Læknablaðið : fylgirit - 01.08.2003, Page 74

I POSTERS / 27TH NORDIC PSYCHIATRIC CONGRESS
patients’ lack of insight as well as lack of judgement regarding
driving, but will remain relatively independent of the patient’s overall
cognitive performance. The results revealed a highly significant diffe-
rence between the AD caregivers and informants of controls on both
measures of burden. The results suggest that anosognosia may play
the key role in caregiver burden and patients who lack awareness are
found to be more likely to drive a car and consider themselves com-
petent drivers than those patients with good awareness.
P - 53 Friday 15/8,14:00-15:00
Transferred to an oral presentation
P - 54 Friday 15/8,14:00-15:00
Transferred to an oral presentation
P - 55 Friday 15/8,14:00-15:00
Integration of migrants in Danish psychiatric services
Murianne Kustrup. Consulant, Centre Transcultural Psychiatry, Rigshospitalet, 2100
Copenhagen, Denmark
mariaime.kastrup@rh.dk
Background: Denmark has had little focus directed towards investi-
gating special needs and demands of psychiatric ill immigrants. Ap-
prox. 10% of patients treated in Danish psychiatric institutions
have a non-Danish background with large geographical variation.
No mental health policy is directed towards immigrants and no
special public services provided. Asylum seekers have only access
to acute psychiatric care.
Methods: A questionnaire was sent to all Danish psychiatric inslilu-
tions to assemble information about local services/projects invol-
ving immigrants. Based upon this, four regional focus group inter-
views were carried out with the local liaison officers.
Results: The paper will concentrate on issues of concern related to:
• Delineation of the population treated at psychiatric institu-
tions
• Available psychiatric services
• Staff competence
• Treatment.
Conclusions: Recommendations for strategies to enhance the cul-
tural competence of psychiatric staff will be outlined.
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Automatic collection and exchange of clinical data: Security
issues and a quality assurance application
Rohcrto Viviani Dr., Department of Psychiatry III, University of Ulm, Leimgrubenweg
12, Germany. Susanne Hammel, Manfred Spitzer.
roberío. viviani@medizin. uni-ulm. de
Kackground and aims: The electronic collection of medical data has
been in the centre of attention after proposals for a nation-wide
medical database in Iceland. Exchange of sensitive data via Internet
poses even more challenging security problems. It is more important
than ever to develop security models that properly address the pri-
vacy issues of patients, while reaping the benefits these technologies
have to offer.
Method: We report here on a security protocol for the exchange of
psychiatric data via Internet, based on the notion of data types. We
will argue that this notion is apt to capture the constraints contained in
ethical and legislative regulations (for example, the relevant EU
Directives). Access rights are set for each data type at two levels: insti-
tutions, and individual users (or user groups) within each institution.
Results and conclusions: We present an application for the automated
collection of satisfaction with treatment data from psychiatric wards
that pool the data in real time in a central research site. We will present
our experience on the positive impact of Internet-based information
technologies on the way quality assurance may be implemented.
P - 57 Friday 15/8,14:00-15:00
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 Thimmer,
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 activities in
private psychiatric practice (QAD3P). The group represents ap-
proximately 20% of the ppp's in Denmark.
Aims: To investigate the duration of treatment in courses with
planned termination.
Method: Analysis of data from the QAD3P database for patients
that 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 termi-
nated before the bcginning of 2002. The most frequent diagnoses
were: Anxiety and stress disorders (n=1076), affective disorders
(n=976) and personality disorders (n=906). Among these more than
50% of the patients had terminated their treatment within 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 majority of
the patients are treated for a short period and with few consultations.
P - 58 Friday 15/8,14:00-15:00
A study of sheltered care residence for the mentally ill in
Reykjavík, lceland
Kristín G. Jonsdóttir. Chief Social Worker. Landspítali University Hospital, Depart-
ment of Psychialry. Hringbraut. 101 Reykjavík, Iceland. Sigurrós Sigurðardóttir. former
Chief Social Worker, Bergstaðastræti 48a, 101 Reykjavík, Iceland. Hrafnhildur Reynis-
dóttir, BA Psychology, Landspítali University Hospital, Department of Psychiatry,
Hringbraut, 101 Reykjavík, lceland
kristjon@landspitali.is
Sheltered residency for the mentally ill has been the focus of signifi-
74 L/EKNABLAÐIÐ t FYLGIRIT 48 2003/89