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All Psychiatric Experience in a Community: A Cumulative Survey: Report of the First Year's Experience

All Psychiatric Experience in a Community: A Cumulative Survey: Report of the First Year's... Abstract A case register constitutes a central file to which are reported all persons with a specific diagnosed illness or all contacts with a particular group of medical services over a long period of time. Case registers have proved their usefulness in chronic disease for both administrative and epidemiological purposes. In mental disorder, as in most chronic disorders, the recurrent nature of the illness, the multiplicity of contacts with medical services, and the increasing number and variety of available resources make any investigation complex and particularly susceptible to duplication in counting. A case register, by name matching, can provide an unduplicated count of patients and a record of each individual's longitudinal experience, facilitating the systematic study of the illness or the type of care.1 Electronic data processing has now extended the potential of a case register by permitting almost unlimited data storage, by considerably References 1. The terms episode of service and contact will be used synonomously throughout the paper. They refer to any one complete, continuous period of psychiatric service, in a hospital unit, a clinic, or with one psychiatrist in private office care. They do not refer to one outpatient visit. 2. Unless otherwise specified, the term admission is used to indicate the first episode of service during the year for a person with any psychiatric resource. 3. Bahn, A. K.: The Development of an Effective Statistical System In Mental Illness , Amer J Psychiat 116:798, 1960. 4. Phillips, W., Jr.; Gorwitz, K.; and Bahn, A. K.: The Electronic Maintenance of Case Registers , Public Health Rep 77:503, 1962.Crossref 5. Gardner, E. A.; Miles, H. C.; Iker, H. P.; and Romano, J.: A Cumulative Register of Psychiatric Services in a Community, paper read at the 90th meeting of the American Public Health Association, October, 1962. 6. Bahn, A. K.; Chandler, C. A.; and Eisenberg, L.: Diagnostic and Demographic Characteristics of Patients Seen in Outpatient Psychiatric Clinics for an Entire State (Maryland) , Amer J Psychiat 117:769, 1962. 7. Lemkau, P.; Tietze, C.; and Cooper, M.: Survey of Prevalence and Incidence Studies of Mental Disorder in Sample Populations , Public Health Rep 58:1909, 1943.Crossref 8. Plunkett, R. J., and Gordon, J. E.: Epidemiology and Mental Illness , Joint Commission on Mental Illness and Health, Monograph Series No. 6, New York: Basic Books, Inc., 1960. 9. Eaton, J., and Weil, R.: Culture and Mental Disorders , Glencoe, Ill: The Free Press, 1955. 10. Roth, W. F., Jr., and Luton, F. H.: The Mental Health Program in Tennessee: I. Description of the Original Study Program; II. Statistical Report of a Psychiatric Survey in a Rural County , Amer J Psychiat 99:662, 1943. 11. Lemkau, P.; Tietze, C.; and Cooper, M.: Mental Hygiene Problems in an Urban District , Ment Hyg 25:624, 1942. 12. Lemkau, P.; Tietze, C.; and Cooper, M.: Mental Hygiene Problems in an Urban District , Ment Hyg 26:100, 1942. 13. Bremer, J.: A Social Psychiatric Investigation of a Small Community in Northern Norway , Acta Psychiat Neurol Scand Suppl 62:1-166, 1951. 14. Hollingshead, A. B., and Redlich, F. C.: Social Class and Mental Illness: A Community Study , New York: John Wiley & Sons, Inc., 1958. 15. Srole, L.; Langner, T. S.; Michael, S. T.; Opler, M. K.; and Rennie, T. A. C.: Mental Health in the Metropolis: The Midtown Manhattan Study , McGraw-Hill Book Company, Inc., 1962. 16. Bahn, A. K.; Norman, V. B.; Hench, C .L.; McCarty, C. L.; and Rippy, M.: Gains in Outpatient Psychiatric Clinic Services , 1961, to be published. 17. Bahn, A. K., and Chandler, C. A.: The Application of Life Table Methodology to the Study of Outpatient Psychiatric Clinic Services , J Chronic Dis 15:71, 1961.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of General Psychiatry American Medical Association

All Psychiatric Experience in a Community: A Cumulative Survey: Report of the First Year's Experience

