Effects of community-care networks on psychiatric emergency contacts, hospitalisation and involuntary admission

Background: Community-care networks are a partnership between the local police force, housing corporations, general social services, specialised home care and mental healthcare services. The networks were set up to improve the healthcare for patients with (chronic) psychiatric problems through local...

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Bibliographische Detailangaben
Veröffentlicht in:	Journal of Epidemiology and Community Health (1979-). - BMJ Publishing Group Ltd. - 61(2007), 7, Seite 613-618
1. Verfasser:	Wierdsma, André I (VerfasserIn)
Weitere Verfasser:	Poodt, Hilde D, Mulder, Cornelis L
Format:	Online-Aufsatz
Sprache:	English
Veröffentlicht:	2007
Zugriff auf das übergeordnete Werk:	Journal of Epidemiology and Community Health (1979-)
Schlagworte:	Social sciences Health sciences Mathematics Economics


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100	1		\|a Wierdsma, André I \|e verfasserin \|4 aut
245	1	0	\|a Effects of community-care networks on psychiatric emergency contacts, hospitalisation and involuntary admission
264		1	\|c 2007
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338			\|a Online-Ressource \|b cr \|2 rdacarrier
520			\|a Background: Community-care networks are a partnership between the local police force, housing corporations, general social services, specialised home care and mental healthcare services. The networks were set up to improve the healthcare for patients with (chronic) psychiatric problems through local cooperation between different agencies operating in underprivileged areas. Objective: To evaluate the effects of community-care networks on psychiatric emergency contacts, hospitalisation and involuntary admission. Design: An ecological intervention design was used, comparing neighbourhoods with and without a community-care network. Mean numbers and standardised ratios of psychiatric emergency contacts, hospitalisation rates and involuntary admissions were assessed over a 10-year period, covering the early stages and the years in which community-care networks were fully operational. Setting: Underprivileged neighbourhoods in the city of Rotterdam, The Netherlands. Patients: Inhabitants aged 20-64 years living in these neighbourhoods. Results: Standardised ratios for contact with psychiatric emergency services were higher in the neighbourhoods where community-care networks were set up (standardised ratios = 137, 95% Cl 121 to 145 in the network neighbourhoods vs standardised ratios = 107, 95% Cl 96 to 119 in the control neighbourhoods). Number of admissions and standardised ratios for involuntary admissions were lower in the community-care network neighbourhoods than in the control neighbourhoods (standardised ratios = 123, 95% Cl 95 to 157 vs standardised ratios = 152, 95% Cl 120 to 191 ). Conclusions: Community-care networks have a significant impact on the use of mental healthcare services. These networks may be an important tool in the prevention of involuntary admissions.
540			\|a © 2007 BMJ Publishing Group Ltd
650		4	\|a Social sciences \|x Human geography \|x Social geography \|x Neighborhoods
650		4	\|a Health sciences \|x Health care industry \|x Health information \|x Biostatistics \|x Health care statistics \|x Hospitalization rates \|x Hospital admissions
650		4	\|a Health sciences \|x Health care industry \|x Health care facilities \|x Hospitals \|x Psychiatric hospitals
650		4	\|a Health sciences \|x Health care industry \|x Health care services \|x Mental health services \|x Psychiatric services \|x Psychiatric emergency services
650		4	\|a Health sciences \|x Health care industry
650		4	\|a Health sciences \|x Health and wellness \|x Mental health
650		4	\|a Health sciences \|x Health care industry \|x Health care services \|x Hospitalization
650		4	\|a Mathematics \|x Pure mathematics \|x Discrete mathematics \|x Graph theory \|x Network theory \|x Community structure
650		4	\|a Health sciences \|x Health care industry \|x Health care services \|x Mental health services
650		4	\|a Economics \|x Economic disciplines \|x Socioeconomics \|x RESEARCH REPORTS
655		4	\|a research-article
700	1		\|a Poodt, Hilde D \|e verfasserin \|4 aut
700	1		\|a Mulder, Cornelis L \|e verfasserin \|4 aut
773	0	8	\|i Enthalten in \|t Journal of Epidemiology and Community Health (1979-) \|d BMJ Publishing Group Ltd \|g 61(2007), 7, Seite 613-618 \|w (DE-627)319142868 \|w (DE-600)2015405-7 \|x 14702738 \|7 nnns
773	1	8	\|g volume:61 \|g year:2007 \|g number:7 \|g pages:613-618
856	4	0	\|u https://www.jstor.org/stable/40665865 \|3 Volltext
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952			\|d 61 \|j 2007 \|e 7 \|h 613-618