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Hannover study on long-stay hospitalization – part I: prediction of long-stay hospitalisation in cases of chronic mental illness

Stefan M Bartusch, Hermann Elgeti, Peter Bastiaan, Wielant Machleidt and Marc Ziegenbein

Department of Social Psychiatry and Psychotherapy, Hannover Medical School, 30623 Hannover, Germany

Clinical Practice and Epidemiology in Mental Health 2006, 2:10doi:10.1186/1745-0179-2-10

Published: 22 May 2006

Abstract

Background

The problem of long-stay hospitalization is still a pressing issue. In this study we examined the possibility of detecting and characterising the group at risk of long-stay hospitalization in advance.

Methods

This study examines the data of patients in the urban catchment area of the Medical University of Hannover, capital of Lower Saxony, Germany, during a period of 10 years.

Results and conclusion

The introduced "psychosocial risk-score", calculated at the first institutional contact, was able to predict the risk of long-term hospitalization. Characteristics of social disintegration, especially with regard to employment status, are of particular importance.


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