Compulsory Hospitalization, Severity of Disorders and Territorial Landscape: A French Study
- Jean-Luc Roelandt
- Aurore Crétin
- Françoise Askevis-Leherpeux
- Jean-Pierre Baucheron
- Hélène Brun-Rousseau
- Magali Coldefy
- Veronique Daoud
- Laurent Defromont
- Jean-Yves Giordana
- Isabelle Maillard
- Julie Roguet
- Hélène Saint-Jean
- Muriel Thalassinos
- Michel Triantafyllou
- Stéphane Varomme
- Hélène Béhal
- Antoine Baleige
- Alain Duhamel
Abstract
INTRODUCTION: The objective of this study, carried out in France, was to analyse important psychiatric sector disparities in the rate of compulsory hospitalizations as a function of the severity of disorders among the people hospitalized, and of certain variables linked to the territorial landscape (socio-demographic context, and primary and psychiatric care offer).
METHODS: The 125 sectors that took part in this study were divided into three groups on the basis of their compulsory hospitalization rates.
RESULTS: The results did not reveal any link between compulsory hospitalization rate and severity of disorders.
The hospitalization rate was correlated with variables specific to urban areas: it was higher in more densely populated areas with a larger proportion of people living alone and a greater number of shelters and social rehabilitation centres. It was also higher in the sectors with larger hospitalization capacity, with longer mean hospitalization durations, but with a lower rate of resort to psychiatry and larger human resources.
CONCLUSIONS: The frequency of resort to involuntary hospitalization in France does not seem to be linked to the severity of patients’ disorders, but it is higher in sectors with a profile specific to urban areas, larger hospitalization capacities and human resources.
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- DOI:10.5539/gjhs.v9n12p64
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