Brief Research Communication
treatment of psychiatry service utilization at a newly opened academic medical
Shyamanta Das1, Uddip
Talukdar2, Suresh Chakravarty3, Prosenjit Ghosh4,
1Assistant Professor of Psychiatry, Fakhruddin Ali Ahmed
Medical College Hospital
2Registrar of Psychiatry, Fakhruddin Ali Ahmed Medical
3Professor and Head of Psychiatry, Fakhruddin Ali Ahmed
Medical College Hospital
4Assistant Professor of Psychiatry, Silchar Medical
At a newly opened psychiatry
out-patient service of a medical college hospital, the trend and treatment
pattern were examined for the initial six months. It was a retrospective study
using descriptive statistical analysis. Four hundred and thirteen patients
attended the service for the first time during this period. Pharmacotherapy
provided was sedative-hypnotic/anxiolytic, antidepressant, antipsychotic, mood
stabilizer/anticonvulsant. Study informed turnover of new patients per month and
the treatments they received with the limitation of inability to generalize
findings to the community.
Keywords: Psychiatry Service utilization, Trend and Treatment
At the town of Barpeta in the state of Assam, a new tertiary centre,
namely Fakhruddin Ali Ahmed Medical College Hospital, was established. The
hospital wing of the institute started functioning from 10 February 2011.
Psychiatry Department was catering its service from the inception.
Aim - of the present study was to evaluate the trend of psychiatry service
utilization and treatment pattern in the initial six months.
Record sheets were examined to find out the number of new patients
attending psychiatry service as well as treatments provided in the form of
pharmacotherapy. Descriptive statistics were used to analyse the data. The study
was approved by the institutional ethics review board.
Total new patients utilizing psychiatry service in the initial six months
were 413 (FIGURE).
FIGURE Number of new patients utilizing psychiatry service per month in
the initial six months.
Treatment provided in the form of pharmacotherapy included
sedative-hypnotic/anxiolytic, antidepressant, antipsychotic, mood
stabiliser/anticonvulsant, and others (TABLE). Others consisted of
trihexyphenidyl, flunarizine, hydroxyzine, modafinil, piracetam, propranolol,
sildenafil, and thyroxine.
Our study informed about the trend of new patientsí attendance per month
along with treatment provided in the initial six months of opening psychiatry
service of a medical college hospital.
According to the Atlas: Mental Health Resources in the World, 2005, WHO,1
prevalence of psychiatric disorders in India was 58/1000. Point prevalence of
severe mental illness was 10-20/1000 population and incidence 35/100,000
population. Point prevalence of neuroses and psychosomatic disorders was 2-3%.
Point prevalence of mental retardation was 0.5-1.0% of all children and point
prevalence of psychiatric disorders in children 1-2% of all children.
Psychiatric OPD attendance in (1990 data) Govt. hospitals was 3.63 million/year
and private practice 2.63 million/year. Total OPD attendance was 6.29
million/year (~1% of population). Additionally, 15-20% of all help-seekers in
the general health services do so for emotional and psychosocial problems.
Sample being consisted of that attending psychiatry centre at tertiary
level, the findings could not be generalised to the community.
Atlas: Mental Health Resources in the World. World Health Organization,
Geneva, 2005. http://www.who.int/mental_health/evidence/atlas/en/