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Factors associated with disallowance of compulsory mental healthcare referrals
OBJECTIVE: Norwegian studies report that a substantial amount of referrals for compulsory mental health care are disallowed at specialist assessment, at a rate that varies with referring agent. Knowledge on factors associated with disallowance could improve the practice of compulsory mental health c...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4849203/ https://www.ncbi.nlm.nih.gov/pubmed/26774865 http://dx.doi.org/10.1111/acps.12545 |
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author | Fuglseth, N. L. D. Gjestad, R. Mellesdal, L. Hunskaar, S. Oedegaard, K. J. Johansen, I. H. |
author_facet | Fuglseth, N. L. D. Gjestad, R. Mellesdal, L. Hunskaar, S. Oedegaard, K. J. Johansen, I. H. |
author_sort | Fuglseth, N. L. D. |
collection | PubMed |
description | OBJECTIVE: Norwegian studies report that a substantial amount of referrals for compulsory mental health care are disallowed at specialist assessment, at a rate that varies with referring agent. Knowledge on factors associated with disallowance could improve the practice of compulsory mental health care. This study aims to examine such factors, placing particular emphasis on the impact of referring agents. METHOD: This study utilized data from the prospective, longitudinal cohort study ‘Suicidality in Psychiatric Emergency Admissions’ conducted at a Norwegian psychiatric emergency unit which served approximately 400 000 inhabitants. Data on referral, admission and patient characteristics were retrieved on compulsory admissions conducted between 1 May 2005 and 30 April 2008. Bivariate and logistic regression analyses and structural multilevel modelling were performed. RESULTS: Among 2813 compulsory admissions, 764 were disallowed. Low competence in the referring agent, high GAF S score, observed alcohol or drug intoxication, reported suicide risk, and the presence of neurotic, stress‐related and somatoform disorders, personality disorders and other non‐specified diagnoses were associated with above average disallowance frequency. Non‐Norwegian ethnicity and schizophrenia spectrum disorders were associated with below average disallowance rates. CONCLUSION: Among several factors associated with disallowance, low symptom load was the strongest, whilst referring agent competence modestly affected disallowance rate. |
format | Online Article Text |
id | pubmed-4849203 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-48492032016-05-05 Factors associated with disallowance of compulsory mental healthcare referrals Fuglseth, N. L. D. Gjestad, R. Mellesdal, L. Hunskaar, S. Oedegaard, K. J. Johansen, I. H. Acta Psychiatr Scand Original Articles OBJECTIVE: Norwegian studies report that a substantial amount of referrals for compulsory mental health care are disallowed at specialist assessment, at a rate that varies with referring agent. Knowledge on factors associated with disallowance could improve the practice of compulsory mental health care. This study aims to examine such factors, placing particular emphasis on the impact of referring agents. METHOD: This study utilized data from the prospective, longitudinal cohort study ‘Suicidality in Psychiatric Emergency Admissions’ conducted at a Norwegian psychiatric emergency unit which served approximately 400 000 inhabitants. Data on referral, admission and patient characteristics were retrieved on compulsory admissions conducted between 1 May 2005 and 30 April 2008. Bivariate and logistic regression analyses and structural multilevel modelling were performed. RESULTS: Among 2813 compulsory admissions, 764 were disallowed. Low competence in the referring agent, high GAF S score, observed alcohol or drug intoxication, reported suicide risk, and the presence of neurotic, stress‐related and somatoform disorders, personality disorders and other non‐specified diagnoses were associated with above average disallowance frequency. Non‐Norwegian ethnicity and schizophrenia spectrum disorders were associated with below average disallowance rates. CONCLUSION: Among several factors associated with disallowance, low symptom load was the strongest, whilst referring agent competence modestly affected disallowance rate. John Wiley and Sons Inc. 2016-01-17 2016-04-15 /pmc/articles/PMC4849203/ /pubmed/26774865 http://dx.doi.org/10.1111/acps.12545 Text en © 2016 The Authors. Acta Psychiatrica Scandinavica Published by John Wiley & Sons Ltd This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Fuglseth, N. L. D. Gjestad, R. Mellesdal, L. Hunskaar, S. Oedegaard, K. J. Johansen, I. H. Factors associated with disallowance of compulsory mental healthcare referrals |
title | Factors associated with disallowance of compulsory mental healthcare referrals |
title_full | Factors associated with disallowance of compulsory mental healthcare referrals |
title_fullStr | Factors associated with disallowance of compulsory mental healthcare referrals |
title_full_unstemmed | Factors associated with disallowance of compulsory mental healthcare referrals |
title_short | Factors associated with disallowance of compulsory mental healthcare referrals |
title_sort | factors associated with disallowance of compulsory mental healthcare referrals |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4849203/ https://www.ncbi.nlm.nih.gov/pubmed/26774865 http://dx.doi.org/10.1111/acps.12545 |
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