Browsing by Author "Jorge, S"
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- Pathways to Care for First Psychiatric Admissions in LisbonPublication . Ramos, J; Santos, J; Jorge, S; Maia, T; Cardoso, GOBJECTIVES:This report characterizes pathways to first psychiatric admission and describes their relationship to patients' sociodemographic and clinical features. METHODS: Eighty-four patients consecutively admitted for the first time in 2009-2010 to a Lisbon district psychiatric department were interviewed. Associations between pathways and clinical and sociodemographic variables were explored through univariate and multivariate analysis. RESULTS: Most patients (N=49, 58%) went directly to the psychiatric emergency department and were admitted, without contacting any other care providers. This pathway was significantly associated with male gender, involuntary admission, referral by a family member, fewer people per room in the household, and lower probability of previous contact with mental health services. CONCLUSIONS: The most striking feature was the high prevalence of direct access to the psychiatric emergency department with subsequent admission. Use of this direct pathway suggests that these patients were bypassing care filters, with negative consequences. Specific sociodemographic variables, but not diagnosis, were associated with filter bypass.
- PSIC - Descrição de um Programa de Intervenção Precoce após um Primeiro Episódio PsicóticoPublication . Maia, T; Jorge, S; Ferreira, B; Lopes, B; Almeida, S; Alexandre, J; Ribeiro, LAs autoras descrevem o Serviço de Psiquiatria do Hospital Fernando Fonseca e após um breve enquadramento teórico sobre a intervenção precoce na psicose e o seu impacto no prognóstico, abordam mais especificamente o Programa PSIC (Programa de intervenção precoce após um primeiro episódio psicótico). Depois de caracterizarem a amostra inicial, descrevem a evolução dos doentes ao longo das três fases preconizadas para avaliação. Terminam o artigo, reflectindo sobre as implicações futuras em projectos a desenvolver no Serviço, tendo em consideração os bons níveis de adesão à terapêutica, o baixo número de reinternamentos mas também o declínio do funcionamento psicossocial.