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Analysis of Episodes of Involuntary Re-admission in Ireland (2007-2010)

Published online by Cambridge University Press:  13 June 2014

Gerry Cunningham
Gerry Cunningham*
Affiliation:
Mental Health Tribunals, Mental Health Commission, St Martin's House, Waterloo Road, Dublin 4
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Abstract

Objectives: Initial examination of data held by the Mental Health Commission indicated a number of patients having repeated involuntary readmissions (defined as patients having three or more involuntary episodes in a calendar year). The Commission sought more empirical analysis of the data relating to these patients, to determine if there were any trends or commonality regarding their demographic characteristics, length of episode, and diagnoses.

Methods: From 1 November 2006 the Mental Health Commission has been notified of all involuntary admissions in Ireland under the Mental Health Act (2001). From this national database information on patients who have had three or more involuntary admissions per year was analysed.

Results: In the period studied there has been an overall reduction in the number of voluntary and involuntary admissions to Irish psychiatric hospitals and units. However, the use of involuntary admission remains constant at around 10% of all admissions. Seven percent (n=569) of involuntary admission orders in this four year period relate to two percent (n=121) of all involuntary patients. Patients who have experienced repeated involuntary admissions are predominantly male (59%), often have a diagnosis of schizophrenia, or schizotypal and delusional disorders (57%), or mania (20%), are in the age band 22-64 (80%) and more often live in rural counties.

Conclusions: Potential appears to exist to significantly reduce the number of involuntary admissions by focusing on the care given to patients who are repeatedly re-admitted. More analysis is needed of voluntary and involuntary re-admissions if inpatient facilities are to be effectively configured.

Keywords

Involuntary re-admissionsnational datalegislation.
Type
Brief Report
Information
Irish Journal of Psychological Medicine , Volume 29 , Issue 3 , 2012 , pp. 180 - 184
Copyright
Copyright © Cambridge University Press 2012

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References

1.Salize, H. J, and Dressing, H.Epidemiology of involuntary placement of mentally ill people across the European Union. Br J Psych 2004: 184, 163–186.CrossRefGoogle ScholarPubMed
2. Mental Health Commission Ireland Annual Report 2010, Mental Health Commission Ireland Dublin 2011.Google Scholar
3.Olfson, M., Mechanic, D., Boyer, C., Hansell, S, Walkup, J, and Weiden, P. Assessing Clinical Predictions of Early Rehospitalization in Schizophrenia. J Nerv Ment Dis 1999 Volume 187(12), 721–729CrossRefGoogle ScholarPubMed
4.Kallert, T. W., Glockner, M, and Schutzwohl, . Involuntary vs. voluntary hospital admission. Eur Arch Psychiatry Clin Neurosci 2008 258: pp195–209CrossRefGoogle ScholarPubMed
5.Korkeila, J, Lehtinen, V, Tuori, T, and Helenius, H.Frequently hospitalized psychiatric patients: a study of predictive factors. Soc Psychiatry Psychiatr Epidemiol 1998, 33: 528–534.CrossRefGoogle ScholarPubMed
6.Fennig, S, Rabinowitz, D.S.W, and Fennig, S.Involuntary First Admission of Patients with Schizophrenia as a Predictor of Future Admissions. Psychiatr Serv 1999, 50: 1049–1052.CrossRefGoogle ScholarPubMed
7.Daly, A., Doherty, D.T., and Walsh, D. Re-admission to Irish psychiatric units and hospitals 2001-2005 Health Research Board Dublin 2007.Google Scholar
8.Cain, M, Karras, M, Beed, T., Carney, T.The NSW Mental Health Review Tribunal. An Analysis of clients, matters and determinations. Law and Justice Foundation of New South Wales Sydney 2011.Google Scholar
9.Carney, T, Perry, J., Vernon, A., and Beaupert, F.Australian Mental Health Tribunals: Space for fairness, freedom, protection & treatment? Themis Press Sydney 2011.Google Scholar
10.Daly, A, and Walsh, D.Activities of Irish Psychiatric Units and Hospitals 2010 Main Findings. Health Research Board Statistics Series 15 Dublin 2010.Google Scholar
11.O'Donoghue, B., Lyne, J, Hill, M., O'Rourke, L, Daly, S., Larkin, C, Feeney, L., O'Callaghan, E.Perceptions of involuntary admission and risk of subsequent readmission at one-year follow-up: The influence of insight and recovery style. Journal of Mental Health. 2011 06;20(3):249–59.CrossRefGoogle ScholarPubMed
12.Drayton, M., Birchwood, M, and Trower, P.Interventions to improve antipsychotic medication adherence. Review of recent literature. Journal of Clinical Psychopharmacology, 1998 23, 389–399.Google Scholar