Universidad del Desarrollo

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Indicators of psychiatric institutionalization in Southeast Asia between 1990 and 2024
(Elsevier BV, 2025-11)
Adrian P. Mundt
;
S.M. Yasir Arafat
;
Chencho Dorji
;
Avinash Desousa
;
Rakesh K. Chadda
1
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Need estimates of psychiatric beds: a systematic review and meta-analysis
(2024)
Adrian P Mundt
;
Enzo Rozas-Serri
;
Francesco D. Fritz
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Sabine Delhey
;
Mathias Siebenförcher
<jats:title>Abstract</jats:title> <jats:p>This study aimed to review and synthesize the need estimates for psychiatric beds, explore how they changed over time and compare them against the prevalence of actually existing beds. We searched PubMed, Embase classic and Embase, PsycINFO and PsycIndex, Open Grey, Google Scholar, Global Health EBSCO and Proquest Dissertations, from inception to September 13, 2022. Publications providing estimates for the required number of psychiatric inpatient beds were included. Need estimates, length of stay, and year of the estimate were extracted. Need estimates were synthesized using medians and interquartile ranges (IQRs). We also computed prevalence ratios of the need estimates and the existing bed capacities at the same time and place. Sixty-five publications with 98 estimates were identified. Estimates for bed needs were trending lower until 2000, after which they stabilized. The twenty-six most recent estimates after 2000 were submitted to data synthesis (<jats:italic>n</jats:italic> = 15 for beds with unspecified length of stay, <jats:italic>n</jats:italic> = 7 for short-stay, and <jats:italic>n</jats:italic> = 4 for long-stay beds). Median estimates per 100 000 population were 47 (IQR: 39 to 50) beds with unspecified length of stay, 28 (IQR: 23 to 31) beds for short-stay, and 10 (IQR: 8 to 11) for long-stay beds. The median prevalence ratio of need estimates and the actual bed prevalence was 1.8 (IQR: 1.3 to 2.3) from 2000 onwards. Historically, the need estimates for psychiatric beds have decreased until about 2000. In the past two decades, they were stable over time and consistently higher than the actual bed numbers provided.</jats:p>
2
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Changes in national rates of psychiatric beds and incarceration in Central Eastern Europe and Central Asia from 1990-2019: A retrospective database analysis
(2021)
Adrian P Mundt
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Enzo Rozas Serri
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Mathias Siebenförcher
;
Valbona Alikaj
;
Fuad Ismayilov
Scopus© Citations 16 1
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Expert Arguments for Trends of Psychiatric Bed Numbers: A Systematic Review of Qualitative Data
(2021)
Adrian P. Mundt
;
Sabine Delhey Langerfeldt
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Enzo Rozas Serri
;
Mathias Siebenförcher
;
Stefan Priebe
<jats:p><jats:bold>Introduction:</jats:bold> Mental health policies have encouraged removals of psychiatric beds in many countries. It is under debate whether to continue those trends. We conducted a systematic review of expert arguments for trends of psychiatric bed numbers.</jats:p><jats:p><jats:bold>Methods:</jats:bold> We searched seven electronic databases and screened 15,479 papers to identify expert opinions, arguments and recommendations for trends of psychiatric bed numbers, published until December 2020. Data were synthesized using thematic analysis and classified into arguments to maintain or increase numbers and to reduce numbers.</jats:p><jats:p><jats:bold>Results:</jats:bold> One hundred six publications from 25 countries were included. The most common themes arguing for reductions of psychiatric bed numbers were inadequate use of inpatient care, better integration of care and better use of community care. Arguments to maintain or increase bed numbers included high demand of psychiatric beds, high occupancy rates, increasing admission rates, criminalization of mentally ill, lack of community care and inadequately short length of stay. Cost effectiveness and quality of care were used as arguments for increase or decrease.</jats:p><jats:p><jats:bold>Conclusions:</jats:bold> The expert arguments presented here may guide and focus future debate on the required psychiatric bed numbers. The recommendations may help policymakers to define targets for psychiatric bed numbers. Arguments need careful local evaluation, especially when supporting opposite directions of trends in different contexts.</jats:p>
4Scopus© Citations 10
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Corrigendum: Expert arguments for trends of psychiatric bed numbers: A systematic review of qualitative data
(2022)
Adrian P. Mundt
;
Sabine Delhey Langerfeldt
;
Enzo Rozas Serri
;
Mathias Siebenförcher
;
Stefan Priebe
31
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Changes in rates of psychiatric beds and prison populations in sub-Saharan Africa from 1990 to 2020
(2022)
Adrian P Mundt
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Sabine Delhey Langerfeldt
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J Maphisa Maphisa
;
Oumar Sourabié
;
Blaise Nguendo Yongsi
Scopus© Citations 6 1
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Minimum and optimal numbers of psychiatric beds: expert consensus using a Delphi process
(2022)
Adrian P Mundt
;
Enzo Rozas Serri
;
Matías Irarrázaval
;
Richard O’Reilly
;
Stephen Allison
1Scopus© Citations 32

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