education in Forensic Psychiatry, Haukeland University Hospital, Sandviken, Bergen, Norway.
Source
Nord J Psychiatry. 2012 Apr;66(2):97-106
Date
Apr-2012
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Female
Hospitals, Psychiatric - statistics & numerical data
Humans
Life expectancy
Longitudinal Studies
Male
Mental Disorders - mortality
Mental Health Services - organization & administration - trends
Middle Aged
Norway - epidemiology
Patient Discharge - statistics & numerical data
Prospective Studies
Young Adult
Abstract
To examine changes in the mortality of patients admitted to a Norwegian psychiatric hospital from 1985 to 2003: this period saw profound changes in structure and organization of the mental healthcare system.
A 20-year prospective longitudinal, record linkage study of all patients admitted to a psychiatric hospital with sector responsibility from 1985 to 2003.
Excess mortality was found for the patient group. Overall standardized mortality ratio (SMR) (95% confidence interval, CI) was 2.85 (2.53-3.07)/2.15 (1.94-2.41) for male/female patients. One third of the patients who died in the study period died within 2 years after first admission, and 45% of the deaths happened within 2 years after last discharge. The median age at death decreased in the study period for patients who were younger than 65 years at their first admission. The median difference of lost years of life for the patients younger than 65 years at first admittance was 26.95/23.96 years for male/female patients. SMR increased for the youngest cohorts during the study period over time. From 1985 to 2003, SMR increased dramatically for both genders.
Patients admitted to a Norwegian psychiatric hospital for their first stay during 1985-2003 suffered increased excess mortality, whereas mortality in the general population decreased. The mortality was highest in the first 2 years after admission. Despite profound changes in the mental healthcare system, the mortality gap increased in the study period and was highest in the youngest birth cohorts.
PubMed ID
21859397 View in PubMed
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[Child and adolescent psychiatry--will it be part of Norwegian health care in the year 2000?]

https://arctichealth.org/en/permalink/ahliterature36358
Source
Tidsskr Nor Laegeforen. 1993 Feb 20;113(5):630-1
Publication Type
Article
Date
Feb-20-1993

[From "Burden of disease" research to the conception of an integrated care system for substance abuse in Ontario].

https://arctichealth.org/en/permalink/ahliterature193385
Source
Psychiatr Prax. 2001 Jul;28 Suppl 1:S68-72
Publication Type
Article
Date
Jul-2001
Author
J. Rehm
Author Affiliation
Institut für Suchtforschung, Zürich/Schweiz, Switzerland. jtrehm@isf.unizh.ch
Source
Psychiatr Prax. 2001 Jul;28 Suppl 1:S68-72
Date
Jul-2001
Language
German
Publication Type
Article
Keywords
Ambulatory Care Facilities - economics - utilization
Community Mental Health Services - organization & administration - trends
Cost Control
Cost of Illness
Evidence-Based Medicine
Health Plan Implementation
Health Services Accessibility
Hospitalization - economics - trends
Humans
Information Systems - organization & administration
Ontario
Outcome Assessment (Health Care) - methods
Regional Medical Programs - organization & administration
Substance-Related Disorders - rehabilitation - therapy
Abstract
The paradigm of evidence-based medicine has become one of the building blocks of modern health policy in established market economies. Based on this paradigm, a monitoring system for treatment of substance abuse has been developed in the Canadian province of Ontario. This monitoring system comprises four main elements: availability of treatment places, utilization of specialized health services, costs of treatment and outcome indicators. The paper discusses difficulties in implementing the system and gives some indications on future developments.
PubMed ID
11533911 View in PubMed
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From hospital to community: a system changes.

https://arctichealth.org/en/permalink/ahliterature247431
Source
Can J Psychiatry. 1979 Mar;24(2):113-20
Publication Type
Article
Date
Mar-1979
Author
C M Smith
Source
Can J Psychiatry. 1979 Mar;24(2):113-20
Date
Mar-1979
Language
English
Publication Type
Article
Keywords
Community Mental Health Services - organization & administration - trends
Home Nursing - trends
Hospitals, Psychiatric
Humans
Psychotic Disorders - therapy
Saskatchewan
Therapeutic Community
Abstract
Interest in the community and institutional aspects of mental health care in Saskatchewan goes back to the early history of the province, but it is the last 15--20 years which have seen the most exciting developments. During this time the province has changed from having one of the highest mental institutionalization rates in the world to one of the lowest. One mental hospital was phased out and the other reduced to a shadow of its former self. An account of the changes which occurred during this period is given together with the story of the stresses generated. Finally, a 1979 perspective is offered on the Saskatchewan psychiatric program.
PubMed ID
427697 View in PubMed
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[Mental healthcare system transformation: international tendencies and Qu├ębec-France perspectives].

https://arctichealth.org/en/permalink/ahliterature105686
Source
Sante Ment Que. 2013;38(1):17-41
Publication Type
Article
Date
2013
Author
Marie-Josée Fleury
Saïd Acef
Author Affiliation
Université McGill; Centre de recherche du Douglas Institut universitaire en santé mentale; FRQ-S, Centre de réadaptation en dépendance de Montréal - Institut universitaire.
Source
Sante Ment Que. 2013;38(1):17-41
Date
2013
Language
French
Publication Type
Article
Keywords
Delivery of Health Care - organization & administration - trends
France
Health Care Reform
Humans
Mental Health Services - organization & administration - trends
Quebec
Abstract
This article is an overview of international tendencies on current mental healthcare transformation. It describes best practices based models and strategies aimed at improving efficiency of mental healthcare systems. To illustrate reforms in Quebec and France, the article reviews current literature and ongoing research on mental health care and service organization. During the last decade, primary care reinforcement, including best-practices and service integration, has been at the core of the mental healthcare system transformation. However, challenges regarding implementation appear to undermine the transformation's success. This article discusses mental healthcare services planning in order to improve their efficiency and allow the transfer of knowledge acquired through these reforms.
PubMed ID
24336988 View in PubMed
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Source
Sante Ment Que. 2009;34(1):19-34
Publication Type
Article
Date
2009

[Open care in psychiatry. Interview by Marit Fonn].

https://arctichealth.org/en/permalink/ahliterature218345
Source
J Sykepleien. 1994 Apr 19;82(7):18-9
Publication Type
Article
Date
Apr-19-1994
Source
Vardfacket. 1984 Jun 14;8(11):4-9
Publication Type
Article
Date
Jun-14-1984
Source
Vardfacket. 1984 Jun 14;8(11):4-9
Date
Jun-14-1984
Language
Swedish
Publication Type
Article
Keywords
Humans
Mental Health Services - organization & administration - trends
Psychiatric Nursing - trends
Sweden
PubMed ID
6570404 View in PubMed
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16 records – page 1 of 2.