Summary
Based on data from the nationwide Danish Psychiatric Case Register, trends in admission rates and treatment-day rates were studied in two Danish counties between 1977 and 1989. During the observation period, the number of availble beds in the counties investigated decreased from 1.78 to 1.10 per 1000 inhabitants aged 15 years or more. Over the same period, the admission rates decreased by 20% for in-patients and 38% for daypatients. At the same time, treatment-day rates for in-patients decreased by appoximately 50% and treatment-day rates for day-patients by 32%. The decrease was seen in all age groups both for admission rates and treatment-day-rates. Rates for short-term hospitalization showed a steeper decrease than those for long-term hospitalization. For schizophrenia, admission rates increased except among men under 25 years of age, and treatment-day rates decreased in all age groups. Affective disorders, neuroses, personality disorders, and alcohol and drug abuse showed the most pronounced decreases in admission rates and treatment-day rates. The same trend was seen for treatment-day rates for organic disorders. A marked decrease in admission rates was seen in the provincial towns. Treatment-day rates decreased markedly in city areas, and less so in rural areas.
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References
Annual reports from the Danish Psychiatric Case Register 1977–1989. Institute of Psychiatric Demography, Psychiatric Hospital in Aarhus, Risskov
Arentsen K, Strömgren E (1959) Patients in Danish psychiatric hospitals. Munksgaard, Copenhagen
Juul-Nielsen N, Strömgren E (1963), Five years later. Munksgaard. Copenhagen
Juul-Nielsen N, Strömgren E (1969) Ten years later. Munksgaard, Copenhagen
Weeke A, Strömgren E (1978) Fifteen years later. A comparison of patients in Danish psychiatric institutions in 1957, 1962, and 1972. Acta Psychiatr Scand 57: 129–144
Munk-Jørgensen P, Weeke A, Jensen EB, Dupont A, Strömgren E (1986) Changes in utilization of Danish psychiatric institutions. II. Census studies 1977 and 1982. Compr Psychiatry 27: 416–429
Munk-Jørgensen P, Lützhøft JH, Jensen J, Strømgren E (1992) Trends in psychiatric hospitalization in Denmark: A 10-year register-based investigation. Acta Psychiatr Scand 86: 79–83
Dupont A (1983) A antional psychiatric case register as a tool for mental health planning, research and administration: The Danish model. In: Laska EM, Gulbinat WH, Regier DA (eds) Information support to mental health programs. An international perspective. Human Sciences Press, New York, pp 256–274
Befolkningen i kommunerne 1. januar 1977. (The population in the municipalities, 1 January 1977). Danmarks statistik
Befolkningen i kommunerne. 1. januar 1989. (The population in the municipalities, 1 January 1989). Danmarks statistik
Årsberetning 1977. (Annual reports from the Danish Psychiatric Case Register 1977). Institute of Psychiatric Demography, Psychiatric Hospital, Aarhus
Årsberetning 1989. (Annual reports from the Danish Psychiatric Case Register 1989). Institute of Psychiatric Demography. Psychiatric Hospital, Arhus
Munk-Jørgensen P (1991) Fundamental principles of psychiatric registers and examples of their advantages. In: Sørensen T, Abrahamsen P, Torgesen S (eds) Psychiatric disorders in the social domain. Contributions to a scientific basis for understanding and action. Festschrift in honour of Professor Odd Steffen Dalgaard on his 60 th birthday. Norwegian University Press (Universitsforlaget) Oslo, pp 192–199
Norusis MJ (1988) SPSS/PC+V2.0. Base manual. SPSS
Breslow NE, Day NE (1987) Statistical methods in cancer research. Volume II. The design and analysis of cohort studies (IARC Scientific Publications, no 82). WHO International Agency for Research on Cancer, Lyon
International Classification of Diseases, 8th edn (Danish version) (1971). Sundhedsstyrelsen (National Board of Health), Denmark
Lindhardt A, Reisby N (1984) Distriktspsykiatriske projekter i Danmark, udgående fra sygehusvæsnet. (Community psychiatric projects in Denmark, based on hospitals). Ugeskr Laeger 146 1733–1739
Lindhardt A, Reisby N (1988) Udviklingen af den hospitalsba serede distriktspsykiatri i Danmark (Trends in community psychiatry based on hospitals in Denmark). Ugeskr Laeger 150: 14–18
Sundhedsministeriet (Ministry of Health) (1988) 90'ernes psykiatri (Psychiatry of the nineties)
Dunham HW (1976) Society, culture and mental disorder. Arch Gen Psychiatry 33: 147–156
Kastrup M (1987) Who become revolving-door patients? Findings from a nation-wide cohort of first time admitted psychiatric patients. Acta Psychiatr Scand 76: 80–88
Brandt P (1989) Psykisk syge hjemløse. (Mentally ill homoless persons). Ugeskr Laeger 157: 553–555
Lamb RH (1989) The homeless mentally ill. American Psychiatric Association, Washington
Susser E, Struening EL, Conover S (1989) Psychiatric problems in homeless men. Arch Gen Psychiatry 46: 845–850
Weller M, Tobiansky RI, Hollander D, Ibrahimi S (1989) Psychosis and destitution at Christmas, 1985–1989. Lancet II: 1509–1511
Munk-Jørgensen P (1987) Why has the incidence of schizophrenia in Danish psychiatric institutions decreased since 1970? Acta Psychiatr Scand 75: 62–68
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Søgaard, H.J., Godt, H.H. & Blinkenberg, S. Trends in psychiatric hospitalization and changes in admission patterns in two counties in Denmark from 1977 to 1989. Soc Psychiatry Psychiatr Epidemiol 27, 263–269 (1992). https://doi.org/10.1007/BF00788896
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DOI: https://doi.org/10.1007/BF00788896