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Journal Article

Citation

Keene J. Int. J. Integr. Care 2005; 5: e22.

Copyright

(Copyright © 2005, Creative Commons copyright administered through Utrecht, Maastricht, and Groningen Universities, Publisher Igitur, Utrecht Publishing & Archiving Services)

DOI

10.5334/ijic.132

PMID

16773163

PMCID

PMC1395520

Abstract

PURPOSE: To examine assessed need and wider health and social care service contact for a total Deliberate Self Harm (DSH) population in the UK.
METHODS: The study first recorded assessed needs and referrals for this population, then used a new method of identifying and describing all other agency contacts for this population by combining the total anonymised DSH population data with total mental health, health and social care agency populations for one geographical area.
RESULTS: For a DSH unit population of 427, half (53%) were assessed with mental health and 18% with drug or alcohol problems; two thirds were referred to appropriate services. Wider service contact for a total DSH population (n=2,205 over three years) confirmed that 53% had contacted mental health (compared to 2.9% of the geographical area population (n=646,239) and 7.4% of the total hospital Emergency population (n=91,911). The DSH population was three times more likely to contact social care agencies (21.1%: 7.2%) and ten times more likely to attend drug (7.3%: 0.7%) and alcohol agencies (8.8%: 0.8%)
CONCLUSIONS: This new method described the wider service use of one vulnerable shared care population, it is suggested that the method could be used to inform the development of integrated care initiatives in different areas.


Language: en

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