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Published in: Community Mental Health Journal 3/2020

01-04-2020 | Schizophrenia | Original Paper

Hospitalization and Some Sociodemographic Characteristics of Patients Registered with a Community Mental Health Center

Author: Etem Erdal Erşan

Published in: Community Mental Health Journal | Issue 3/2020

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Abstract

One of the most important indicators evaluating the effectiveness of community mental health centers is the decrease in hospitalization rates of registered patients. The aim of our study was to compare the annual hospitalization rates of patients receiving community mental health services before enrollment with the annual hospitalization rates after enrollment. The study included 400 patients with a registration period of at least 1 year as of the end of 2018. Wilcoxon signed rank test was used to test the significance of the difference between pre-registration and post-registration patients’ annual hospitalizations. The annual hospitalization rates (0.32 ± 0.35) and the annual hospitalization rates (0.15 ± 0.35) before and after registration were found to be statistically significant (p < 0.001). Annual hospitalization rates decreased by 54.58%. Our Community Mental Health Center, which provides community-based mental health services, has led to a significant decrease in annual hospitalization rates thanks to the services provided.
Literature
go back to reference Alatas, G., Karaoğlan, A., Arslan, M., & Yanık, M. (2009). Community-based psychiatry model and project of community mental health centers in Turkey. Archives of Neuropsychiatry,46, 25–29. Alatas, G., Karaoğlan, A., Arslan, M., & Yanık, M. (2009). Community-based psychiatry model and project of community mental health centers in Turkey. Archives of Neuropsychiatry,46, 25–29.
go back to reference Arslan, M., Yazıcı, A., Yılmaz, T., Coşkun, S., & Kurt, E. (2015). Long-term effects of a rehabilitation program on the clinical outcomes, social functionality, and life quality of schizophrenic patients-a follow-up study. Anatolian Journal of Psychiatry,16, 238–246. https://doi.org/10.5455/apd.161411.CrossRef Arslan, M., Yazıcı, A., Yılmaz, T., Coşkun, S., & Kurt, E. (2015). Long-term effects of a rehabilitation program on the clinical outcomes, social functionality, and life quality of schizophrenic patients-a follow-up study. Anatolian Journal of Psychiatry,16, 238–246. https://​doi.​org/​10.​5455/​apd.​161411.CrossRef
go back to reference Aydın, E., Tabo, A., Karamustafalıoğlu, K. O., Alataş, G., Aydın, E., Yiğit, S., et al. (2014). Revolving door phenomenon: The effect of application of community-based mental health services model at acute psychiatric hospitalization. Anatolian Journal of Psychiatry,15, 185–191. https://doi.org/10.5455/apd.33996.CrossRef Aydın, E., Tabo, A., Karamustafalıoğlu, K. O., Alataş, G., Aydın, E., Yiğit, S., et al. (2014). Revolving door phenomenon: The effect of application of community-based mental health services model at acute psychiatric hospitalization. Anatolian Journal of Psychiatry,15, 185–191. https://​doi.​org/​10.​5455/​apd.​33996.CrossRef
go back to reference Botha, U. A., Koen, L., Joska, J. A., Parker, J. S., Horn, N., Hering, L. M., et al. (2010). The revolving door phenomenon in psychiatry: Comparing low-frequency and high-frequency users of psychiatric inpatient services in a developing country. Social Psychiatry and Psychiatric Epidemiology,45, 461–468. https://doi.org/10.1007/s00127-009-0085-6.CrossRefPubMed Botha, U. A., Koen, L., Joska, J. A., Parker, J. S., Horn, N., Hering, L. M., et al. (2010). The revolving door phenomenon in psychiatry: Comparing low-frequency and high-frequency users of psychiatric inpatient services in a developing country. Social Psychiatry and Psychiatric Epidemiology,45, 461–468. https://​doi.​org/​10.​1007/​s00127-009-0085-6.CrossRefPubMed
go back to reference Delice, M. A., Akgül, S. M., & Yıldız, M. (2014). Effect of the integrated approach to prognosis for schizophrenic patient who has been served in the community mental health center. Clinical and Experimental Health Sciences,4(2), 122–125. Delice, M. A., Akgül, S. M., & Yıldız, M. (2014). Effect of the integrated approach to prognosis for schizophrenic patient who has been served in the community mental health center. Clinical and Experimental Health Sciences,4(2), 122–125.
