Analysis of inpatient admissions to the new acute psychiatry unit in Dominca - abstract

ABSTRACT

Admissions to the new acute psychiatry unit were studied by chart review over a one- year period to determine demographic and other factors contributing to the admission. A comparison of single admission and readmissions was done to detect factors that could contribute to relapse. The characteristics of first time admission were also determined from the chart review. 341 patients wre admitted in the study period. High unemployment, being single, of age group 30 - 40 years and coming from Roseau distirct were the prominent demographic features. Readmission were more likely to be young adults in the age group 20 - 30 years. The prevalence of substance abuse was high, 20 percent. Ward occupancy was high. The mean duration of stay was low. The presence of substance abuse among the young adult new patients suggests the need for implementing prevention and treatment projects. The high admission rate from Roseau, high unemployment and significant non-compliance with treatment reflect the need to implement preventative measures at the community level to prevent the rising trend of admissions. (AU)