Læknablaðið : fylgirit - 01.08.2003, Page 60

1 POSTERS / 27TH NORDIC PSYCHIATRIC CONGRESS
used for collecting data for subsequent analysis. Runaways came off
the street or left home on their own accord, throwaways had been
asked to leave home, the homeless had nowhere to stay.
Rcsults: Compared with the operation during 1985-1995, there was
about 32% increase of registered visits, mostly runaway boys and
throwaways of botli sexes. Fewer adolescents were homeless than in
1985-1995. About a third of runaways/throwaways and more than
70% of homeless were neither working nor at school when presen-
ting at the RCH. Use of tobacco, alcohol/drugs was common among
guests. The most frequent reasons for the homeless seeking assis-
tance were alcohol/drug abuse but for runaways/throwaways having
nowhere to stay and conflicts within their family. Runaway/throw-
away boys were more likely than girls to be school dropouts, abuse
alcohol/drugs and be out of work. Frequent visitors were worse off
than first time visitors.
Conclusions: The plight of homeless adolescents seemed more
serious than that of runaways/throwaways. The RCH aims to keep
adolescents off the streets and to prevent runaways/throwaways to
become homeless who are more likely to be out of work, commit
crimes and abuse alcohol/drugs. The increase of visits by adoles-
cents registered as runaways or throwaways to the RCH, and the
decrease of visits by those registered as homeless suggest the fre-
quency of severe relational problems between parents and their
child is on the increase in Icelandic homes.
P - 5 Thursday 14/8,14:00-15:00
Duration of treatment in Danish office-based psychiatry
Bodil Andersen. Psychiatrist, Private Psychiatric Practice, Algade 65 A, DK-4000
Roskilde, Denmark. Kirsten Gormsen, Eskil Hohwy, Frands Jacobsen, Jens Thimm-
er, Povl Munk-j0rgensen.
b. andersen. rosk@dadlnet. dk
Background: In 1996 a group of private practicing psychiatrists
(ppp) organized a quality assurance database registering the activi-
ties in private psychiatric practice (QAD3P). The group represents
approximately 20% of the ppp's in Denmark.
Aiins: To investigate the duration of treatment in courses with
planned termination.
Mcthod: Analysis of data from the QAD3P database for patients
tliat began treatment in the years 1997 and 1998 and terminated
before the beginning of 2002.
Rcsults: A total 3576 courses were begun in 1997 and 1998 and
terminated before the beginning of 2002. The most frequent diag-
noses were: Anxiety and stress disorders (n=1076), affective dis-
orders (n=976) and personality disorders (n=906). Among these
more than 50% of the patients had terminated their treatment with-
in 6 months, and approximately 60% of the patients got maximum
6 consultations. Among patients who were treated more than 24
months, patients with schizophrenia, acute psychotic disorders and
affective disorders had higher frequency than in the original
sample.
Conclusion: In private psychiatric practice in Denmark, the major-
ity of the patients are treated for a short period and with few
consultations.
P - 6 Thursday 14/8,14:00-15:00
Anxiety disorders. Quality assurance in private
psychiatric practice
Eva Jensen1, Practicing Psychiatrist, QAD3P-group (Quality Assurance In Danish
Private Psychiatric Practice), Helsehuset, Hold-an Vej 5, DK-2750 Ballerup, Den-
mark. Bodil Andersen1, Eskil Hohwy1, Frands Jacobseni, Jens Timmer1 and Povl
Munk-J0rgensen2.
>QAD3P-group (Quality Assurance In Danish Private Psychiatric Practice), Helse-
huset, Hold-an Vej 5, DK-2750 Ballerup, Denmark. ^Department of Psychiatric
Demography, Institute for Basic Psychiatric Research, Psychiatric Hospital in
Aarhus, Skovagervej 2, DK-8240 Risskov, Denmark.
de@psykiatri. aaa. dk
Background: In 1996 a group of private practicing psychiatrists
(ppp) organized a quality assurance database registering the activi-
ties in private psychiatric practice. The group represents a little
more than 20% of the ppp’s in Denmark. Approximately 30% of
the patients treated in ppp are diagnosed with anxiety or stress re-
lated disorders.
Ainis: To describe the diagnostic distribution of anxiety states in
ppp. Furthermore, to investigate the treatment profile and the
duration of treatment.
Method: Analysis of data from the QAD3P database for the period
1996-200.
Rcsults: The proportion of patients in ppp diagnosed ICD-10 F40-
41 decreased from 3.9% to 2.5% over the period. Approximately 1/3
were diagnosed with panic disorder, 1/3 as mixed anxiety - depres-
sive state. 95% of the patients were treated for periods not longer
than six months. Two thirds of the patients were treated psycho-
pharmacologically exclusively, or as part of a broader treatment
method; among patients suffering from phobia, the proportion was
only 50% in psychopharmacological treatment.
Conclusions: Private practice is a highly effective part of mental
health service. Exemplified by anxiety disorders, it is documented
that patients are treated within six months with a broad spectrum of
psychopharmacological and psychotherapeutic methods.
P - 7 Thursday 14/8,14:00-15:00
Utilization of specialist outpatient services in lceland
Ólufur Hergill Oddsson. MD. M.CI.Sc., Resident Physician. Psychiatric Depart-
ment, Regional Hospital, Akureyri, Iceland
olafur@fsa.is
Background: The accessibility of specialist outpatient services dif-
fers among geographical areas within countries. The aim of this
study was to explore differences in the utilization of such services
between geographical areas within Iceland, an island wilh a popula-
tion of 280.000 inhabitants. Over 90% of the country’s specialist
doctors live in the capital, Reykjavík, and in Akureyri, the main
town in northern Iceland.
Methods: The National Health Insurance Patient Data Base for the
years 1993-1996 was explored in a retrospective manner. Informa-
tion regarding the 1.4 million specialist consultations for those four
years was analyzed. This was quantitative data and neither patients
nor the specialists were identifiable.
Rcsults: Icelanders visit specialists 1.3 times per year on average.
Tlie use of these services is highest in the capital area, 1.7 visits per
60 LÆKNABLAÐIÐ / FYLGIRIT 48 2003/89