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2016 ; 10
(ä): 20
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Involuntary psychiatric admission: how the patients are detected and the general
practitioners expectations for hospitalization An interview-based study
#MMPMID26958076
Røtvold K
; Wynn R
Int J Ment Health Syst
2016[]; 10
(ä): 20
PMID26958076
show ga
BACKGROUND: In Norway, it is usually GPs that refer patients to involuntary
admission. A high proportion of such referrals come from out-of-hours clinics.
Little is known about who first initiate the contact between the patients and the
referring doctors and which expectations the referring doctors have with respect
to the involuntary admissions. The aim of the study was to examine who first
detected the patients who were subsequently involuntarily admitted, and to
examine the referring doctors' expectations for the admissions. METHODS:
Semi-structured interviews with 74 doctors that had referred patients for
involuntary admission at a psychiatric hospital. RESULTS: Patients who were
involuntarily admitted were detected by other branches of the health service
(52 %, n = 39), family (25 %, n = 19), and the police (17 %, n = 13). The doctors
mentioned these expectations for the admission (more than one expectation could
be given): start treatment with neuroleptics: 58 % (n = 43), take care of the
patient: 45 % (n = 34), extensive changes to the treatment regime: 37 % (n = 28),
solve an acute situation: 35 % (n = 26), and clarify the diagnosis: 22 %
(n = 17). Female doctors significantly more often expected that the patients
would be examined and treated, while the male doctors significantly more often
expected that the patients would be cared for. CONCLUSIONS: Involuntary
admissions are typically complex processes involving different people and
services and patients with various needs. More knowledge about the events
preceding hospitalization is needed in order to develop alternatives to
involuntary admissions.