What prevents Readmission?
DOI:
https://doi.org/10.61841/b4eywk33Keywords:
Recovery, Service UsersAbstract
A series of interviews was carried out by a community recovery team in an inner-city area of the United Kingdom to discover what its services users believe helps prevent readmission to mental hospital. The aim was to increase understanding of service user perspectives of readmission and give insight into ways to reduce readmission rates. A qualitative thematic analysis method was used to analyse the data following a series of semi-structured interviews with service users. The results showed the value of developed social support networks, medication concordance and non-use of drugs/alcohol in service user perspectives. The conclusions were that community rehabilitation teams need to consider service user’s understandings of hospital and its role in their lives when developing interventions.
Downloads
References
Bellack, A. S. (2006). Scientific and consumer models of recovery in schizophrenia: concordance, contrasts, and implications. Schizophrenia bulletin, 32(3), 432-442.
Bowers, L. (2005). Reasons for admission and their implications for the nature of acute inpatient psychiatric nursing. Journal of Psychiatric and Mental Health Nursing, 12(2), 231-236.
Braun, V and Clarke, C (2006) Using thematic analysis in psychology. Qualitative Research in Psychology. 3, 77-101 Cordle, H., Fradgley, J., Carson, J., Holloway, F., Richards, P. (2011) Psychosis Stories of Recovery and Hope. Quay Books,
London Cotton, M. A., Johnson, S., Bindman, J., Sandor, A., White, I. R., Thornicroft, G., ... & Bebbington, P. (2007). An investigation of factors associated with psychiatric hospital admission despite the presence of crisis resolution teams.BMC psychiatry, 7(1), 52. de Girolamo, G and Bassi, M (2004) Residential facilities as the new scenario of long-term psychiatric care. Current Opinion
in Psychiatry. 17, 275-281
Dekker, J., Peen, J., Goris, A., Heijnen, H., & Kwakman, H. (1997). Social deprivation and psychiatric admission rates in Amsterdam. Social psychiatry and psychiatric epidemiology, 32(8), 485-492.
Department of Health (1999) National Service Framework for Mental Health: Modern Standards and Service Models. London:The Stationery Office
Fakhoury, W., & Priebe, S. (2002). The process of deinstitutionalization: an international overview. Current Opinion in Psychiatry, 15(2), 187-192.
Hallam, A and Trieman N (2001). The cost effectiveness of specialised facilities for service users with persistent challenging behaviours. Health and Social care in the community. 9 (6), 429-435
Higashi, K., Medic, G., Littlewood, K. J., Diez, T., Granström, O., & De Hert, M. (2013). Medication adherence in schizophrenia: factors influencing adherence and consequences of nonadherence, a systematic literature review.Therapeutic advances in psychopharmacology, 3(4), 200-218.
Humberstone, V (2002) The experiences of people with schizophrenia living in supported accommodation: a qualitative study using grounded theory methodology. Australian and New Zealand Journal of Psychiatry. 36, 367-372
Hunt, K. J. (2009). Physiological and functional status of older people discharged from hospital with ill-defined conditions (Doctoral dissertation, University of Southampton).
Kent, S., & Yellowlees, P. (1994). Psychiatric and social reasons for frequent rehospitalization. Psychiatric Services, 45(4), 347-350.
Leff, J (2000) Can we manage without the mental hospital? Australian and New Zealand Journal of Psychiatry. 35, 421-427 Leff, J., Trieman, N., Knapp, M. and Hallam, A (2000) The TAPS Project: A report on 13 years of research, 1985-1998.
Psychiatric Bulletin. 24, 165-168
Liberman, R. P., Kopelowicz, A., Ventura, J., & Gutkind, D. (2002). Operational criteria and factors related to recovery from schizophrenia. International Review of Psychiatry, 14(4), 256-272.
