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In 2010, a programme intended to increase the number of structured interviews after coercive measures (IC) was implemented in a psychiatric ward. The IC forms were collected before and after the implementation of the programme. The number of ICs was compared to the total amount of compulsion. A significant rise in the number of effectuated ICs was demonstrated. The patients' contentment underwent no change. The majority of the coercive measures were not followed by an IC. At the next audit of the psychiatric legislation we will suggest an adjustment of the paragraphs concerning ICs.

Introduction: Critical intersectorial problems of co-operation are revealed through an organizational psychological analysis focusing on intergroup dynamics. The aim of the paper is to examine and improve the intersectorial co-operation in psychiatry and present a new trio-interview design that includes patients as well as staff., Material and Methods: Results from a follow-up study investigating the co-operation between Psychiatric Center Amager (PCA) and socialpsychiatric institutions (SPI) in Copenhagen is presented and analysed. The study was based on data gathered via structured interviews with patients and staff from both sectors (n = 60 in 2005, n = 87 in 2007), employing quantitative as well as qualitative methods. The newly developed trio-interview design with informant-triads for studies of the quality of intersectorial co-operation in psychiatry was applied to the study., Results: Quantitative data from the patients showed that the co-operation was generally considered to be unsatisfactory in 2005 and 2007. SPI satisfaction estimates concerning the latest hospitalization period were higher in 2007 than in 2005. Staff from both sectors estimated that co-operation was significantly higher during 2007 than during 2005. Qualitative data showed that in 2007, staff was the decisive factor., Conclusion: The co-operation was estimated to be unsatisfactory in 2005 and 2007. Measures to strengthen intersectorial co-operation were implemented in 2006, but had limited effect.

Introduction: The deinstitutionalization of psychiatric hospitals has triggered a development of social institutions for mentally ill persons. In 1987 the psychiatric institution Sundbygård was changed for this purpose, and in 2001 enlarged. A survey in 1998 showed that the residents were mainly people suffering from schizophrenia with need for intensive psychiatric treatment. The usage of psychiatric hospital beds for residents increased from an average of 7.7 beds per day in 1998 to 10.2 beds in 2003. It was necessary to repeat the survey from 1998, this time adding an analysis of predictive factors for readmission to psychiatric ward. In the following, we will present the results of such an analysis., Methods: The psychiatrist in charge of treatment evaluated the residents by the same methods as used in 1998 for demographic and clinical information in cooperation with the staff. While in 1998 there were 78 male and 69 female residents, in 2004 there were 90 males and 76 females., Results: The median age of the residents declined from 1998 to 2004. The proportion of schizophrenics increased from 69 to 90%. Similar results were seen for alcohol and drug abusers, with an increase from 16 to 26%. Residents with forensic psychiatric sentences increased from 5 to 12 and residents with severe productive symptoms increased from 47 to 97. The median GAF score was 35. In 2004 the atypical antipsychotics were generally prescribed. Predictors for readmission to psychiatric ward were new residency, forensic psychiatric sentence and severity of productive symptoms., Conclusion: This study shows that from 1998 to 2004 the number and proportion of residents with a schizophrenia diagnosis and an active alcohol and drug abuse has increased. The need for psychiatric admissions also increased. Thus, reallocation of resources is needed.