A decentralised model of psychiatric care: Profile, length of stay and outcome of mental healthcare users admitted to a district-level public hospital in the Western Cape

Abstract

<p><strong>Background. </strong>There is a lack of studies assessing the profile and outcome of psychiatric patients at entry-level public hospitals that are prescribed by the Mental Health Care Act to provide a decentralised model of psychiatric care.</p><p><strong>Objective.</strong><em> </em>To assess the demographic and clinical profile as well as length of stay and outcomes of mental healthcare users admitted to a district-level public hospital in the Western Cape. </p><p><strong>Method.</strong><em> </em>Demographic data, clinical diagnosis, length of stay, referral profile and outcomes of patients (<em>N</em>=487) admitted to Helderberg Hospital during the period 1 January 2011 - 31 December 2011 were collected. </p><p><strong>Results. </strong>Psychotic disorders were the most prevalent (<em>n</em>=287, 59%) diagnoses, while 228 (47%) of admission episodes had comorbid/secondary diagnoses. Substance use disorders were present in 184 (38%) of admission episodes, 37 (57%) of readmissions and 19 (61%) of abscondments. Most admission episodes (<em>n</em>=372, 76%) were discharged without referral to specialist/tertiary care. </p><p><strong>Conclusion. </strong>Methamphetamine use places a significant burden on the provision of mental healthcare services at entry-level care. Recommendations for improving service delivery at this district-level public hospital are provided.</p>