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1769 – Psychotic Disorder And Hospitalization Through Mobile Crisis Unit

Published online by Cambridge University Press:  15 April 2020

L. Gómez Pérez
Affiliation:
Psychiatry, Institute of Neuropsychiatry and Addictions - Parc de Salut Mar, Barcelona, Spain
M.T. Nascimento Osorio
Affiliation:
Psychiatry, Institute of Neuropsychiatry and Addictions - Parc de Salut Mar, Barcelona, Spain
A. Sabaté Gómez
Affiliation:
Psychiatry, Institute of Neuropsychiatry and Addictions - Parc de Salut Mar, Barcelona, Spain
D. Córcoles Martínez
Affiliation:
Psychiatry, Institute of Neuropsychiatry and Addictions - Parc de Salut Mar, Barcelona, Spain
Á. Malagón Amor
Affiliation:
Psychiatry, Institute of Neuropsychiatry and Addictions - Parc de Salut Mar, Barcelona, Spain
P. Álvaro Serón
Affiliation:
Psychiatry, Institute of Neuropsychiatry and Addictions - Parc de Salut Mar, Barcelona, Spain
M. Bellsolà
Affiliation:
Psychiatry, Institute of Neuropsychiatry and Addictions - Parc de Salut Mar, Barcelona, Spain
A. González
Affiliation:
Psychiatry, Institute of Neuropsychiatry and Addictions - Parc de Salut Mar, Barcelona, Spain
L.M. Martín López
Affiliation:
Psychiatry, Institute of Neuropsychiatry and Addictions - Parc de Salut Mar, Barcelona, Spain
A. Bulbena Vilarrasa
Affiliation:
Psychiatry, Institute of Neuropsychiatry and Addictions - Parc de Salut Mar, Barcelona, Spain

Abstract

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Introduction

The utility of Mobile Crisis Unit (MCU) and its target population has been a controversial issue and many scientific articles have been writen about it (1,2).

Objective

The aim of this study is to identify the demographic and clinical features of patients diagnosed with psychotic disorder who have been hospitalized and have not required hospitalization in psychiatric unit through a Mobile Crisis Unit (MCU).

Methods

We collected retrospectively demographic and clinical variables. These include psychiatric rating scales of severity: Clinical Global Impression Scale (CGI) and Psychiatric Disease Severity (GEP); of functionality as Global Assessment of Functioning Scale (GAF); the aggressive behaviour and violence scale (AVAT) and psychopathology with the Positive and Negative Syndrome Scale (PANSS) of a total of 136 patients between June 2007 and July 2010.

Results

There have been found stadisticaly significative differences between patients who have been hospitalized versus patients who have not in the items of treatment adherence and security staff intervention (Table 1). There is a positive correlation between patients who required hospitalization and the clinical scales CGI, GEP, GAF, AVAT, SUMD, PANSS-P and PANSS-G (Table 2).

Conclusions

We can conclude that patients cared for by the Mobile Crisis Unit (MCU) that require of psychiatric hospitalization have poor adherence to previous treatment. A high frequency of cases require intervention of security staff for having a higher risk of aggressiveness at the moment of hospitalization. The presence of greater psychopathology and functionality severity in patients hospitalized through the Mobile Crisis Unit (MCU) is also considered.

Variables No hospitalization Hospitalization p
  N%N% 
SexMen3354.14154.70.95
CohabitationAlone1524.62533.30.27
ToxicsYes14231722.70.97
Psychiatric historyYes4578.95477.10.81
Previous hospitalizationsYes4268.942560.12
Treatment adherenceYes1431.123.5< 0,05
Security staffYes11.73957.4< 0,05
Chi-square      

Type
Abstract
Copyright
Copyright © European Psychiatric Association 2013
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