| The five-year evolution of a mixed psychiatric and somatic care unit: a European experience. | |
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MedLine Citation:
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PMID: 19687176 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: There are virtually no reported experiences of mixed medical/psychiatry inpatient units in Europe. Such a program was created in Geneva, Switzerland, in 1999. OBJECTIVE: The authors retrospectively analyzed clinical data from its first 5 years of operation. METHOD: These data represent 1,380 hospitalizations. A descriptive analysis was carried out on all collected data for each year of activity. RESULTS: The severity of physical disorders increased with time. The number of medical comorbidities, length of hospital stay, and compulsory admissions increased. The proportion of mood disorders decreased, whereas the proportion of psychotic and adjustment disorders increased. CONCLUSION: Patients with comorbid medical and psychiatric disorders are often refused admission to both medical and psychiatric wards. Once they are admitted, they are often released prematurely or transferred to another ward too quickly because of behavioral management difficulties. Physicians who refer patients to the unit recognize the complex nature of these cases and refer them because the unit is capable of offering acute psychiatric and medical treatments and provides an environment that encourages patient cooperation and treatment adherence. |
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Authors:
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Christel Alberque; Marianne Gex-Fabry; Barbara Whitaker-Clinch; Ariel Eytan |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Psychosomatics Volume: 50 ISSN: 1545-7206 ISO Abbreviation: Psychosomatics Publication Date: 2009 Jul-Aug |
Date Detail:
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Created Date: 2009-08-18 Completed Date: 2009-12-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376506 Medline TA: Psychosomatics Country: United States |
Other Details:
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Languages: eng Pagination: 354-61 Citation Subset: IM |
Affiliation:
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Dept. of Psychiatry, Division of Adult Psychiatry, HUG, 2 Chemin du Petit-Bel-Air, Bâtiment Voirons, 1225, Geneva, Switzerland. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Academic Medical Centers Adolescent Adult Aged Chi-Square Distribution Comorbidity Female Hospitals, Psychiatric / organization & administration* Humans Length of Stay / statistics & numerical data Male Mental Disorders / epidemiology* Middle Aged Patient Admission / statistics & numerical data Retrospective Studies Severity of Illness Index Statistics, Nonparametric Switzerland / epidemiology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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