DOI: 10.5279/dk-sa-dda-1429
title: Psykiatriske langtidspatienters sociale forhold, 1986-87
title: Social Conditions of Long-Term Psychiatric Patients, 1986-1987

description: Undersøgelsen, der er lavet på Psykiatrisk Afdeling Horsens Sygehus, har til formål at opgøre de psykiatriske langtidspatienters sociale forhold samt udækkede sociale behov.     #  De fleste psykiatriske patienter kan færdigbehandles inden for kort tid, men en gruppe patienter er mere eller mindre konstant i behandling. Denne langtidspatient-gruppe synes samfundsmæssigt at være ''kørt ud på et sidespor'', hvor samfundet ikke yder tilstrækkelig støtte, ofte ikke mere end pensionen. Formålet kan mere skematisk stilles op i følgende punkter:     #     #1. Registrere hvor mange langtidspatienter, der er ved Psykiatrisk     #   Afdeling Horsens Sygehus pr. 1. august 1987, og deres     #   afdelingsydelsesforbrug.     #2. Registrere langtidspatienternes sociale forhold og sammenholde     #   disse med normalbefolkningens.     #3. Registrere gruppens behov for sociale ydelser.     #4. Undersøge om patienternes sociale forhold har sammenhæng med     #   afdelingsydelsesforbruget.     #     #Psykiatrisk Afdeling ved Horsens Sygehus arbejder efter distriktspsykiatriske principper. Afdelingen er delt op i tre tværfaglige teams, mellem hvilke patienterne henvises efter tilhørsforhold til egen praktiserende læge. I det daglige arbejde lægges vægt på ambulant arbejde og kort eller ingen indlæggelse. Afdelingen tilbyder et vidt spektrum af behandlinger og har to åbne og et lukket sengeafsnit.     #  Til denne undersøgelse er en langtidspatient defineret som en patient, der har været i behandling på afdelingen i mindst et år, enten som heldøgnsindlagt, deldøgnspatient eller ambulant. Patienten skal ikke have været afsluttet mere end ni dage i perioden 1. august 1986 til 1. august 1987.     #  Journalerne på alle afdelingens patienter, såvel ambulante som daghospitalspatienter og indlagte patienter, blev gennemgået 1. august 1987. Herved vil alle journaler, som er uafsluttede, blive fundet. Det vil sige, at der laves en tværsnitsopgørelse. Denne gennemgang udføres alene af primærundersøgeren. Hvis patienten er langtidspatient, så registreres cpr-nummer, navn, forløbsnummer, status, startdato, slutdato og diagnose. Herved vil de mest centrale kliniske data kunne opgøres.     #  Behandlerne udfyldte interviewskemaerne sammen med patienten og afleverede dem til primærundersøgeren, der opgjorde materialet sammen med den øvrige arbejdsgruppe. Ved møder blev behandlerne orienteret om undersøgelsen og fremgangsmåden samt resultater.     #  De sociale forhold registreres gennem et struktureret interview, hvorved der anvendes det samme spørgeskema, som Erik Jørgen Hansen har anvendt til Velfærdundersøgelsen 1986 (DDA-1077) - med en lang række spørgsmål, der er gentagelser fra Velfærdsundersøgelsen 1976 (DDA-0070). Dette spørgeskema, der består af 113 spørgsmål, er gennemarbejdet, og der findes altså et dansk normalmateriale, hvilket giver mulighed for sammenligninger. Afhængigt af patienternes forhold skal der stilles mindst 53 spørgsmål.     #  Patienternes behov for sociale tilbud undersøges med et spørgeskema, primærundersøgeren selv har konstrueret, så det umiddelbart kan anvendes i forlængelse af Erik Jørgen Hansens spørgeskema. Behandlernes viden om, hvilke sociale tilbud der er mulige samt indholdet i disse tilbud, er bedret ved, at arbejdsgruppens socialrådgiver har lavet et oversigtsskema omhandlende sociale tilbud inden for bolig, beskæftigelse og fritidsaktiviteter
description: The purpose of the survey, which was carried out at the Psychiatric Ward at Horsens Hospital, was to examine the social conditions and unsatisfied social needs of long-term psychiatric patients.     #  Most psychiatric patients may end treatment after a short time, but a group of patients is more or less in constant treatment. This group of long-term patients seems to have gotten 'sidetracked' and has ended in a situation where society does not offer sufficient support, often nothing but a pension. The purpose of the survey may be put more schematically in the following way:     #     #1. A registration of the number of long-term patients at     #   the Psychiatric Ward at Horsens Hospital as of 1 August,     #   1987 and an examination of the patients' use of the     #   services offered at the Ward.     #2. A registration of the social conditions of the long-term     #   patients and a comparison with the social conditions of the     #   'normal' population.     #3. A registration of the long-term patients' need for social     #   welfare benefits.     #4. An examination of whether there is any correlation between     #   the patients' social conditions and their use of the     #   services offered.     #     #The Psychiatric Ward at Horsens Hospital functions according to principles of district psychiatry. The Ward is divided into three interdisciplinary teams between which the patients are distributed according to affiliation to their general practitioner. In the daily work emphasis has been put on ambulant treatment and short-term or no admission. The patients are offered various types of treatment and the Ward has two open and one closed bed sections.     #  For this survey a long-term patient has been defined as a patient who has been in treatment at the Ward for at least one year, either as a full-time patient, a part-time patient or an ambulant patient. Treatment must not have been interrupted for more than nine days in the period 1 August, 1986 to 1 August, 1987.     #The case records of all the patients (ambulant patients, day-time patients and admitted patients) were examined on 1 August, 1987. Thus, all unclosed case records were found. This means that a cross-sectional registration took place. This examination was carried out solely by the primary investigator. If a patient is a long-term patient, personal code number, name, sequence number, and diagnosis are registered. Thus, the most central clinical data will be registered.     #  The persons in charge of the treatment completed the interview forms in collaboration with the patients and handed over the forms to the primary investigator, who assessed the material together with the other members of the working group. At meetings the persons in charge of the treatment were informed about the survey, the procedure and the results.     #  The social conditions were registered during a structured interview using the same questionnaire as the one used by Erik Jørgen Hansen in the 'Danish Welfare Survey, 1986' (DDA-1077) - with a large number of questions which are replications from the 'Danish Welfare Survey, 1976' (DDA-0070). This questionnaire, which contains 113 questions, has been processed, which means that a Danish 'normal' material exists which makes it possible to make comparisons. Dependent on the conditions of the patients, at least 53 questions were to be asked.     #  The patients' need for social welfare benefits was examined by means of a questionnaire designed by the primary investigator in such a way that it may be used in continuation of Erik Jørgen Hansen's questionnaire. The knowledge on the part of the treatment teams as regards possible social offers was improved as the social worker in the working group made a list of the possible offers as regards housing conditions, employment and spare time activities
description: Se abstract
description: See abstract