HOSPITALIZATION RATES OF PATIENTS USING COMMUNITY MENTAL HEALTH CENTER SERVICES

Year 2019, , 22 - 30, 01.04.2019

Şengül Şahin , Gülçin Elboğa Abdurrahman Altindag

https://doi.org/10.23884/ijhsrp.2019.4.1.03

Abstract

Non-adherence to treatment and hospital
admissions are the common problems in severe mental disorders. To determine the
contribution of community mental health center (CMHC) services to increased hospitalization
rates of patients previously diagnosed with severe mental disorders such as
schizophrenia spectrum and other psychotic disorders and bipolar disorders. 356 patients diagnosed with bipolar disorder,
schizophrenia, schizoaffective disorder, and unspecified schizophrenia spectrum
and other psychotic disorders in accordance with the DSM–5 criteria and
treated in the CMHC on the south coast of Turkey were included in this
retrospective study.The hospitalization records of the patients were
examined over three different periods. First and second period: two divided
years which patients had not yet received CMHC services before registration. Third
period:  one-year,
during which patients using CMHC services. A total of 356 patients were
included in the study. SPSS 22.0 (IBM Corporation, Armonk, New York, United
States) software was used in the analysis of variables. Normal distribution of
data was assessed with the Shapiro–Wilk test. 
The diagnosis of the participants in the study
were 157 (44%) schizophrenia, 35 (9.8%) schizoaffective disorder, 102 (28.7%)
bipolar disorder and 62 (17.4%) unspecified schizophrenia spectrum and other
psychotic disorders. As a result of the
hospitalization rates, there was a significant difference between three
periods. The median number of hospitalization days during the first episod was calculated as 1.0
(mean 13.9), the second period 0.7 (mean 18.59) and third period 0.6 (mean
5.83), respectively.The rate of
hospitalization was 32.9% in the first period, 42.4% in the second period and
12.9% in the third period. This study provides the new evidence regarding the
ability of primary services offered in the community mental health centers. 

Keywords

hospitalization, schizophrenia, bipolar, psychosis, community mental health

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