Effects of community-care networks on psychiatric emergency contacts, hospitalisation and involuntary admission
Open accessAbstract
Background: Community-care networks are a partnership between the local police force, housing corporations, general social services, specialised home care and mental healthcare services. The networks were set up to improve the healthcare for patients with (chronic) psychiatric problems through local cooperation between different agencies operating in underprivileged areas. Objective: To evaluate the effects of community-care networks on psychiatric emergency contacts, hospitalisation and involuntary admission. Design: An ecological intervention design was used, comparing neighbourhoods with and without a community-care network. Mean numbers and standardised ratios of psychiatric emergency contacts, hospitalisation rates and involuntary admissions were assessed over a 10-year period, covering the early stages and the years in which community-care networks were fully operational. Setting: Underprivileged neighbourhoods in the city of Rotterdam, The Netherlands. Patients: Inhabitants aged 20–64 years living in these neighbourhoods. Results: Standardised ratios for contact with psychiatric emergency services were higher in the neighbourhoods where community-care networks were set up (standardised ratios = 137, 95% CI 121 to 145 in the network neighbourhoods vs standardised ratios = 107, 95% CI 96 to 119 in the control neighbourhoods). Number of admissions and standardised ratios for involuntary admissions were lower in the community-care network neighbourhoods than in the control neighbourhoods (standardised ratios = 123, 95% CI 95 to 157 vs standardised ratios = 152, 95% CI 120 to 191). Conclusions: Community-care networks have a significant impact on the use of mental healthcare services. These networks may be an important tool in the prevention of involuntary admissions.
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In the community-care networks service integration model, a network coordinator received reports from network partners about any person of concern, gathered relevant information, established a plan of action and monitored implementation.
“An example of a service integration model is the ‘community-care networks’.54 A network coordinator (often community psychiatric nurse) received reports from network partners about any person of concern and gathered relevant information, established a plan of action and monitored implementation.”
From Interagency collaboration models for people with mental ill health in contact with the police: a systematic scoping review (2018) · cites this paper as [54]
The Methods passage describes reports from network partners, a plan of action, and a coordinator who monitors its implementation. It says network participants gather the information, however, and does not specify that the coordinator draws up the plan; those two tasks are attributed more specifically to the coordinator in the claim than the source supports. (LLM, conf=0.84)
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Research works printed but not linked: 2
- [21]Jarman B. Underprivileged areas: validation and distribution of scores. BMJ 19842891587–1592. [DOI] [PMC free article] [PubMed] [Google Scholar]
- [22]Horn GHMM ten. Giel R, Gulbinat W H.et al, eds. Psychiatric case registers in public health: a worldwide inventory 1960–1985 Amsterdam: Elsevier, 1986
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Parker, A., Scantlebury, A., Booth, A., MacBryde, J. C., Scott, W. J., Wright, K., & McDaid, C. (2018) · BMJ Open · doi:10.1136/bmjopen-2017-019312 · Cited by 62 · see citing works
- Authors
- Wierdsma, A. I., Poodt, H. D., & Mulder, C. L.
- Affiliations
- Erasmus MC (NL)
- Corresponding author
- Wierdsma, André I
- Venue
- Journal of Epidemiology and Community Health
- Publisher
- BMJ
- Published
- 2007-06-13
- Volume
- 61
- Issue
- 7
- Pages
- 613-618
- ISSN
- 0141-7681 (ISSN-L)
- 0143-005X
- 1470-2738
- PMC
- PMC2465738
- OpenAlex
- W2168238298
- Cited by
- 34
- References
- 0
- Citations by year
- 2023: 1 · 2022: 2 · 2021: 1 · 2018: 3 · 2017: 3 · 2016: 3 · 2015: 3 · 2014: 1 · 2013: 4 · 2012: 3
- FWCI
- 2.55
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Epidemiology & Community Health (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (publishedVersion)
- EUR Research Repository (Erasmus University Rotterdam) (submittedVersion)
- RePub (Erasmus University Rotterdam) (submittedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Health Professions › General Health Professions › Homelessness and Social Issues
- Keywords
- community care networks, psychiatric hospitalization, involuntary admission, inter-agency cooperation, Rotterdam
- MeSH terms
- Adult, Commitment of Mentally Ill, Commitment of Persons with Psychiatric Disorders, Community Health Services, Emergency Services, Psychiatric, Humans, Middle Aged, Netherlands, Poverty, Registries
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