Region Hovedstadens Psykiatri
Encyclopedia
Psychiatric hospital
Psychiatric hospitals, also known as mental hospitals, are hospitals specializing in the treatment of serious mental disorders. Psychiatric hospitals vary widely in their size and grading. Some hospitals may specialise only in short-term or outpatient therapy for low-risk patients...
with centers spread all around the capital region (Region Hovedstaden)
Region Hovedstaden
The Capital Region of Denmark is an administrative region of Denmark established on January 1, 2007 as part of the 2007 Danish Municipal Reform, which replaced the traditional counties with five larger regions. At the same time, smaller municipalities were merged into larger units, cutting the...
of Denmark
Denmark
Denmark is a Scandinavian country in Northern Europe. The countries of Denmark and Greenland, as well as the Faroe Islands, constitute the Kingdom of Denmark . It is the southernmost of the Nordic countries, southwest of Sweden and south of Norway, and bordered to the south by Germany. Denmark...
, mainly consisting of Copenhagen
Copenhagen
Copenhagen is the capital and largest city of Denmark, with an urban population of 1,199,224 and a metropolitan population of 1,930,260 . With the completion of the transnational Øresund Bridge in 2000, Copenhagen has become the centre of the increasingly integrating Øresund Region...
, northern Zealand, and Bornholm
Bornholm
Bornholm is a Danish island in the Baltic Sea located to the east of the rest of Denmark, the south of Sweden, and the north of Poland. The main industries on the island include fishing, arts and crafts like glass making and pottery using locally worked clay, and dairy farming. Tourism is...
.
Hospitals in Denmark are run by the administrative regions
Regions of Denmark
The Regions of Denmark were created as part of the 2007 Danish Municipal Reform. The five regions replace the former sixteen counties . At the same time, the number of municipalities was cut from 270 to 98. The reform was made effective on 1 January 2007.- List of regions :The names of the regions...
which came into effect with the municipal reform on January 1, 2007. Some months later, the psychiatry
Psychiatry
Psychiatry is the medical specialty devoted to the study and treatment of mental disorders. These mental disorders include various affective, behavioural, cognitive and perceptual abnormalities...
and somatics were administratively split apart, meaning that psychiatric departments of hospitals would no longer be under administration of the hospital they had been attached to. Instead, all the psychiatric departments in Region Hovedstaden would sort under a region-wide entity called Region Hovedstadens Psykiatri, which would in all matters be equivalent to more traditional hospitals, except that it wouldn't have a single location.
Most notably, Region Hovedstadens Psykiatri encompasses former psychiatric wards from such hospitals as Amager Hospital
Amager Hospital
Amager Hospital is located in Denmark on the island of Amager in Copenhagen. It was founded on April 1, 1997 with the merger of Skt. Elisabeth Hospital and Sundby Hospital...
, Bispebjerg Hospital
Bispebjerg Hospital
Bispebjerg Hospital is one of the hospitals in the Capital Region of Denmark. Along with a number of other hospitals and the University of Copenhagen , Bispebjerg Hospital forms part of the Copenhagen University Hospital....
, Frederiksberg Hospital
Frederiksberg Hospital
Frederiksberg Hospital is a medium sized government owned general hospital located in Frederiksberg, Denmark. It has 380 beds and an emergency department....
, Glostrup Hospital
Glostrup Hospital
The Glostrup Hospital is located in the township of Glostrup 8 km from the center of Copenhagen in Denmark. It is owned and managed by the regional health authority of the Greater Copenhagen region, Region Hovedstaden....
, Herlev Hospital
Herlev Hospital
Herlev Hospital is a hospital in Herlev, Denmark, close to Copenhagen. 120 meters tall and has 25 floors. It is famous for being Denmark's tallest building, and the fifth tallest hospital in the world...
, Hvidovre Hospital
Hvidovre Hospital
Hvidovre Hospital is a hospital located in Hvidovre near Copenhagen in Denmark. It is administered by the Capital Region of Denmark.The hospital was built from 1968 to 1979 and was officially opened on March 26, 1976...
and Rigshospitalet
Rigshospitalet
Rigshospitalet - Copenhagen University Hospital, or simply Riget, is the national hospital of Denmark, located in the capital city of Copenhagen, between the streets of Blegdamsvej, Tagensvej and Nørre Allé...
. Though the psychiatric Sct. Hans Hospital in Roskilde
Roskilde
Roskilde is the main city in Roskilde Municipality, Denmark on the island of Zealand. It is an ancient city, dating from the Viking Age and is a member of the Most Ancient European Towns Network....
does not geographically sort under Region Hovedstaden, it belongs to Region Hovedstadens Psykiatri administratively as well.
Region Hovedstadens Psykiatri has about 5,000 employees, and treats about 35,000 patients with mental disorders each year, which is about 40 % of the total psychiatric treatment given in Denmark.
