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[Forensic psychiatric patients in Denmark]
Tina Gram Larsen1, Lone Valbak, Gurli Perto
1Aalborg Psykiatriske Sygehus, Forskningsenheden, Aalborg. tgl@psyk.nja.dk
Ugeskrift for Laeger
|June 14, 2006
Summary
The number of forensic psychiatric patients in Denmark increased significantly, yet their use of inpatient facilities decreased. This suggests potential under-treatment for forensic patients, particularly those with schizophrenia.
Area of Science:
- Forensic Psychiatry
- Mental Health Services Research
- Healthcare Utilization
Background:
- Rising numbers of forensic psychiatric patients in Denmark.
- Need to assess if inpatient facility use aligns with patient population growth.
- Investigate treatment variations among diagnostic groups and schizophrenia patients.
Purpose of the Study:
- To determine if increased forensic psychiatric patient numbers correlate with inpatient facility use.
- To compare treatment patterns across different forensic patient diagnoses.
- To examine differences in hospitalization between forensic and non-forensic schizophrenia patients.
Main Methods:
- Utilized the Danish Psychiatric Central Research Register (1994-2003).
- Analyzed admission and outpatient contact data for all forensic psychiatric patients.
- Compared first-admission forensic schizophrenia patients with matched non-forensic schizophrenia controls.
Main Results:
- Forensic psychiatric patient numbers rose substantially from 1994-2003.
- Inpatient facility use by forensic patients decreased during the same period.
- Forensic schizophrenia patients experienced longer hospitalizations than non-forensic counterparts.
Conclusions:
- Forensic psychiatric patient inpatient care did not increase proportionally to patient numbers.
- This discrepancy raises concerns about the adequacy and sufficiency of treatment provided.
- Further investigation into treatment access and outcomes for forensic populations is warranted.