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 and Alain Duhamel

Global Journal of Health Science, 2017, vol. 9, issue 12, 64

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.

Date: 2017
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