Mental health centres
Region Hovedstadens Psykiatri is divided into mental health centres, each taking patients from their geographical areas. These are Mental Health Centre AmagerAmager
Amager is a Danish island in the Øresund. The Danish capital, Copenhagen, is partly situated on Amager, which is connected to the much larger island of Zealand by five bridges.-History:...
, Mental Health Centre Copenhagen (a merger of the previous Mental Health Centres Bispebjerg
Bispebjerg
Bispebjerg is one of the 10 official districts of Copenhagen, Denmark. It lies on the north border of the municipality. It covers an area of 5.39 km², has a population of 40,033, and a population density of 7,389 per km²....
and Rigshospitalet
Rigshospitalet
Rigshospitalet - Copenhagen University Hospital, or simply Riget, is the national hospital of Denmark, located in the capital city of Copenhagen, between the streets of Blegdamsvej, Tagensvej and Nørre Allé...
), Mental Health Centre Frederiksberg
Frederiksberg
Frederiksberg Kommune is a municipality on the island of Zealand in Denmark. It surrounded by the city of Copenhagen. The municipality, co-extensive with its seat, covers an area of and has a total population of 98,782 making it the smallest municipality in Denmark area-wise, the fifth most...
, Mental Health Centre Hvidovre
Hvidovre
Hvidovre Kommune is a municipality in Region Hovedstaden near Copenhagen on the island of Zealand in eastern Denmark. The municipality covers an area of 22 km², and has a total population of 49,380...
, Mental Health Centre Sct. Hans, Mental Health Centre Ballerup
Ballerup
Ballerup Kommune is a municipality in Region Hovedstaden on the island of Zealand in eastern Denmark. Approx. 15 km. From central Copenhagen. The municipality covers an area of 34 km², and has a total population of 47,116 . It is also the name of the municipal seat,...
, Mental Health Centre Bornholm
Bornholm
Bornholm is a Danish island in the Baltic Sea located to the east of the rest of Denmark, the south of Sweden, and the north of Poland. The main industries on the island include fishing, arts and crafts like glass making and pottery using locally worked clay, and dairy farming. Tourism is...
, Mental Health Centre Gentofte
Gentofte
Gentofte Kommune is a municipality in the Capital Region of Denmark on the east coast of the island of Zealand in eastern Denmark. The municipality covers an area of , and has a total population of 68,913...
, Mental Health Centre Glostrup
Glostrup
Glostrup Kommune is a suburban municipality and town in Region Hovedstaden on the island of Zealand approx. 10 km west of Copenhagen in eastern Denmark. The municipality covers an area of 13 km², and has a total population of 20,673 . Its Zip code is 2600...
, and Mental Health Centre Nordsjælland. In addition, there are individual mental health centres for children and adolescents in Bispebjerg, Glostrup, and Hillerød
Hillerød
Hillerød Kommune is a municipality in Region Hovedstaden . The municipality covers an area of 191 km² , and has a total population of 46,568...
.
All of these centers have community mental health centers
Deinstitutionalisation
Deinstitutionalization or deinstitutionalization is the process of replacing long-stay psychiatric hospitals with less isolated community mental health service for those diagnosed with a mental disorder or developmental disability. Deinstitutionalization can have multiple definitions; the first...
, and many of them have teams for assertive community treatment
Assertive Community Treatment
Assertive community treatment, or ACT, is an intensive and highly integrated approach for community mental health service delivery. ACT programs serve people whose symptoms of mental illness result in severe functional difficulties that interfere with their ability to achieve personally meaningful...
as well.
Opus teams
Opus teams for early detection and intensive case management of young psychoticPsychosis
Psychosis means abnormal condition of the mind, and is a generic psychiatric term for a mental state often described as involving a "loss of contact with reality"...
patients were established in Århus and Copenhagen
Copenhagen
Copenhagen is the capital and largest city of Denmark, with an urban population of 1,199,224 and a metropolitan population of 1,930,260 . With the completion of the transnational Øresund Bridge in 2000, Copenhagen has become the centre of the increasingly integrating Øresund Region...
in 1998 by professor Merete Nordentoft. It started as a randomized controlled trial
Randomized controlled trial
A randomized controlled trial is a type of scientific experiment - a form of clinical trial - most commonly used in testing the safety and efficacy or effectiveness of healthcare services or health technologies A randomized controlled trial (RCT) is a type of scientific experiment - a form of...
and has now become part of the Danish standard treatment program. Results from follow-up
Longitudinal study
A longitudinal study is a correlational research study that involves repeated observations of the same variables over long periods of time — often many decades. It is a type of observational study. Longitudinal studies are often used in psychology to study developmental trends across the...
analysis at both one and two years revealed marked improvements in areas such as transition rates from schizotypal disorder to psychotic disorder, positive and negative symptoms, substance abuse
Substance abuse
A substance-related disorder is an umbrella term used to describe several different conditions associated with several different substances .A substance related disorder is a condition in which an individual uses or abuses a...
, adherence to treatment
Compliance (medicine)
In medicine, compliance describes the degree to which a patient correctly follows medical advice...
