Niels Okkels

Treatment profiles in a Danish psychiatric university hospital department

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

  • Niels Okkels
  • Rasmus Beyer Mogensen, d Department of Organic Psychiatric Disorders and Emergency Ward , Aarhus University Hospital Risskov , Risskov , Denmark.
  • ,
  • Lea Catherine Crean
  • ,
  • Claus Høstrup Vestergaard
  • Søren Skadhede
  • ,
  • Camilla Rasmussen, d Department of Organic Psychiatric Disorders and Emergency Ward , Aarhus University Hospital Risskov , Risskov , Denmark.
  • ,
  • Jan Walter Dhillon Shanmuganathan, d Department of Organic Psychiatric Disorders and Emergency Ward , Aarhus University Hospital Risskov , Risskov , Denmark.
  • ,
  • Kenneth Brandt Hansen
  • Povl Munk-Jørgensen, f Department of Psychiatry , Odense University Hospital , Odense , Denmark.

BACKGROUND: Despite concerns about rising treatment of psychiatric patients with psychotropic medications and declining treatment with psychotherapy, actual treatment profiles of psychiatric patients are largely unknown.

AIMS: To describe patterns in the treatment of patients in a large psychiatric university hospital department.

METHODS: A descriptive mapping of treatment of in- and outpatients in a psychiatric department at Aarhus University Hospital Risskov, Denmark. Information was collected by healthcare staff using a 25-item survey form. The p-value was calculated with a chi-squared test and p < 0.05 was considered significant. The study was preceded by a pilot study on 41 patients.

RESULTS: Over a 1 month period, a total of 343 consecutive patients were assessed and hereof 200 were included in the age range 18-90 years (mean 53.76); 86 men and 114 women. One-hundred and eighty-eight patients (94%) used psychotropic medication, 37 (19%) as monotherapy, and 148 (74%) in combination with non-pharmacological therapy. Ninety-seven (49%) had psychotherapy and 104 (52%) social support. Among inpatients, 21 (64%) had physical therapy, and 10 (30%) electroconvulsive therapy. In total, 163 (82%) had non-pharmacological therapy. Fifty-two (26%) patients had monotherapy, and 148 (74%) polytherapy. Mean number of treatment modalities used per patient was 2.07 for all patients and 3.23 for inpatients.

CONCLUSIONS: In this department, polytherapy including non-pharmacological modalities is applied widely across all settings and patient categories. However, psychotropic medication clearly dominates as the most frequently applied treatment.

OriginalsprogEngelsk
TidsskriftNordic Journal of Psychiatry
Vol/bind71
Nummer4
Sider (fra-til)289-295
Antal sider7
ISSN0803-9488
DOI
StatusUdgivet - maj 2017

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