[Quality development in a community mental health centre. Method for registration. Cross-sectional study at a community mental health centre in the Inner Noerrobro area].
BACKGROUND
The present investigation demonstrates a method for registration, the results of which are used to identify patient populations with special needs and to better organise treatment in order to serve their needs.


METHODS
A retrospective prevalence study based on patient files, including 273 patients who on 7th September 2001 were in treatment at a community mental health centre in the Inner Noerrebro area of Copenhagen. Patient data included sociodemography, psychopathology, diagnosis and social function.


RESULTS
Severe psychiatric illness was demonstrated with a mean CGI (Clinical Global Impression) 5.3 and a low social function with a mean GAF (Global Assessment of Function) 40.2. 78% had a diagnosis of schizophrenia or paranoid psychosis (DF 20-29). 49% had a severe disturbance (from an index based on diagnosis, social function and use of health service). 23% had an additional substance misuse. Immigrants accounted for 23% of the patient population, but only 14% in the background population. There were no significant differences between immigrants and Danes in terms of diagnosis and severity of illness. Significantly fewer immigrants had substance misuse. Significantly more immigrants were never admitted to hospital. Significantly more immigrants had children living at home.


CONCLUSIONS
The method used is simple and the results can be used for a better organisation of services, with focus on specific needs on a group level. In collaboration with the Centre for Transcultural Psychiatry a subspecialised service for patients with an immigrant background was established.
Povlsen
Uffe Juul
UJ
Psykiatrisk Klinik, 6212, Rigshospitalet, DK-2100 København Ø. anne.lindhardt@rh.regionh.dk.
Søholm
Bettina
B
Lindhardt
Anne
A
D000328:Adult; D002648:Child; D003156:Community Mental Health Services / Q000458:organization & administration / Q000592:standards; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D003718:Denmark / Q000453:epidemiology / Q000208:ethnology; D004641:Emigration and Immigration; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000208:ethnology / Q000628:therapy; D008875:Middle Aged; D012042:Registries; D012189:Retrospective Studies; D012944:Social Support; D012959:Socioeconomic Factors