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Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0003-990X
eISSN
1598-3636
DOI
10.1001/archpsyc.1963.01720160059007
Publisher site
See Article on Publisher Site

Abstract

Abstract A case register constitutes a central file to which are reported all persons with a specific diagnosed illness or all contacts with a particular group of medical services over a long period of time. Case registers have proved their usefulness in chronic disease for both administrative and epidemiological purposes. In mental disorder, as in most chronic disorders, the recurrent nature of the illness, the multiplicity of contacts with medical services, and the increasing number and variety of available resources make any investigation complex and particularly susceptible to duplication in counting. A case register, by name matching, can provide an unduplicated count of patients and a record of each individual's longitudinal experience, facilitating the systematic study of the illness or the type of care.1 Electronic data processing has now extended the potential of a case register by permitting almost unlimited data storage, by considerably References 1. The terms episode of service and contact will be used synonomously throughout the paper. They refer to any one complete, continuous period of psychiatric service, in a hospital unit, a clinic, or with one psychiatrist in private office care. They do not refer to one outpatient visit. 2. Unless otherwise specified, the term admission is used to indicate the first episode of service during the year for a person with any psychiatric resource. 3. Bahn, A. K.: The Development of an Effective Statistical System In Mental Illness , Amer J Psychiat 116:798, 1960. 4. Phillips, W., Jr.; Gorwitz, K.; and Bahn, A. K.: The Electronic Maintenance of Case Registers , Public Health Rep 77:503, 1962.Crossref 5. Gardner, E. A.; Miles, H. C.; Iker, H. P.; and Romano, J.: A Cumulative Register of Psychiatric Services in a Community, paper read at the 90th meeting of the American Public Health Association, October, 1962. 6. Bahn, A. K.; Chandler, C. A.; and Eisenberg, L.: Diagnostic and Demographic Characteristics of Patients Seen in Outpatient Psychiatric Clinics for an Entire State (Maryland) , Amer J Psychiat 117:769, 1962. 7. Lemkau, P.; Tietze, C.; and Cooper, M.: Survey of Prevalence and Incidence Studies of Mental Disorder in Sample Populations , Public Health Rep 58:1909, 1943.Crossref 8. Plunkett, R. J., and Gordon, J. E.: Epidemiology and Mental Illness , Joint Commission on Mental Illness and Health, Monograph Series No. 6, New York: Basic Books, Inc., 1960. 9. Eaton, J., and Weil, R.: Culture and Mental Disorders , Glencoe, Ill: The Free Press, 1955. 10. Roth, W. F., Jr., and Luton, F. H.: The Mental Health Program in Tennessee: I. Description of the Original Study Program; II. Statistical Report of a Psychiatric Survey in a Rural County , Amer J Psychiat 99:662, 1943. 11. Lemkau, P.; Tietze, C.; and Cooper, M.: Mental Hygiene Problems in an Urban District , Ment Hyg 25:624, 1942. 12. Lemkau, P.; Tietze, C.; and Cooper, M.: Mental Hygiene Problems in an Urban District , Ment Hyg 26:100, 1942. 13. Bremer, J.: A Social Psychiatric Investigation of a Small Community in Northern Norway , Acta Psychiat Neurol Scand Suppl 62:1-166, 1951. 14. Hollingshead, A. B., and Redlich, F. C.: Social Class and Mental Illness: A Community Study , New York: John Wiley & Sons, Inc., 1958. 15. Srole, L.; Langner, T. S.; Michael, S. T.; Opler, M. K.; and Rennie, T. A. C.: Mental Health in the Metropolis: The Midtown Manhattan Study , McGraw-Hill Book Company, Inc., 1962. 16. Bahn, A. K.; Norman, V. B.; Hench, C .L.; McCarty, C. L.; and Rippy, M.: Gains in Outpatient Psychiatric Clinic Services , 1961, to be published. 17. Bahn, A. K., and Chandler, C. A.: The Application of Life Table Methodology to the Study of Outpatient Psychiatric Clinic Services , J Chronic Dis 15:71, 1961.Crossref

Journal

Archives of General PsychiatryAmerican Medical Association

Published: Oct 1, 1963

References