Læknablaðið : fylgirit - 01.08.2003, Síða 60

Læknablaðið : fylgirit - 01.08.2003, Síða 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
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