Social psychiatry and psychiatric epidemiology
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Soc Psychiatry Psychiatr Epidemiol · Sep 2008
The development of needs in a group of severely mentally ill. A 10-year follow-up study after the 1995 Swedish mental health care reform.
The objective of this study was to follow the development of met and unmet needs in a sample of severely mentally ill after the 1995 Swedish mental health care reform and to analyse whether the efforts made by social services and mental health care have been more adequate since the reform. ⋯ The target group had made some progress referring to their functional disability and the efforts from services had increased. However, the integration in society had decreased in fundamental aspects.
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Soc Psychiatry Psychiatr Epidemiol · Sep 2008
Clinical epidemiology in patients admitted at Mathari Psychiatric Hospital, Nairobi, Kenya.
Knowledge of types and co-morbidities of disorders seen in any facility is useful for clinical practice and planning for services. ⋯ DSM-IV substance use disorders, major psychiatric disorders and anxiety disorders were prevalent and co-morbid. However, anxiety disorders were hardly diagnosed and therefore not managed. Suicidal symptoms were common. These results call for more inclusive clinical diagnostic practice. Standardized clinical practice using a diagnostic tool on routine basis will go a long way in ensuring that no DSM-IV diagnosis is missed. This will improve clinical management of patients and documentation.