Lyons, J. S., O'Mahoney, M. T., Miller, S. I., Neme, J., Kabat, J., & Miller, F. (1997). Predicting readmission to the psychiatric hospital in a managed care environment: implications for quality indicators. American Journal of Psychiatry,154(3), 337-340. Newton, L., Rosen, A., Tennant, C., & Hobbs, C. (2001). Moving out and moving on: Some ethnographic observations of
deinstitutionalization in an Australian community. Psychiatric Rehabilitation Journal, 25(2), 152.
Newton, L., Rosen, A., Tennant, C., Hobbs, C., Lapsley, H, M and Tribe, K (2000) Deinstitutionalisation for long-term mental illness: an ethnographic study. Australian and New Zealand Journal of Psychiatry. 34, 484-490
Olfson, M., Ascher-Svanum, H., Faries, D. E., & Marcus, S. C. (2014). Predicting psychiatric hospital admission among adults with schizophrenia.
Pillay, P., & Moncrieff, J. (2011). Contribution of psychiatric disorders to occupation of NHS beds: analysis of Hospital Episode Statistics. The Psychiatrist, 35(2), 56-59.
Poole, R et al. (2002). The NHS, the private sector, and the virtual asylum. British Medical Journal. Aug 17, 2002; 325(7360): 349–350.
Prince, M., Patel, V., Saxena, S., Maj, M., Maselko, J., Phillips, M. R., & Rahman, A. (2007). No health without mental health. The lancet, 370(9590), 859-877.
Rittmannsberger, H., Pachinger, T., Keppelmüller, P., & Wancata, J. (2004). Medication adherence among psychotic patients before admission to inpatient treatment. Psychiatric Services, 55(2), 174-179.
Silva, N. C., Bassani, D. G., & Palazzo, L. S. (2009). A case-control study of factors associated with multiple psychiatric readmissions. Psychiatric Services,60(6), 786-791.
South London and Maudsley NHS Foundation Trust (2007) Social Inclusion, Rehabilitation and Recovery Strategy 2007-2010 [online].
London: South London and Maudsley NHS Foundation Trust.http://www.slam.nhs.uk/news/boardmin/docs/20feb07/SIRR%20strategy%20final%20v2.doc [Accessed 9 July 2009]
Substance Abuse and Mental Health Services Administration. National Consensus Conference on Mental Health Recovery and Systems Transformation. Rockville, Md:Dept of Health and Human Services; 2005.
Thompson, A., Shaw, M., Harrison, G., Ho, D., Gunnell, D., & Verne, J. (2004). Patterns of hospital admission for adult psychiatric illness in England: analysis of Hospital Episode Statistics data. The British Journal of Psychiatry, 185(4), 334-341.
Thornicroft, G., Bebbington, P and Leff, J (2005) Outcomes for long-term patients one year after discharge from a psychiatric hospital. Psychiatric Services. 56 (11), 1416-1422
Trieman, N and Leff, J (2002) Long term outcome of long-stay psychiatric in-patients considered unsuitable to live in the community (TAPS Project 44). British Journal of Psychiatry. 181, 428-432
Vigod, S. N., Kurdyak, P. A., Dennis, C. L., Leszcz, T., Taylor, V. H., Blumberger, D. M., & Seitz, D. P. (2013). Transitional interventions to reduce early psychiatric readmissions in adults: systematic review. The British Journal of Psychiatry, 202(3), 187-194.
Vogel, S., & Huguelet, P. (1997). Factors associated with multiple admissions to a public psychiatric hospital. Acta Psychiatrica Scandinavica, 95(3), 244-253.
Yussuf, A. D., Kuranga, S. A., Balogun, O. R., Ajiboyed, P. O., Issa, B. A., Adegunloye, O., & Parakoyi, M. T. (2008).
Predictors of psychiatric readmissions to the psychiatric unit of a tertiary health facility in a Nigerian city-a 5-year study. African journal of psychiatry, 11(3), 187-190.
Zhang, J., Harvey, C., & Andrew, C. (2011). Factors associated with length of stay and the risk of readmission in an acute psychiatric inpatient facility: a retrospective study. Australian and New Zealand Journal of Psychiatry, 45(7), 578-585.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 AUTHOR
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
