Discharge planning in psychiatric units in general hospitals

Olfson, Mark; Walkup, James

doi:10.1002/yd.23319977309

Cited by 5 publications

(13 citation statements)

References 23 publications

(6 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The broad range of processes may be the result of a lack of standardized discharge planning processes and guidelines, and the complex, specialized needs of mental health patients. Supporting this conclusion, Olfson and Walkup () described discharge planning as ‘an idiosyncratic task that varies according to individual patients’ treatment needs, financial status, and willingness to receive treatment, as well as the individual discharge planner's knowledge of local community services’ (p.83).…”

Section: Resultsmentioning

confidence: 99%

“…Further, assessing the adequacy, stability, and permanence of post‐hospitalization housing options was noted as an essential component to discharge planning (Backer et al . ; Olfson & Walkup ). However, evaluating appropriate residential placement was sometimes complicated by interpersonal conflicts with family members and lack of available housing options, especially with mental health populations who were homeless (Christ & Hayden ; Christ et al .…”

Section: Resultsmentioning

confidence: 99%

“…Effective communication and information sharing were emphasized when engaging patients and families regarding treatment options, outpatient services, and support needs, as well as liaising with outpatient healthcare providers for continued care of patients in the community (Nurjannah et al . ; Olfson & Walkup ; Williams ). In particular, close communication with outpatient service providers including physicians, pharmacists, and caseworkers to promote a seamless discharge process was found to be associated with positive outcomes such as preventing fragmented transitions of care and ensuring continuous care delivery (Cleary et al .…”

Section: Resultsmentioning

confidence: 99%

“…A considerable component of discharge planning involves determining the availability and appropriateness of outpatient resources and community services for mental health patients (Belcher & DeForge ; Olfson & Walkup ; Williams ). Backer et al .…”

Section: Resultsmentioning

confidence: 99%

“…Mental healthcare providers must assess patients’ housing and residential options, and financial resources (Backer et al . ; Olfson & Walkup ; Tuzman & Cohen ). Notably, healthcare teams should evaluate if available services are affordable for the patient, whether their available entitlements would sufficiently meet their needs and if necessary, apply for financial benefits, such as income supplements and medical insurance (Backer et al .…”

Section: Resultsmentioning

confidence: 99%

See 4 more Smart Citations

Discharge planning in mental healthcare settings: A review and concept analysis

Xiao

Tourangeau

Widger

et al. 2019

Int J Mental Health Nurs

View full text Add to dashboard Cite

To ensure a safe transition of mental health patients from hospital to community settings, greater attention is being given to discharge planning. However, assessing the quality of discharge planning has been challenging due to wide variations in its definition. To facilitate evaluation of discharge planning, its meaning in the mental health literature was systematically explored. This concept analysis is part of a larger study to develop an instrument to measure the quality of discharge planning processes in mental health care. Walker and Avant's (2011) concept analysis approach was adopted to provide a comprehensive definition of discharge planning. Electronic databases and grey literature were searched and analysed according to Grant and Booth's (2009) systematic search and review process. Literature published between 1900 and 2018 was reviewed. Forty-nine articles meeting the inclusion criteria were included in the analysis. Discharge planning is a complex, multifaceted concept with six defining attributes: comprehensive needs assessment; collaborative, patient-centered care; resource availability management; care and service coordination; discharge planner role; and a discharge plan. Discharge planning begins with the initial rapid assessment and symptom stabilization of a patient on admission, coincides with treatment planning, and is associated with hospital readmissions and continuity of care. The mental health literature was reviewed to analyse different interpretations of discharge planning. The conceptual definition provided can assist healthcare providers, organizational leaders, and policymakers to design and implement effective discharge planning policies and guidelines. Providing clarity regarding discharge planning also provides a critical foundation for developing an instrument.KEY WORDS: health services administration, mental health services, patient discharge, psychiatric nursing, qualitative research.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Discharge planning in mental healthcare settings: A review and concept analysis

Xiao

Tourangeau

Widger

et al. 2019

Int J Mental Health Nurs

View full text Add to dashboard Cite

show abstract

Reducing the revolving door phenomenon

Daly

Doherty

Walsh

2010

Ir. j. psychol. Med.

View full text Add to dashboard Cite

Objectives: De-institutionalisation and the expansion of community services have resulted in a reduction in the number of inpatient admissions in Ireland having fallen by 31% between 1986 and 2006. However, despite this, readmissions continue to account for over 70% of all admissions. The policy document A Vision for Change identified many shortcomings in the current model of provision of mental health services, making recommendations for the future development of community-based services with emphasis on outreach components such as homecare, crisis intervention and assertive outreach approaches. These recommendations are reviewed in relation to readmissions and the impact they may have on reducing the revolving door phenomenon.Method: Three main intervention programmes essential to the delivery of an effective community-based service outlined and recommended by A Vision for Change, along with other pertinent factors, are discussed in relation to how they might reduce readmissions in Ireland. A series of Pearson correlations between Irish inpatient admissions rates and rates of outpatient attendances and provision of community mental health services are carried out and examined to explain possible relationships between increasing/decreasing admission rates and provision/attendances at community services. International literature is reviewed to determine the effectiveness of these intervention programmes in reducing admissions and readmissions and their relevance to the Irish situation is discussed.Conclusions: Whilst A Vision for Change goes a long way towards advocating a more person-centred, recovery oriented and integrated model of service delivery, it is apparent from the consistently high proportion of readmissions in Ireland that there are still many shortcomings in service provision. The availability of specialised community-based programmes of care is as yet relatively uncommon in Ireland and uneven in geographical distribution. A considerable improvement in their provision, quantitatively and qualitatively, is required to impact on the revolving door phenomenon. In addition a re-configuration of existing catchment populations is required if they are to be successfully introduced and expanded.

show abstract

Discharge planning in mental health care: a systematic review of the recent literature

Steffen

Kösters

Becker

et al. 2009

Acta Psychiatr Scand

135

124

View full text Add to dashboard Cite

Objective: To determine and estimate the efficacy of discharge planning interventions in mental health care from in‐patient to out‐patient treatment on improving patient outcome, ensuring community tenure, and saving costs. Method: A systematic review and meta‐analysis identified studies through an electronic search on the basis of defined inclusion and exclusion criteria and extracted data. Results: Of eleven studies included, six were randomised controlled trials, three were controlled clinical trials, and two were cohort studies. The discharge planning strategies used varied widely, most were limited to preparation of discharge during in‐patient treatment. Pooled risk ratios were 0.66 (95% CI = 0.51 to 0.84; P < 0.001) for hospital readmission rate, and 1.25 (1.07 to 1.47; P < 0.001) for adherence to out‐patient treatment. Effect sizes (Hedge’s g) were −0.25 (−0.45 to −0.05; P = 0.02) for mental health outcome, and 0.11(−0.05 to 0.28; NS) for quality of life. Conclusion: Discharge planning interventions are effective in reducing rehospitalisation and in improving adherence to aftercare among people with mental disorders.

show abstract

Discharge planning in psychiatric units in general hospitals

Abstract: Increased attention to discharge planning offers the potential for a better‐integrated system of care for vulnerable patients.

Cited by 5 publications

References 23 publications

Discharge planning in mental healthcare settings: A review and concept analysis

Discharge planning in mental healthcare settings: A review and concept analysis

Reducing the revolving door phenomenon

Discharge planning in mental health care: a systematic review of the recent literature

Contact Info

Product

Resources

About