Non-psychiatric Referral among First Encounter Patients Attending the Psychiatry Out Patient Services of a Tertiary Care Hospital: A Descriptive Cross-sectional Study

Introduction: Pathway of psychiatric care is defined as the sequence of contacts with individuals and organizations initiated by the distressed person’s efforts and his significant others to seek appropriate health care. This study aimed to find the prevalence of non-psychiatric referral as first...

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Autores principales: Grishma Pokharel, Madhur Basnet, Sagar Poudel, Naresh Kafle, Rahul Kumar Jaiswal, Sunil Bogati, Indira Ojha, Dipesh Soni
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Publicado: Nepal Medical Association 2021
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spelling oai:doaj.org-article:100512855b984bc9b1f9dcc4712560cc2021-11-07T19:11:52ZNon-psychiatric Referral among First Encounter Patients Attending the Psychiatry Out Patient Services of a Tertiary Care Hospital: A Descriptive Cross-sectional Study10.31729/jnma.62440028-27151815-672Xhttps://doaj.org/article/100512855b984bc9b1f9dcc4712560cc2021-10-01T00:00:00Zhttps://www.jnma.com.np/jnma/index.php/jnma/article/view/6244https://doaj.org/toc/0028-2715https://doaj.org/toc/1815-672X Introduction: Pathway of psychiatric care is defined as the sequence of contacts with individuals and organizations initiated by the distressed person’s efforts and his significant others to seek appropriate health care. This study aimed to find the prevalence of non-psychiatric referral as first encounter among patients attending the psychiatry outpatient department of a tertiary care hospital. Methods: A descriptive cross-sectional study was carried out from 29th March 2015 to 25th April 2015 in the outpatient department of the department of psychiatry of a tertiary via direct interview using the World Health Organization’s encounter form. Ethical approval was taken from undergraduate medical research protocol review board (Reference number 105/071/072). Psychiatric diagnoses were made by respective consultants using the International Classification of Diseases-10 Clinical Descriptions and Diagnostic Guidelines criteria. Data was entered in the Microsoft Excel 2007 and analyzed by Stata version 15. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data. Results: Out of 50 patients, 26 (52%) (38.2-65.8 at 95% Confidence Interval) of new cases in the outpatient department had non-psychiatric referrals. Among them, 13 (26%) referred from faith healers, 7 (14%) from the general hospital and 6 (12%) from medical out patient department. Conclusions: The prevalence of non-psychiatric referral for the patients seen for the first time in the psychiatry outpatient department was similar to findings from studies done in different parts of South East Asia. Grishma PokharelMadhur BasnetSagar PoudelNaresh KafleRahul Kumar JaiswalSunil BogatiIndira OjhaDipesh SoniNepal Medical Associationarticlefaith healingpsychiatryreferralMedicine (General)R5-920ENJournal of Nepal Medical Association, Vol 59, Iss 242 (2021)
institution DOAJ
collection DOAJ
language EN
topic faith healing
psychiatry
referral
Medicine (General)
R5-920
spellingShingle faith healing
psychiatry
referral
Medicine (General)
R5-920
Grishma Pokharel
Madhur Basnet
Sagar Poudel
Naresh Kafle
Rahul Kumar Jaiswal
Sunil Bogati
Indira Ojha
Dipesh Soni
Non-psychiatric Referral among First Encounter Patients Attending the Psychiatry Out Patient Services of a Tertiary Care Hospital: A Descriptive Cross-sectional Study
description Introduction: Pathway of psychiatric care is defined as the sequence of contacts with individuals and organizations initiated by the distressed person’s efforts and his significant others to seek appropriate health care. This study aimed to find the prevalence of non-psychiatric referral as first encounter among patients attending the psychiatry outpatient department of a tertiary care hospital. Methods: A descriptive cross-sectional study was carried out from 29th March 2015 to 25th April 2015 in the outpatient department of the department of psychiatry of a tertiary via direct interview using the World Health Organization’s encounter form. Ethical approval was taken from undergraduate medical research protocol review board (Reference number 105/071/072). Psychiatric diagnoses were made by respective consultants using the International Classification of Diseases-10 Clinical Descriptions and Diagnostic Guidelines criteria. Data was entered in the Microsoft Excel 2007 and analyzed by Stata version 15. Point estimate at 95% Confidence Interval was calculated along with frequency and percentage for binary data. Results: Out of 50 patients, 26 (52%) (38.2-65.8 at 95% Confidence Interval) of new cases in the outpatient department had non-psychiatric referrals. Among them, 13 (26%) referred from faith healers, 7 (14%) from the general hospital and 6 (12%) from medical out patient department. Conclusions: The prevalence of non-psychiatric referral for the patients seen for the first time in the psychiatry outpatient department was similar to findings from studies done in different parts of South East Asia.
format article
author Grishma Pokharel
Madhur Basnet
Sagar Poudel
Naresh Kafle
Rahul Kumar Jaiswal
Sunil Bogati
Indira Ojha
Dipesh Soni
author_facet Grishma Pokharel
Madhur Basnet
Sagar Poudel
Naresh Kafle
Rahul Kumar Jaiswal
Sunil Bogati
Indira Ojha
Dipesh Soni
author_sort Grishma Pokharel
title Non-psychiatric Referral among First Encounter Patients Attending the Psychiatry Out Patient Services of a Tertiary Care Hospital: A Descriptive Cross-sectional Study
title_short Non-psychiatric Referral among First Encounter Patients Attending the Psychiatry Out Patient Services of a Tertiary Care Hospital: A Descriptive Cross-sectional Study
title_full Non-psychiatric Referral among First Encounter Patients Attending the Psychiatry Out Patient Services of a Tertiary Care Hospital: A Descriptive Cross-sectional Study
title_fullStr Non-psychiatric Referral among First Encounter Patients Attending the Psychiatry Out Patient Services of a Tertiary Care Hospital: A Descriptive Cross-sectional Study
title_full_unstemmed Non-psychiatric Referral among First Encounter Patients Attending the Psychiatry Out Patient Services of a Tertiary Care Hospital: A Descriptive Cross-sectional Study
title_sort non-psychiatric referral among first encounter patients attending the psychiatry out patient services of a tertiary care hospital: a descriptive cross-sectional study
publisher Nepal Medical Association
publishDate 2021
url https://doaj.org/article/100512855b984bc9b1f9dcc4712560cc
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