go back to reference Ensari, H., Gültekin, B. K., Karaman, D., Koc, A., & Beskardes, A. F. (2013). The effects of the service of community mental health center on the schizophrenia patients: Evaluation of quality of life, disabilities, general and social functioning: A summary of one year follow-up. Anatolian Journal of Psychiatry,14(2), 108–114. https://doi.org/10.5455/apd.36380.CrossRef Ensari, H., Gültekin, B. K., Karaman, D., Koc, A., & Beskardes, A. F. (2013). The effects of the service of community mental health center on the schizophrenia patients: Evaluation of quality of life, disabilities, general and social functioning: A summary of one year follow-up. Anatolian Journal of Psychiatry,14(2), 108–114. https://​doi.​org/​10.​5455/​apd.​36380.CrossRef
go back to reference Kane, J. M. (2006). Review of treatments that can ameliorate nonadherence in patients with schizophrenia. Journal of Clinical Psychiatry,67(Suppl. 5), 9–14.PubMed Kane, J. M. (2006). Review of treatments that can ameliorate nonadherence in patients with schizophrenia. Journal of Clinical Psychiatry,67(Suppl. 5), 9–14.PubMed
go back to reference Kelleci, M., & Ata, E. E. (2011). Drug compliance of patients hospitalized in the psychiatry clinic and the relationship with social support. Journal of Psychiatric Nursing,2(3), 105–110. Kelleci, M., & Ata, E. E. (2011). Drug compliance of patients hospitalized in the psychiatry clinic and the relationship with social support. Journal of Psychiatric Nursing,2(3), 105–110.
go back to reference Liberman, P. R. (2011). Yeti Yitiminden İyileşmeye: Psikiyatrik İyileştirim Elkitabı. M. Yıldız (Translate Ed.), Ankara, Turkey: Türkiye Sosyal Psikiyatri Derneği Yayınları. Liberman, P. R. (2011). Yeti Yitiminden İyileşmeye: Psikiyatrik İyileştirim Elkitabı. M. Yıldız (Translate Ed.), Ankara, Turkey: Türkiye Sosyal Psikiyatri Derneği Yayınları.
go back to reference Munday, J., Greene, M., Chang, E., Hartry, A., Yan, T., & Broder, M. S. (2019). Early initiation of long-acting injectable antipsychotic treatment is associated with lower hospitalization rates and healthcare costs in patients with schizophrenia: Real-world evidence from US claims data. Current Medical Research and Opinion,35(7), 1231–1239. https://doi.org/10.1080/03007995.2019.1571295.CrossRefPubMed Munday, J., Greene, M., Chang, E., Hartry, A., Yan, T., & Broder, M. S. (2019). Early initiation of long-acting injectable antipsychotic treatment is associated with lower hospitalization rates and healthcare costs in patients with schizophrenia: Real-world evidence from US claims data. Current Medical Research and Opinion,35(7), 1231–1239. https://​doi.​org/​10.​1080/​03007995.​2019.​1571295.CrossRefPubMed
go back to reference Özdemir, İ., Şafak, Y., Örsel, S., Kahiloğulları, A. K., & Karadağ, H. (2017). Investigation of the efficacy of a psychiatric-social rehabilitation performed in patients with schizophrenia in a community mental health center: Controlled study. Anatolian Journal of Psychiatry,18(5), 419–427. https://doi.org/10.5455/apd.254450.CrossRef Özdemir, İ., Şafak, Y., Örsel, S., Kahiloğulları, A. K., & Karadağ, H. (2017). Investigation of the efficacy of a psychiatric-social rehabilitation performed in patients with schizophrenia in a community mental health center: Controlled study. Anatolian Journal of Psychiatry,18(5), 419–427. https://​doi.​org/​10.​5455/​apd.​254450.CrossRef
go back to reference Schooler, N. R. (2006). Relapse prevention and recovery in the treatment of schizophrenia. Journal of Clinical Psychiatry,67, 19–23.PubMed Schooler, N. R. (2006). Relapse prevention and recovery in the treatment of schizophrenia. Journal of Clinical Psychiatry,67, 19–23.PubMed
go back to reference Sofuoğlu, S., & Turan, T. (2000). Problems of comliance with antipsychotic drugs: In relation to their extrapyramidal side effects. Anatolian Journal of Psychiatry,1, 100–106. Sofuoğlu, S., & Turan, T. (2000). Problems of comliance with antipsychotic drugs: In relation to their extrapyramidal side effects. Anatolian Journal of Psychiatry,1, 100–106.
go back to reference Songur, C., Saylavcı, E., & Kıran, Ş. (2017). A comparative examination of mental health services on Europe and Turkey. Social Sciences Studies Journal,3(7), 276–289.CrossRef Songur, C., Saylavcı, E., & Kıran, Ş. (2017). A comparative examination of mental health services on Europe and Turkey. Social Sciences Studies Journal,3(7), 276–289.CrossRef
