A decentralised model of psychiatric care : profile, length of stay and outcome of mental healthcare users admitted to a district-level public hospital in the Western Cape
| dc.contributor.author | Thomas, E. | en_ZA |
| dc.contributor.author | Cloete, K. J. | en_ZA |
| dc.contributor.author | Kidd, M. | en_ZA |
| dc.contributor.author | Lategan, H. | en_ZA |
| dc.date.accessioned | 2016-10-24T13:29:29Z | |
| dc.date.available | 2016-10-24T13:29:29Z | |
| dc.date.issued | 2015-02 | en_ZA |
| dc.description | CITATION: Thomas, E. et al. 2015. A decentralised model of psychiatric care : profile, length of stay and outcome of mental healthcare users admitted to a district-level public hospital in the Western Cape. African Journal of Psychiatry, 21(1):8-12, doi:10.7196/SAJP.538. | en_ZA |
| dc.description | The original publication is available at http://www.sajp.org.za | |
| dc.description.abstract | Background. There is a lack of studies assessing the profile and outcome of psychiatric patients at entry-level public hospitals that are prescribed by the Mental Health Care Act to provide a decentralised model of psychiatric care. Objective. To assess the demographic and clinical profile as well as length of stay and outcomes of mental healthcare users admitted to a district-level public hospital in the Western Cape. Method. Demographic data, clinical diagnosis, length of stay, referral profile and outcomes of patients (N=487) admitted to Helderberg Hospital during the period 1 January 2011 - 31 December 2011 were collected. Results. Psychotic disorders were the most prevalent (n=287, 59%) diagnoses, while 228 (47%) of admission episodes had comorbid/secondary diagnoses. Substance use disorders were present in 184 (38%) of admission episodes, 37 (57%) of readmissions and 19 (61%) of abscondments. Most admission episodes (n=372, 76%) were discharged without referral to specialist/tertiary care. Conclusion. Methamphetamine use places a significant burden on the provision of mental healthcare services at entry-level care. Recommendations for improving service delivery at this district-level public hospital are provided. | en_ZA |
| dc.description.uri | http://www.sajp.org.za/index.php/sajp/article/view/538 | |
| dc.description.version | Publisher's version | |
| dc.format.extent | 5 pages ; illustrations | en_ZA |
| dc.identifier.citation | Thomas, E. et al. 2015. A decentralised model of psychiatric care : profile, length of stay and outcome of mental healthcare users admitted to a district-level public hospital in the Western Cape. African Journal of Psychiatry, 21(1):8-12, doi:10.7196/SAJP.538 | en_ZA |
| dc.identifier.issn | 1608-9685 (print) | |
| dc.identifier.issn | 2078-6786 (online) | |
| dc.identifier.other | doi:10.7196/SAJP.538 | |
| dc.identifier.uri | http://hdl.handle.net/10019.1/99757 | |
| dc.language.iso | en_ZA | en_ZA |
| dc.publisher | AOSIS Publishing | |
| dc.rights.holder | Authors retain copyright | |
| dc.subject | Mental health facilities -- Western Cape (South Africa) | en_ZA |
| dc.subject | Psychoses -- Patients -- Western Cape (South Africa) | en_ZA |
| dc.subject | Mental illness -- Western Cape (South Africa) | en_ZA |
| dc.subject | Substance abuse -- Western Cape (South Africa) | en_ZA |
| dc.subject | Public health -- Western Cape (South Africa) | en_ZA |
| dc.title | A decentralised model of psychiatric care : profile, length of stay and outcome of mental healthcare users admitted to a district-level public hospital in the Western Cape | en_ZA |
| dc.type | Article | en_ZA |