|
Return To Programs
and Departments
SCHIZOPHRENIA SERVICES
Schizophrenia is a psychiatric disorder with symptoms that include disturbances in perception, thinking, behaviour and cognition. Psychiatric treatment and rehabilitation are services this hospital provides, particularly for complex cases requiring tertiary level care.
A major portion of the hospital's resources (approximately $13 million) is committed to the treatment and rehabilitation for people with schizophrenia both due to the number of patients receiving service and the intensity of the services required. HPH's Schizophrenia Service provides specialized treatment, rehabilitation and supports for community integration for a chronically ill population with complex needs who often have co-existing disorders, severe functional disabilities and may experience frequent relapses.
Three programs at HPH provide services to those suffering from schizophrenia: The Schizophrenia Assessment and Treatment Program (G1), the Schizophrenia Intensive Treatment Program (D2), and the Schizophrenia Psychosocial Rehabilitation Program (B2). These programs provide a continuum of services for clients requiring different levels of care.
Table #14 The Schizophrenia Service
|
1997/98
(actual) |
1998/99
(actual) |
1999/2000
(forecast) |
|
Salaries |
8,915,280 |
8,632,745 |
8,796,900 |
|
Benefits |
2,575,635 |
2,116,174 |
1,561,500 |
|
ODOE |
2,491,352 |
2,566,236 |
2,123,300 |
|
TOTAL |
13,982,267 |
13,315,155 |
12,481,700 |
|
FTEs |
205.3 |
196.2 |
197.1 |
|
Set-up Beds |
109 |
109 |
109 |
|
Staffed Beds |
NA |
NA |
75 |
|
Active Inpatients |
85 |
64 |
75 |
|
Inpatient days |
29,498 |
25,020 |
27,500 |
|
Avg. Length of Stay (LOS) * |
265 * |
236* |
240 |
|
Inpt. Admissions |
138 |
93 |
135 |
|
Inpt. Discharges |
187 |
156 |
185 |
|
Registered Outpt. (Mar. 31, 98) |
68 |
70 |
70 |
|
Outpt. Direct contact (registered and non-registered) |
3,344 |
2,871 |
3,000 |
|
Outpt. Indirect contact (registered and non-registered) |
2,385 |
3,003 |
3,000 |
*Outpatient contacts (direct and indirect) may be understated due to failure to report statistics.
*D2 staffed beds = 29, B2 staffed beds = 23, G1staffed beds = 23; TOTAL = 75
NOTE: The Average Length-of-Stay shown in the table is a combined number of all three programs and includes Leave-of-absences (LOA) and somewhat misrepresents true patient length-of-stay activity. As well, some HPH patients remain on (LOA) for up to a six-month period while they settle into community living arrangements. Therefore, if necessary a patient can be returned to hospital without delay.
A further breakdown of the programs, and the average length-of-stay (ALS) for each, shows that the longest lengths-of-stay are with the Schizophrenia Intensive Treatment Program (D2) and the Schizophrenia Psychosocial Rehabilitation Program (B2) both providing specialized services to clients requiring an intense level of care:
D2--Schizophrenia Intensive Treatment Program ALS = 530 days
B2--Schizophrenia Psychosocial Rehabilitation Program ALS = 367 days
G1--Schizophrenia Assessment & Treatment Program ALS = 109 days
The table below shows annual patient activity by District in the Schizophrenia Service.
Table #15 Schizophrenia Services patient activity 1998/99 by District
|
|
Brant |
Haldimand-Norfolk |
Halton |
Niagara |
Ham.-Went |
NFA* |
Other* |
TOTAL |
|
#of admiss. |
2 |
2 |
0 |
10 |
75 |
4 |
0 |
93 |
|
#of disch. |
5 |
3 |
1 |
16 |
117 |
11 |
3 |
156 |
|
#outpt. registrations |
1 |
1 |
0 |
6 |
22 |
0 |
0 |
30 |
|
#separations |
0 |
3 |
0 |
2 |
17 |
1 |
0 |
23 |
*NFA = No fixed address
*Other = outside of the catchment area
The Hamilton Program for Schizophrenia (HPS) is an active partner with HPH in the treatment of those suffering from schizophrenia. HPS has a long-standing memorandum of agreement whereby HPH provides inpatient beds designated for use by HPS patients. This is a unique example of vertical integration and one that is widely admired. HPS has also provided space for the Community Schizophrenia Service (see Community Outreach section for further information on the CSS). HPS works closely with the HPH Rehabilitation Services and contributes staff time to the MAPinAC (Meaningful Activities Program in Action) initiative.
Providing Staff Education
Tertiary care services, specialized care, treatment and rehabilitation all require skilled staff and up-to-date technologies. Continued staff education and upgrading is essential to maintain and improve standards of knowledge and practice to reflect advances in the field. Along with the hospital-wide educational activities provided, the Schizophrenia Service conducts monthly rounds-both clinical and academic. Academic rounds are advertised and open to other service providers in the community.
Community Housing Partnerships
HPH continues to work with community partners to develop housing and intensive community supports for this special population, and ensure that a range of needs are met in community services. Housing services vary from program to program to meet the special needs of our patients.
Meeting the needs of clients in the Forensic System
Clients from the Forensic Program diagnosed with schizophrenia who no longer require a minimum-secure environment, but still require hospitalization, are often transferred to the Schizophrenia Intensive Treatment Program (D2) or the Schizophrenia Psychosocial Rehabilitation Program (B2) for further clinical treatment. Last year, 25 clients throughout the Schizophrenia Service were under the auspices of the Ontario Review Board.
Home
| Contact Information | E-Mail | Webmaster | Site Map | Sign Guestbook | View Guestbook
© 1998-1999 Hamilton Psychiatric Hospital. All Rights Reserved.
|
