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P03-193 - Sociodemographical And Clinical Characteristics As Determinant Factors In The Derivation To Long Stay Units

Published online by Cambridge University Press:  17 April 2020

E. Zallo
Affiliation:
Hospital de Zamudio, Zamudio, Spain
J.J. Uriarte
Affiliation:
Hospital de Zamudio, Zamudio, Spain
J. Ballesteros
Affiliation:
University of the Basque Country, Leioa, Spain
M. Zumárraga
Affiliation:
Hospital de Zamudio, Zamudio, Spain

Abstract

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Objectives

It is widely developed the idea of communitary attention of serious mental disorders, instead of being recluded in long stay hospitals. But tomake this project real it is needed a complex sociosanitay support: psychosocial rehabilitation units, protected dwellings…and nowadays some people are still discharged to long term hospitals.

The objective of this work is to demonstrate that clinical characteristics are not determinant and that the main reason that supports the decision is the insufficent social resources spread.

Methods

279 inpatients that entered a Psychosocial rehabilitation unit from January 2005 to April 2009 are selected. There are two comparison groups depending on the derivation to long term units. There are compared different variables taking the HoNOS scale as measurement tool. Ths stathistical comparison test used is the Fisher exact test.

HoNOs scale items:

  1. 1 Disruptive behaviour

  2. 2 Non-accidental self-injury

  3. 3 Alcohol/drug taking

  4. 4 Cognition

  5. 5 Physical illness

  6. 6 Hallucinations/delusions

  7. 7 Depressed mood

  8. 8 Other mental problems

  9. 9 Relationship

  10. 10 Daily activity

  11. 11 Living conditions

  12. 12 Activities/occupation

Results

There is not statistical significance when clinical items of the HoNOS scale (item 1 to 8) are compared, instead of item 5 (p=0,001). There appears significance when comparing social items and specially item 9 (p=0,031),11 (p=0,002) and 12 (0,026).

Conclusions

Nowadays there is no difference in the clinical profile of inpatients when derivation. The fact of not having adequate living conditions is determinant in the decision of derivation, showing that socio sanitary resources are insufficient for an optimal communitary system.

Type
Social psychiatry
Copyright
Copyright © European Psychiatric Association 2010
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