Heavy utilization of inpatient and outpatient services in a public mental health service

S. Kent, M. Fogarty, Peter Mackinlay Yellowlees

Research output: Contribution to journalArticle

53 Scopus citations

Abstract

Objective: The purpose of the study was to develop a descriptive profile of heavy users of services in the South Australian Mental Health Services. Methods: Case notes for 50 heavy users were reviewed to obtain demographic and diagnostic information and data on service use over a three-year period. To supplement and verify this information, 35 of the patients were given structured interviews. Results: The mean age of the 50 patients was 34.9 years, and there was a slight predominance of females. Most patients had never married and had been unemployed for a long time. All had a low income. The mean number of years of education was ten. The group was seriously disabled by psychiatric illness. The most common diagnosis was schizophrenia, followed by schizoaffective disorder and bipolar disorder. Comorbid axis I disorder and personality disorder or physical illness was common. Drug and alcohol abuse often complicated patient management and patients' ability to live successfully in the community. The average annual cost per patient was $13,598 (Australian), largely from inpatient care. Conclusions: This study contributes to a n emerging global pro-file of the heavy service user. Such a profile may help service systems identify patients in this subgroup and target management strategies to these often very disadvantaged and challenging patients.

Original languageEnglish (US)
Pages (from-to)1254-1257
Number of pages4
JournalPsychiatric Services
Volume46
Issue number12
StatePublished - 1995
Externally publishedYes

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Public Health, Environmental and Occupational Health
  • Health(social science)
  • Health Professions(all)

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