Monitoring community psychiatric services in Italy: differences between patients who leave care and those who stay in treatment

被引:54
作者
Percudani, M
Belloni, G
Contini, A
Barbui, C
机构
[1] Mario Negri Inst Pharmacol Res, Lab Epidemiol & Social Psychiat, I-20157 Milan, Italy
[2] Hosp Legnano, Dept Psychiat, Milan, Italy
关键词
D O I
10.1192/bjp.180.3.254
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background Continuity of care has been monitored rarely in Italian community mental health centres. Aims To estimate the long-term probability of leaving care in first-contact patients attending an out-patient service, and to identify patients most likely to drop out. Method All patients who had a first contact with the community mental health centre of Magenta during a 1-year recruitment period were followed up for 24 months. Patients who failed to return after the last out-patient visit were regarded as 'drop-outs'. Results During the 1-year recruitment period 330 subjects were at their first contact. The 1-year incidence of first-contact patients was nearly 33 per 10 000 inhabitants. At follow-up, 46% of patients had dropped out. In comparison with patients with psychoses, subjects suffering from neurotic (P = 0.004) and personality disorders (P = 0.029) were more likely to drop out. Conclusions In the Italian system of community psychiatric care nearly half of the patients are no Jonger in contact after 2 years. Those who stay in treatment are more likely to suffer from psychosis, suggesting a commitment of Italian outpatient facilities to tackling the needs of patients with more severe disorders. Declaration of interest None.
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收藏
页码:254 / 259
页数:6
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