Developing a data file for rape prevention through interagency collaboration.

The purpose was to estimate the number and nature of contacts in a newly-established community psychiatry centre and their distribution according to diagnostic category, registered on computer. The number of contacts and day-patient days were about 6000 each per year. Two professionals participated in 20% of the contacts and 20% were in the patient's home (psychotic patients). Fifty percent of the contacts had a psychotherapeutic content, 10% were about medicine and 30% had a mixed content. The chronic patients made 20-25 contacts/year and other patients 6-10 per treatment episode. Forty-five percent of the resources were used on out-patients/hometreatment, 30% on activities, 10% on intake, 10% on secretarial work and 5% on administration. Seventy percent of resources were used on chronic patients and 20% on patients with minor disorders. Fifty-five percent of time spent was used for direct patient contact (40% for psychiatrists). Time for contacts was 45-60 minutes/patient/2 weeks (6 minutes for psychiatrists). In accordance with the politically defined goal the main part of the resources were used for psychotic patients. The patients valued the contacts as seen by a low rate of non attendance. The amount of time for contact seems reasonable although it was low for psychiatrists.

Community Mental Health Centers↗

PubMed1995

[Community psychiatry in Copenhagen. Referrals during the first four years].

The purpose was to estimate the number of referrals and patients, referral source, problems, diagnoses, demographic data and treatment offered in a community mental health centre. All referrals were systematically registered for statistical purposes. The referral rate stabilised at around 11 promille, point prevalence about 13 promille and one year prevalence above 20 promille. The centre was able to offer treatment to the majority of the patients referred. General practice referred about half of the patients, a quarter were self-referred and one sixth each came from the social welfare services and the hospital. The number of patients referred from each GP varied considerably. As seen in other community mental health centres, patients with non-psychotic illness (2/3) and women (2/3) were in the majority. The older age groups were under-represented, and the social situation among the patients was worse than the general level in the district. It is concluded that a community mental health centre can fulfil the need for psychiatric treatment in an area and at the same time have the chronic psychotic patients as the priority group.

Community Mental Health Centers↗

PubMed1995

Innovative programming in a community service center.

A Community Center in a downtown urban area offers comprehensive services that provide continuity and choice to homeless and poor people. Emphasis is on outreach, through a Day Treatment Program for severely, persistently mentally ill homeless, a mobile outreach team, and neighborhood services, and/or employment, including a restaurant and Employment Reintegration Program. The Center is an example of how professionals, community and business leaders, and citizens can unite to assist clients and how programs can evolve from clients' requests and participation in services. The Center's programming can be followed in any community in this health care reform era.

Community Mental Health Centers↗