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All articles in this issue:
 Drugs in prisons
 Fifth ESPAD survey report published
 First report of National Suicide Support and Information System
 Measuring the performance of drugs task forces and evaluating projects
 National Registry of Deliberate Self Harm annual report 2011
 National survey of youth mental health
 Non-fatal overdoses and drug-related emergencies 2010
 Poisoning and clinical toxicology: a template for Ireland
 Trends in alcohol and drug admissions to psychiatric facilities
 Public support for measures to address alcohol use
 Report of the Strategic Response Group – ‘A better city for all’
 Parental responsibilities and drug treatment outcomes
 The views of children and young people in state care
 Unmet needs and benzodiazepine misuse among people in treatment
 Deaths among children and young people in state care, after care or known to the HSE
 Drug use among the general population, by regional drugs task force area
 The National Documentation Centre on Drug Use: survey results
 Drugnet digest
 In brief
 Drugs and crime data 2012
 Drugs in focus – policy briefing
 From Drugnet Europe
 Recent publications
 Upcoming events
 EU drugs policy – what next?
 EMCDDA trend report for the evaluation of the 2005–2012 EU drugs strategy
 Alternative ways forward for EU drugs policy
Trends in alcohol and drug admissions to psychiatric facilities
by Suzi Lyons

Activities of Irish psychiatric units and hospitals 2010,the annual report published by the Mental Health Information Systems Unit of the Health Research Board, shows that the total number of admissions to inpatient care has continued to fall.1

In 2010, 1,798 cases were admitted to psychiatric facilities with an alcohol disorder, of whom 637 were treated for the first time. Figure 1 presents the rates of first admission between 1990 and 2010 of cases with a diagnosis of alcohol disorder.2 The trend of recent years has continued, with again a reduction in the rates of admission for alcohol disorders in 2010.  Thirty-nine per cent of cases hospitalised for an alcohol disorder stayed just under one week, while 22% were hospitalised for between one and three months.                  

trends_alcohol_drug_admissions_figure_1.jpg


In 2010, 966 cases were admitted to psychiatric facilities with a drug disorder, of whom  412 were treated for the first time.  Since 2006 there has been a continuous increase in the rate of first admission of cases with a diagnosis of a drug disorder.  The report does not present data on drug use and psychiatric co-morbidity, so it is not possible to determine whether or not these admissions were appropriate. Figure 2 presents the rates of first admission between 1990 and 2010 of cases with a diagnosis of drug disorder.  

trends_alcohol_drug_admissions_figure_2.jpg

Other notable statistics on first admissions for a drug disorder in 2010 include:

  • The majority were to psychiatric units in general hospitals (259, 63%), followed by admissions to psychiatric hospitals (102, 25%) and to private hospitals (51, 12%). 
  •  6% were involuntary admissions.
  • The rate was higher for men (14.2 per 100,000) than for women (5.2 per 100,000).

The majority of cases hospitalised for a drug disorder stayed just under one week (54%), while most were discharged within three months.

____________

  1. Daly A and Walsh D (2011) Activities of Irish psychiatric units and hospitals 2010: main findings. HRB Statistics Series 15. Dublin: Health Research Board.  www.drugsandalcohol.ie/16329
  2. Annual reports from the National Psychiatric In-patient Reporting System (NPIRS) for the years 1990 to 2010 are available on the Health Research Board website at www.hrb.ie/publications/mental-health


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