بررسی مسیر مراجعه مبتلایان به اختلالات روانپزشکی در اولین مراجعه به مرکز اعصاب و روان زارع ساری در سال 79-1380

Background and purpose : The way of referring the patients to health service centers of the country is one of the main issues in researches and is announced by Ministry of health and medical education of Ïran as a research priority. Çonsidering the presence of direct relationship between on time and quick recognition of problem and reduction in the remained side effects of the diseases, this study was performed in order to recognize the ways through which the psychiatric patients pass to receive their medical services to the consultant psychiatrist. Materials and Methods : Ïn this yearly descriptive study which was done on 400 patients of their first referral to the zareh psychiatric hospital. Samples were collected by simple method of data collection on a questionnri comprised of 15 items and by clinical interview, according to DSM-ÏV. The obtained data were analyzed descriptively with the help of squars test. Results : Ôf the 400 patients under study, 69.5 were male. 37.5% female, 61.8% married, 35.8 unmarried, 39.5% urban, 60% of the patients in the age group of 21-40 years old, 20.3% uneducated, 37.3% unemployed 49.6% were referred by their family or friends, 28.4% by medical personal, 9% self referral, 6.5% through law inforcement forces, and 35% were referred by force, First source of treatment in 61.9% were the medical personals 20.3% without previous referring and 18% were local therapists and bibliomancers 43% of the patients had been at least once referred to these therapists, 45.7% with two year of delay from the onset of problem and 52.3% spended more than 30 thousand tomaan till their first referance. Mood disorder with 37%, psychotic disorders with 33.5% first and 13.7% with anxiety were the first most commom identified cases. Çonclusion : Çonsidering the presence of existing ways of referring psychiatric patients, improper awareness of medical health personels, high hazardous interferance of local therapists.Ïnterferance of non psychiatrist consultants and non proffesional individuals, non referring of great numbers of the patients. Many patients, refere to psychiatrists with the complications remained from malady and affording the expenses of treatment which in this condition the patients will be prone to prognosis and improper mal therapy response.