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Most studies of psychiatric services at the system level describe and analyze the patients and their utilization of the services. There is a need, however, to relate such data to outcome measures at the patient level. Two studies of the psychiatric health care services in northern Norway are planned: The North Norwegian Study on First-time Admitted Patients to Psychiatric Hospital (the FINN-study) and the North Norwegian Study on New Patients to Community Mental Health Centers (the NINN-study). In both studies one-year cohorts of new patients will be followed for one year. Data will be collected at the individual level (the patient and the family) and the system level (the psychiatric services and the community). Patient data will be collected along several dimensions, from multiple perspectives and at different times. The dimensions include sociodemographic data, diagnoses, symptoms, functioning, life events, motivation and satisfaction with the services. The perspectives include the interviewer’s, the patient’s (self-rating schedules) and the family’s. The timepoints are at admission, at discharge and at follow-up. This will give a description of the psychiatric services, the patients, their utilization of the services, cost and outcome. By analyzing the data, independent factors important for utilization, cost and outcome can be distinguished. Methodologically, efforts will be made to ensure both internal and external validity and thus expand our knowledge in this field.

Psychiatric health services research: from process to outcome – A presentation of two planned projects in northern Norway