, satisfaction with treatment, and other clinical and social outcome measures
Research
Several research projects are undertaken in Region Hovedstadens Psykiatri. At Mental Health Centre Copenhagen, for instance, research projects about treatment of cannabis abuse in patients with a psychotic illness (the CapOpusCapOpus
CapOpus is the name of a randomized controlled trial running in Denmark at Psychiatric Center Bispebjerg and physically located at Bispebjerg Hospital in Copenhagen...
trial), training of cognitive functioning
Cognition
In science, cognition refers to mental processes. These processes include attention, remembering, producing and understanding language, solving problems, and making decisions. Cognition is studied in various disciplines such as psychology, philosophy, linguistics, and computer science...
in patients with schizophrenia
Schizophrenia
Schizophrenia is a mental disorder characterized by a disintegration of thought processes and of emotional responsiveness. It most commonly manifests itself as auditory hallucinations, paranoid or bizarre delusions, or disorganized speech and thinking, and it is accompanied by significant social...
(the Neurocom trial), and suicide prevention are currently running.
Mental Health Centre Glostrup houses the Center for Neuropsychiatric
Neuropsychiatry
Neuropsychiatry is the branch of medicine dealing with mental disorders attributable to diseases of the nervous system. It preceded the current disciplines of psychiatry and neurology, in as much as psychiatrists and neurologists had a common training....
Schizophrenia Research (CNSR) which aims at investigating the association between brain
Brain
The brain is the center of the nervous system in all vertebrate and most invertebrate animals—only a few primitive invertebrates such as sponges, jellyfish, sea squirts and starfishes do not have one. It is located in the head, usually close to primary sensory apparatus such as vision, hearing,...
functions and psychotic symptoms in patients with recent-onset schizophrenia. this involves psychopathological
Psychopathology
Psychopathology is the study of mental illness, mental distress, and abnormal/maladaptive behavior. The term is most commonly used within psychiatry where pathology refers to disease processes...
, neuropsychological
Neuropsychology
Neuropsychology studies the structure and function of the brain related to specific psychological processes and behaviors. The term neuropsychology has been applied to lesion studies in humans and animals. It has also been applied to efforts to record electrical activity from individual cells in...
, and psychophysiological
Psychophysiology
Psychophysiology is the branch of psychology that is concerned with the physiological bases of psychological processes. While psychophysiology was a general broad field of research in the 1960s and 1970s, it has now become quite specialized, and has branched into subspecializations...
tests and MRI, SPECT, and PET
Positron emission tomography
Positron emission tomography is nuclear medicine imaging technique that produces a three-dimensional image or picture of functional processes in the body. The system detects pairs of gamma rays emitted indirectly by a positron-emitting radionuclide , which is introduced into the body on a...
scans. CNSR was the first group to show the association between dopamine
Dopamine
Dopamine is a catecholamine neurotransmitter present in a wide variety of animals, including both vertebrates and invertebrates. In the brain, this substituted phenethylamine functions as a neurotransmitter, activating the five known types of dopamine receptors—D1, D2, D3, D4, and D5—and their...
receptors
Dopamine receptor
Dopamine receptors are a class of metabotropic G protein-coupled receptors that are prominent in the vertebrate central nervous system . The neurotransmitter dopamine is the primary endogenous ligand for dopamine receptors....
and psychotic symptoms in patients with recent-onset schizophrenia.
Other research projects on depression
Clinical depression
Major depressive disorder is a mental disorder characterized by an all-encompassing low mood accompanied by low self-esteem, and by loss of interest or pleasure in normally enjoyable activities...
, mania
Mania
Mania, the presence of which is a criterion for certain psychiatric diagnoses, is a state of abnormally elevated or irritable mood, arousal, and/ or energy levels. In a sense, it is the opposite of depression...
, somatoform disorder
Somatoform disorder
In psychology, a somatoform disorder is a mental disorder characterized by physical symptoms that suggest physical illness or injury - symptoms that cannot be explained fully by a general medical condition, direct effect of a substance, or attributable to another mental disorder . The symptoms that...
s, sexology
Sexology
Sexology is the scientific study of human sexuality, including human sexual interests, behavior, and function. The term does not generally refer to the non-scientific study of sex, such as political analysis or social criticism....
, anxiety
Anxiety
Anxiety is a psychological and physiological state characterized by somatic, emotional, cognitive, and behavioral components. The root meaning of the word anxiety is 'to vex or trouble'; in either presence or absence of psychological stress, anxiety can create feelings of fear, worry, uneasiness,...
, phobia
Phobia
A phobia is a type of anxiety disorder, usually defined as a persistent fear of an object or situation in which the sufferer commits to great lengths in avoiding, typically disproportional to the actual danger posed, often being recognized as irrational...
s, infant
Infant
A newborn or baby is the very young offspring of a human or other mammal. A newborn is an infant who is within hours, days, or up to a few weeks from birth. In medical contexts, newborn or neonate refers to an infant in the first 28 days after birth...
psychiatry etc. are also undertaken at the various mental health centres in Region Hovedstadens Psykiatri.