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dc.contributor.authorJohansen, Ingrid Hjulstaden_US
dc.contributor.authorMorken, Toneen_US
dc.contributor.authorHunskår, Steinaren_US
dc.date.accessioned2013-08-15T09:26:51Z
dc.date.available2013-08-15T09:26:51Z
dc.date.issued2012-04-20eng
dc.identifier.issn1752-4458
dc.identifier.urihttps://hdl.handle.net/1956/6953
dc.description.abstractBackground: Low-threshold and out-of-hours services play an important role in the emergency care for people with mental illness. In Norway casualty clinic doctors are responsible for a substantial share of acute referrals to psychiatric wards. This study’s aim was to identify patients contacting the casualty clinic for mental illness related problems and study interventions and diagnoses. Methods: At four Norwegian casualty clinics information on treatment, diagnoses and referral were retrieved from the medical records of patients judged by doctors to present problems related to mental illness including substance misuse. Also, routine information and relation to mental illness were gathered for all consecutive contacts to the casualty clinics. Results: In the initial contacts to the casualty clinics (n = 28527) a relation to mental illness was reported in 2.5% of contacts, whereas the corresponding proportion in the doctor registered consultations, home-visits and emergency call-outs (n = 9487) was 9.3%. Compared to other contacts, mental illness contacts were relatively more urgent and more frequent during night time. Common interventions were advice from a nurse, laboratory testing, prescriptions and minor surgical treatment. A third of patients in contact with doctors were referred to in-patient treatment, mostly non-psychiatric wards. Many patients were not given diagnoses signalling mental problems. When police was involved, they often presented the patient for examination. Conclusions: Most mental illness related contacts are managed in Norwegian casualty clinics without referral to in-patient care. The patients benefit from a wide range of interventions, of which psychiatric admission is only one.en_US
dc.language.isoengeng
dc.publisherBioMed Centraleng
dc.relation.ispartof<a href="http://hdl.handle.net/1956/6954" target="blank">Mental illness out-of-hours. Characteristics and challenges of patient contacts in emergency primary health care in Norway</a>eng
dc.rightsAttribution CC BYeng
dc.rights.urihttp://creativecommons.org/licenses/by/2.0/eng
dc.subjectAfter-hours careeng
dc.subjectMental health serviceseng
dc.subjectEmergency medical serviceseng
dc.subjectPrimary healthcareeng
dc.subjectCoercioneng
dc.titleHow Norwegian casualty clinics handle contacts related to mental illness: A prospective observational studyen_US
dc.typePeer reviewed
dc.typeJournal article
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2012 Johansen et al.; licensee BioMed Central Ltd.
dc.identifier.doihttps://doi.org/10.1186/1752-4458-6-3
dc.identifier.cristin964912
dc.source.journalInternational Journal of Mental Health Systems
dc.source.406
dc.source.143


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