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Trends on schizophrenia admissions during the deinstitutionalisation process in Spain (1980-2004).
Zuleika Saz-Parkinson1, A Medel, P Cediel-García
1Instituto de Salud Carlos III, Madrid, Spain. zuleika@isciii.es
Social Psychiatry and Psychiatric Epidemiology
|October 26, 2010
Summary
Spain
Area of Science:
- Psychiatry
- Health Services Research
- Public Health Policy
Background:
- Deinstitutionalization reform in Spain initiated post-1980.
- Aimed to reduce hospitalizations, length of stay, and psychiatric beds.
- Focused on enhancing community involvement for psychiatric patients.
Purpose of the Study:
- To review the impact of Spain's psychiatric reform on schizophrenia patient management.
- Analyzed trends from 1980 to 2004.
Main Methods:
- Longitudinal study (1980-2004).
- Examined hospital morbidity variables for schizophrenia patients.
Main Results:
- Hospital admission rates increased; emergency admissions nearly tripled.
- Point-prevalence of inpatient schizophrenia treatment decreased by 78%.
- Average length of stay reduced significantly from 148 to 35 days.
Conclusions:
- Psychiatric reform led to a substantial reduction in hospital capacity for schizophrenia patients.
- Significant decrease in point-prevalence highlights reform's impact.
- Further research needed on resource reallocation to community care and pharmacotherapy.
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