go back to reference Şükrü, F., Öztürk, M., Kılıç, Ö., Güneytepe, Sİ., & Üçok, A. (2018). The impact of a six-month interpersonal group psychotherapy on functionality of patients with schizophrenia in a community mental health center. Anatolian Journal of Psychiatry,19(6), 559–566. https://doi.org/10.5455/apd.297262.CrossRef Şükrü, F., Öztürk, M., Kılıç, Ö., Güneytepe, Sİ., & Üçok, A. (2018). The impact of a six-month interpersonal group psychotherapy on functionality of patients with schizophrenia in a community mental health center. Anatolian Journal of Psychiatry,19(6), 559–566. https://​doi.​org/​10.​5455/​apd.​297262.CrossRef
go back to reference T. C. Ministry of Health. (2011). T. C. Ministry of Health National Mental Health Action Plan: 2011–2023. T. C. Ministry of Health. (2011). T. C. Ministry of Health National Mental Health Action Plan: 20112023.
go back to reference T. C. Official Newspaper. (2014). Directive on Community Mental Health Centers, 9453, 06 March 2014. T. C. Official Newspaper. (2014). Directive on Community Mental Health Centers, 9453, 06 March 2014.
go back to reference Tel, H., Doğan, S., Özkan, S., & Çoban, S. (2010). Compliance to treatment among chronic psychiatric disorder patients according to their relatives. Journal of Psychiatric Nursing,1(1), 7–12. Tel, H., Doğan, S., Özkan, S., & Çoban, S. (2010). Compliance to treatment among chronic psychiatric disorder patients according to their relatives. Journal of Psychiatric Nursing,1(1), 7–12.
go back to reference Üçok, A. (2011). Şizofreni tedavisinde karşılaşılan güçlükler. Kronik Ruhsal Hastalıklarda Tedavi İşbirliği,1, 7–8. Üçok, A. (2011). Şizofreni tedavisinde karşılaşılan güçlükler. Kronik Ruhsal Hastalıklarda Tedavi İşbirliği,1, 7–8.
go back to reference Uçok, A., Atlı, H., Çetinkaya, Z., & Kandemir, P. (2002). Effects of group pyschotherapy on quality of life of the patients with schizophrenia; Result of one year treatment. Archives of Neuropsychiatry,39(2-3-4), 113–118. Uçok, A., Atlı, H., Çetinkaya, Z., & Kandemir, P. (2002). Effects of group pyschotherapy on quality of life of the patients with schizophrenia; Result of one year treatment. Archives of Neuropsychiatry,39(2-3-4), 113–118.
go back to reference Üstün, G., Küçük, L., & Buzlu, S. (2018). Identifying the schizophrenia patients attending the rehabilitation program conducted in Community Mental Health Centers in terms of some demographic variables, characteristics related to the ailment, adaptation to the treatment and self-efficacies. Journal of Psychiatric Nursing,9(2), 69–79. https://doi.org/10.14744/phd.2018.87699.CrossRef Üstün, G., Küçük, L., & Buzlu, S. (2018). Identifying the schizophrenia patients attending the rehabilitation program conducted in Community Mental Health Centers in terms of some demographic variables, characteristics related to the ailment, adaptation to the treatment and self-efficacies. Journal of Psychiatric Nursing,9(2), 69–79. https://​doi.​org/​10.​14744/​phd.​2018.​87699.CrossRef
go back to reference Yanık, M. (2007). Türkiye Ruh Sağlığı Sistemi Üzerine Değerlendirmeler ve Öneriler: Ruh Sağlığı Eylem Planı Önerisi. Psikiyatride Derlemeler, Olgular ve Varsayımlar,1(3), 9–78. Yanık, M. (2007). Türkiye Ruh Sağlığı Sistemi Üzerine Değerlendirmeler ve Öneriler: Ruh Sağlığı Eylem Planı Önerisi. Psikiyatride Derlemeler, Olgular ve Varsayımlar,1(3), 9–78.
go back to reference Yıldız, M. (2005). Şizofreni: Hastalığı Anlamak ve Onunla Yaşamayı Öğrenmek. İstanbul: Okuyan Us. Yıldız, M. (2005). Şizofreni: Hastalığı Anlamak ve Onunla Yaşamayı Öğrenmek. İstanbul: Okuyan Us.
go back to reference Yıldız, M. (2009). Patient and family education in psychiatric settings. Anatolian Journal of Psychiatry,10(suppl. 2), 16–17. Yıldız, M. (2009). Patient and family education in psychiatric settings. Anatolian Journal of Psychiatry,10(suppl. 2), 16–17.
Metadata
Title
Hospitalization and Some Sociodemographic Characteristics of Patients Registered with a Community Mental Health Center
Author
Etem Erdal Erşan
Publication date
01-04-2020
Publisher
Springer US
Keyword
Schizophrenia
Published in
Community Mental Health Journal / Issue 3/2020
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-019-00506-5

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