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Brief Research Communication

Brief Research Communication

Trend and treatment of psychiatry service utilization at a newly opened academic medical centre

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 College Hospital

3Professor and Head of Psychiatry, Fakhruddin Ali Ahmed Medical College Hospital

4Assistant Professor of Psychiatry, Silchar Medical College Hospital

Abstract

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

 

Introduction

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.  

 

Methods

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.

 

Result

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.

 

Table

Treatment

Number

Percent

Sedative-hypnotic/Anxiolytic

114

27.60

Antidepressant

88

21.31

Antipsychotic

123

29.78

Mood stabiliser/Anticonvulsant

21

5.08


Discussion

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. 

 

Reference

1.       Atlas: Mental Health Resources in the World. World Health Organization, Geneva, 2005. http://www.who.int/mental_health/evidence/atlas/en/