Psychiatry Clinic

of Tartu University Hospital

Sven Janno MD, PhD

Senior psychiatrist

Head of the acute department

Psychiatry Clinic

of Tartu University Hospital

• History

• Catchment area

• Structure/organisation

• Services’ profile

• Patients’ profile

• Funding

History

• Initiator E. von Wahl

• 04.03.1877

History

• First psychiatrist

Alexander von Bunge

History

• “Old House” 16.04.1881 – 18.11.1988

Emil Kraepelin

23.08.1886 - 21.03.1891

Catchment area (population in the year 2010)

1. Primary (44%) 310774• Tartu 150 074

• Jõgeva 36 671

• Põlva 30 889

• Võru 37 693

• Viljandi 55 447

2. Secondary (12%) 235622• Ida-Viru 168 656

• Lääne-Viru 66 966

Structure/organisation

• Administration

• Departments

– Acute Psychiatry

– General Psychiatry

– Child and Adolescence Psychiatry

All wards are dealing both with inpatients and outpatients

+21,8

Personnel of Psychiatry ClinicNumber of full time positions – 129.75 (2010)

Number of employees - 183 (2010)

Age of psychiatrists

0

2

4

6

8

10

12

14

15 - 24 25 - 29 30 - 34 35 - 39 40 - 49 50 - 54 55 - 59 60 - 69 70 - 90

2009.a.

2010.a.

Structure of inpatient care(totally 86 hospital beds)

Acute

Department

Psychiatry

DepartmentChild and

Adolescence

Psychiatry

Sleeping disorders,

sleep lab /2

Eating disorders

/10

General psychiatry/25

Children/10

Adolescents/4

Addiction disorders/2

Emergency room- 24/7

Acute ward for men/9

Acute ward for

women /8

Subacute ward/18

Services

• Treatment (out- and inpatient)

• Teaching (trainees, students)

• Forensic psychiatry

Outpatients’ diagnoses

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

F9

F8

F7

F6

F5

F4

F3

F2

F1

F0

G

Inpatients’ diagnoses

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

2003 2004 2005 2006 2007 2008 2009 2010

F9

F8

F7

F6

F5

F4

F3

F2

F1

F0

G

Inpatients F10(number of cases)

0

50

100

150

200

250

2003 2004 2005 2006 2007 2008 2009 2010

F10.3

F10.4

F10.5

Inpatients F2(number of cases)

0

100

200

300

400

500

600

2003 2004 2005 2006 2007 2008 2009 2010

F2

F20

F21

F22

F23

Inpatients F3/F4 (number of cases)

0

50

100

150

200

250

300

350

400

450

500

2003 2004 2005 2006 2007 2008 2009 2010

F32/F33

F31

F4

Mean time in

hospital

according to

diagnoses

Tartu vs

Tallinn

2009-2010

14,0

5,9

24,4

14,9

10,6

19,9

13,3

11,1

11,7

11,0

19,7

7,0

29,8

17,6

13,8

11,9

13,2

15,8

15,0

14,0

0 5 10 15 20 25 30 35

Orgaanilised psüühikahäired

Psühhoaktiivsete ainete tarvitamisest tingitud

psüühika- ja käitumishäired

Skisofreenia, skisotüüpsed ja luululised

häired

Meeleoluhäired

Neurootilised, stressiga seotud ja

somatoformsed häired

Psüühika- ja käitumishäired füsioloogilise

düsfunktsiooniga (söömishäired, unehäired)

Täiskasvanu isiksus- ja käitumishäired

Vaimne alaareng

Psühholoogilise arengu häired

Tavaliselt lapseeas alanud käitumis- ja

tundeeluhäired

PERH PS 2010

PERH PS 2009

TÜK PS 2010

TÜK PS 2009

F9

F8

F7

F6

F5

F4

F3

F2

F1

F0

Mean time patients are staying in

the hospital

5,0

10,0

15,0

20,0

25,0

30,0

2006 2007 2008 2009 2010

Akuutpsühhiaatria

osakond

Psühhiaatriaosakond

Lasteosakond

Psühhiaatriakliinik

Psühhiaatriaosakonna

söömishäirete keskus

Acute

Department

Psychiatry

Department

Department of

children

Psychiatry

Clinic

Eating

Disorders

Mean inpatient case cost (€)

24 707

19 951

27 155

20 886

0

5 000

10 000

15 000

20 000

25 000

30 000

PERH psühhiaatriakliinik Kliinikumi psühhiaatriakliinik

2 009

2 010

13351275

1735

1579

Tallinn Tartu

Outpatient number

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

F

Z

SUM

Outpatients’ visits

0

5 000

10 000

15 000

20 000

25 000

30 000

35 000

2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Arsti vastuvõtte kokku akuutosakond

psühhiaatriaosakond lasteosakond

All

Psychiatry

department

Acute department

Children

Income and expenditures (€)

0

500 000

1 000 000

1 500 000

2 000 000

2 500 000

3 000 000

3 500 000

4 000 000

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010

Income

Expenditures

Finances

• Income

– Health Insurance Fund

87%

– Medical services to

other institutions 4%

– Other services 8%

• Expenditures

– Personnel 66%

– Medical services,

material 10%

– Other (heating etc)

24%