RESUMEN
During an 11 month period, use of coercion was prospectively registered in a psychiatric department. Of all patients who had been subjected to coercion 36% were (n = 86) interviewed subsequently. Eleven percent of the interviewed patients did not know, that they had been submitted to coercion, 22% did not know the reason and 30% did not agree with the motivation for the decision. Forty-seven percent were satisfied with the information they had been given concerning how to complain of their treatment, 50% were satisfied with their adviser and 70% were satisfied with their overall admission. Sixty-five percent accepted that there should be a law allowing the use of coercion in psychiatry.
Asunto(s)
Internamiento Obligatorio del Enfermo Mental , Aislamiento de Pacientes , Satisfacción del Paciente , Servicio de Psiquiatría en Hospital , Psicotrópicos/administración & dosificación , Restricción Física , Adulto , Dinamarca , Humanos , Trastornos Mentales/diagnóstico , Trastornos Mentales/tratamiento farmacológico , Trastornos Mentales/terapia , Defensa del Paciente , Servicio de Psiquiatría en Hospital/normas , Servicio de Psiquiatría en Hospital/estadística & datos numéricos , Escalas de Valoración Psiquiátrica , Sistema de Registros , Encuestas y CuestionariosRESUMEN
A community survey of all Danish speaking residents above the age of 64 in a geographically delimited area was performed. The aim of the survey was to establish the prevalence of dementia disorders and depression by the use of international screening tools: the Mini Mental State Examination for dementia and the Beck's Depression Inventory for depression. The screening was performed during the period of one year in the municipality of Karlebo and the interviews took place in the homes of the participants. Six hundred and sixty-four (66%) of the 1,008 eligible persons entered the study. Six percent were residents in nursing homes. Thirteen point seven percent were found to be suffering from dementia. Nine point six percent had symptoms of depression. These prevalences would indicate that more than 6,000 persons in Frederiksborg county suffer from dementia while more than 4,000 might be suffering from depression. The study confirms knowledge obtained in other studies, indicating that one out of seven of the elderly suffers from dementia. We do not conclude, however, that nine point six percent suffer from depression, but rather that they need further examination to make it possible to decide whether they are indeed depressed.
Asunto(s)
Demencia/epidemiología , Depresión/epidemiología , Anciano , Anciano de 80 o más Años , Estudios de Cohortes , Dinamarca/epidemiología , Femenino , Psiquiatría Geriátrica , Humanos , Masculino , Prevalencia , Estudios Prospectivos , Escalas de Valoración PsiquiátricaRESUMEN
The study describes the type and amount of coercion used during 11 months of 1992. Four hundred and fourty-one cases were included. Young patients i.e. 10 to 29 years old, demented patients and patients suffering from organic psychoses were, overall, more often subjected to coercive measures. When looking at each type of coercion separately, it was found that detainment, compulsive treatment and fixation were especially used on the young and on patients suffering from schizophrenia. However, fixation used as a protective measure was mainly used on the demented and the 60 to 79 year-old patients.
Asunto(s)
Internamiento Obligatorio del Enfermo Mental , Aislamiento de Pacientes , Psicotrópicos/administración & dosificación , Restricción Física , Adolescente , Adulto , Anciano , Niño , Internamiento Obligatorio del Enfermo Mental/estadística & datos numéricos , Dinamarca , Femenino , Humanos , Masculino , Persona de Mediana Edad , Aislamiento de Pacientes/estadística & datos numéricos , Estudios Prospectivos , Servicio de Psiquiatría en Hospital/estadística & datos numéricosRESUMEN
In January 1988, three gerontopsychiatric teams were established in the Copenhagen County Hospital, Nordvang. One of their rasks was to supply outpatient psychiatric service for nursing homes. The object of this investigation was to investigate how much this offer was utilised, and assessment of this service by the nursing homes in a geographically delimited region consisting of 11 primary communities. The investigation was retrospective. Where all of the patients were concerned, the following were registered: age, sex, diagnosis and residence at the conclusion of treatment. After 12 months, a questionnaire was sent to all departments in nursing homes with questions about whether they had utilised this offer and how they had assessed it. During the period from 1.1.1988 to 31.12.1988, 184 patients were referred corresponding to 7.6% of all residents in nursing homes. Two gerontopsychiatric teams had had contact with 80 out of 116 possible departments and had arranged teaching about psychiatric illness in elderly persons in 39 out of 48 nursing homes. The consultant service given included individual diagnosis and treatment and also teaching and advice to the staff. The positive assessment reflected the need for a gerontopsychiatric service in nursing homes. An offer of gerontopsychiatric service should be included in the total community psychiatric service.
Asunto(s)
Servicios Comunitarios de Salud Mental , Psiquiatría Comunitaria/organización & administración , Psiquiatría Geriátrica/organización & administración , Servicios de Salud para Ancianos/organización & administración , Centros de Rehabilitación , Anciano , Consejo , Dinamarca , Humanos , Derivación y ConsultaRESUMEN
On 1.1.1988 three community psychiatric teams were established in the gerontopsychiatric fields under the Copenhagen County Hospital, Nordvang. The objects were to supervise and treat patients over the age of 65 in their own homes or in nursing homes. This article is an account of the functions of two teams concerning patients living in their own homes during the period 1st January to 31st December 1988. A total of 125 patients were referred and 31 were admitted, five of these because of lack of nursing home beds. Women and persons living alone were most frequently involved. On the initiative of the teams, it proved possible to obtain increased covering by measures in the primary community in various fields. The frequency of psychopharmacological treatment was high and this was in agreement with the observation that 33% were psychotic and that many demented patients presented secondary psychiatric symptoms requiring treatment. It is concluded that it was possible to treat these patients in their own homes to a great extent, that the psychiatric service for elderly persons is improved and that cooperation between the hospital, referring general practitioner and the primary community had increased.