1070 How Does The Psychiatrist Diagnose Our Mental Health Referrals?

Bandera Ana - Public Health Service Andalucia, Epidemiologist,Malaga,Spain
M.R. Fernandez - Family Practice Resident,Malaga,Spain
F.J.Serrano Guerra - Family Practice,Malaga,Spain
I.Sanchez Sanchez - Family Practice,Malaga,Spain
J.C.Perez Sanchez - Family Practice,Malaga,Spain
R. Narbona - Family Practice Resident,Malaga,Spain
Mental illness is one of the most frequent causes of consultation in primary care. The psychiatrist visits our health centre twice a month in order to assess non-severe cases (severe cases are directly referred to Secondary Care) and decides which ones need psychiatric monitoring and which ones can be managed by the primary care doctor, in occasions giving guidelines for treatment.
1. Describe which ones are the most frequent mental health diagnoses in our referrals.
2. Describe how many of our referrals require continuing supervision by the psychiatrist.
3. Determine if there are differences in the diagnoses taking into account age and gender.
Descriptive, retrospective study of about 180 clinical cases, from our health centre, referred to Mental Health. Collecting data related to the patient"s psychiatric diagnosis, supervision and epidemiological data. This information is obtained from the medical record in to Mental Health centre to which our health centre belongs.
We analysed 181 medical records. The majority belongs to women 114 in front of men (N=67), aged between 17 and 83 years old (mean:46.25) .The principals ICD-10 diagnoses were: humour 57(31%), neurotics pathology 65 (35.9%), upheavals behaviour 4(2.2%). There is no significant difference between sex (p>0.05). 19.9% (N=36) required visit to second level.
The neurotics and upheavals behaviour were the most frequent pathologies that force referral to psychiatric opinion. Only in a few cases it"s necessary more controls for him.
How does the psychiatrist diagnose our mental health referrals?