title: Changing patient perspectives after compulsory admission and the risk of re-admission during 5 years of follow-up: The Amsterdam Study of Acute Psychiatry IX.
abstract: OBJECTIVE
  Given increasing numbers of compulsory admissions, it is important to assess patient risk profiles and identify factors that are appropriate for intervention.
  
  
  METHODS
  A sample of 116 patients who were compulsorily admitted was studied. Socio-demographic and clinical characteristics were recorded. Patients were interviewed twice using the Verona Service Satisfaction Scale and the Birchwood Insight Scale. Changes in insight and satisfaction during 2 years were linked to the incidence of involuntary re-admissions in the next three follow-up years.
  
  
  RESULTS
  A higher mean score for patient satisfaction was found (mean=3.77, standard deviation (SD)=0.56; p⩽.001) in the second interview than in the baseline interview (mean=3.26, SD=0.65). There was also an improvement in insight (in the second interview: mean=7.22, SD=2.86 and in the baseline interview: mean=6.34, SD=3.18; p=.027). There was an inverse correlation between increasing satisfaction (in years 1-2) and the incidence of involuntary admission in years 3-5 (odds ratio (OR)=0.445, 95% confidence interval (CI)=0.252-0.793; p=.006). This association proved to be dependent on a history of involuntary admission.
  
  
  CONCLUSIONS
  Increasing patient satisfaction in the first 2 years was associated with a lower risk of compulsory re-admission in the subsequent follow-up period, but this association proved to be dependent on a history of involuntary admissions in these first two follow-up years. Increase in insight during the same period did not show any effect whatsoever.
authors.affiliation: Research Department, ARKIN Mental Health Care, Amsterdam, The Netherlands.
authors.forename: Kim
authors.initials: K
authors.lastname: Setkowski
authors.affiliation: Research Department, ARKIN Mental Health Care, Amsterdam, The Netherlands lvdp@xs4all.nl.
authors.forename: Louk Fm
authors.initials: LF
authors.lastname: van der Post
authors.affiliation: Research Department, ARKIN Mental Health Care, Amsterdam, The Netherlands.
authors.forename: Jaap
authors.initials: J
authors.lastname: Peen
authors.affiliation: Research Department, ARKIN Mental Health Care, Amsterdam, The Netherlands Department of Clinical Psychology, Faculty of Psychology and Pedagogy, VU University Amsterdam, Amsterdam, The Netherlands.
authors.forename: Jack Jm
authors.initials: JJ
authors.lastname: Dekker
mesh_terms: D000293:Adolescent; D000328:Adult; D003134:Commitment of Persons with Psychiatric Disorders / Q000706:statistics & numerical data*; D003710:Demography; D004637:Emergency Services, Psychiatric; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology*; D008875:Middle Aged; D009426:Netherlands; D010343:Patient Admission / Q000706:statistics & numerical data*; D010359:Patient Readmission / Q000706:statistics & numerical data*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011446:Prospective Studies; D012307:Risk Factors; D055815:Young Adult
keywords: Civil detention; community mental health care; court order; follow-up study; involuntary admission; psychiatric emergency