Community Treatment of Psych Patients Tied to Less Mortality

Greatest effect seen for death from physical illness such as cancer, cardio, CNS disease

MONDAY, Nov. 12 (HealthDay News) -- For patients with psychiatric disorders, community treatment orders correlate with a reduction in mortality, according to research published online Nov. 12 in CMAJ, the journal of the Canadian Medical Association.

Steve Kisely, M.D., Ph.D., from Dalhousie University in Halifax, Canada, and colleagues conducted a population-based survival analysis to examine whether community treatment could reduce all-cause mortality among patients with psychiatric disorders. The study involved 2,958 patients with community treatment orders and 2,958 matched controls, all of whom were patients in psychiatric services in Western Australia.

Cases and controls had an average age of 36.7 years, and 63.7 percent were male. The researchers found that, among participants, schizophrenia and other non-affective psychoses were the most common diagnoses (73.4 percent). During the study, a total of 492 patients (8.3 percent) died. Patients with community treatment orders had significantly lower all-cause mortality at one, two, and three years, compared with controls, with an adjusted hazard ratio of 0.62 at two-years. The greatest reduction in mortality came from physical illnesses, including cancer, cardiovascular disease, or diseases of the central nervous system, but the association disappeared when adjusting for increased outpatient and community contacts with psychiatric services.

"Community treatment orders might reduce mortality associated with preventable physical illness among patients with psychiatric disorders," the authors write. "Such a reduction may be partly explained by increased contact with health services in the community and better access to medically necessary treatments."

Full Text

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Blunt Chest Trauma
Journal of Trauma Nursing, November/December 2014
Expires: 12/31/2016 CE:2 $21.95

The School Age Child with Congenital Heart Disease
MCN, The American Journal of Maternal/Child Nursing, January/February 2015
Expires: 2/28/2017 CE:2.5 $24.95

Understanding multiple myeloma
Nursing Made Incredibly Easy!, January/February 2015
Expires: 2/28/2017 CE:2 $21.95

More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles

Comprehensive Care: Looking Beyond the Presenting Problem
Journal of Christian Nursing, January/March 2015
Free access will expire on March 2, 2015.

Pain and Alzheimer dementia: A largely unrecognized problem
Nursing Made Incredibly Easy!, January/February 2015
Free access will expire on February 16, 2015.

Glycemic control in hospitalized patients
Nursing2015 Critical Care, January 2015
Free access will expire on February 16, 2015.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events