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SOCIAL AND CLINICAL DETERMINANTS OF COMPULSORY AND VOLUNTARY ADMISSIONS WITHIN THE FRAMEWORK OF AN ITALIAN COMMUNITY MENTAL HEALTH SYSTEM
Silvia Guadagno
; Udine Nord Community Mental Health Centre, Mental Health Department, Friuli Centrale Healthcare Agency, Udine, Italy
Matteo Balestrieri
; Psychiatric Unit, Department of Mental Health, Friuli Centrale Healthcare Agency, Udine, Italy; Department of Medicine (DAME), University of Udine, Udine, Italy
Umberto Albert
; Department of Medicine, Surgery and Health Sciences, University of Trieste, Trieste, Italy; UCO Clinica Psichiatrica, Department of Mental Health, Giuliano Isontina Healthcare Agency, Trieste, Italy
Elisa Maso
; Psychiatric Unit, Department of Mental Health, Friuli Centrale Healthcare Agency, Udine, Italy
Giulio Castelpietra
orcid.org/0000-0002-0309-1345
; Department of Medicine (DAME), University of Udine, Udine, Italy; Outpatient and Inpatient Care Service, Central Health Directorate, Friuli Venezia Giulia Region, Trieste, Italy
Sažetak
Social and clinical determinants of 30 compulsory admissions (CAs) to a psychiatric ward during a six-month period were
compared to 134 voluntary admissions (VAs), and outcomes of hospitalisation were assessed in relation to its types. Psychosocial and clinical characteristics at admission and discharge were measured using 5 scales. Unemployment, hospitalisations >7 days and continuing hospitalisation in Community Mental Health Centres were positively associated with CA. At admission, CAs showed lower functioning, while outcome at discharge was similar. Social determinants had a main role in determining CAs. Clinical and psychosocial outcomes might have been improved by a mental health system community-based.
Ključne riječi
compulsory admission; voluntary admission; outcome
Hrčak ID:
262623
URI
Datum izdavanja:
18.11.2020.
Posjeta: 262 *