Life after hospital discharge for people with long‐term mental disorders in South Korea: Focusing on the “revolving door phenomenon”

Ko, Yejung; Park, Sihyun

doi:10.1111/ppc.12575

Cited by 6 publications

(6 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, few studies have explored society’s preparation and examined the needs of patients with long-term mental disorders. Instead, considerable research has focused on readmission issues in terms of its rate, risk and preventive factors ( Ko & Park, 2021 ).…”

Section: Discussionmentioning

confidence: 99%

“…Schizophrenia and other psychotic disorders were the diagnoses most associated with the RD phenomenon in the studies included in this review. Overall, the readmission rates in people with schizophrenia are high considering the 3-month and 1-year readmission rates of 33.3% and 15.2%, respectively, as well as the 10-year readmission rate of 70.5% ( Ko & Park, 2021 ). According to the literature, factors associated with multiple hospitalizations in schizophrenia patients are male gender, unmarried status, early age of onset, shorter length of hospitalizations, hebephrenic clinical subtype, higher severity of symptoms and lifetime substance use ( Botha et al, 2010 ; Eaton et al, 1992 ; Hung et al, 2017 ; Mortensen & Eaton, 1994 ; Oiesvold et al, 2000 ).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The revolving door phenomenon in severe psychiatric disorders: A systematic review

Barbosa

Marques

2023

Int J Soc Psychiatry

View full text Add to dashboard Cite

Background: The treatment of psychiatric patients has suffered a major change over the last decades, with long-term hospitalizations being replaced by short-term stays and appropriate aftercare in outpatient services. Some chronically ill patients exhibit a pattern of multiple hospitalizations, designated as the Revolving Door (RD) phenomenon. Aims: This review aims to analyse the existing literature regarding sociodemographic, clinical and other factors associated with multiple hospitalizations in psychiatric facilities. Method: The search performed in the PubMed database for the terms revolving[Title] AND (psyc*[Title] OR schizo*[Title] OR mental[Title]) presented 30 citations, 8 of which met the eligibility criteria. Four other studies found in references of these articles were also included in the review. Results: Albeit the use of different criteria to define the RD phenomenon, it is more likely to be associated with patients who are younger, single, with low educational level, unemployed, diagnosed with a psychotic disorder, particularly schizophrenia, and with alcohol and/or substance use. It is also associated with a younger age on disease onset, suicidality, noncompliance and voluntary type of admission. Conclusion: Recognizing patients with a RD pattern of admissions and prediction of rehospitalization can help the development of preventive intervention strategies and identify potential limitations in existing health care delivery systems.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The revolving door phenomenon in severe psychiatric disorders: A systematic review

Barbosa

Marques

2023

Int J Soc Psychiatry

View full text Add to dashboard Cite

show abstract

“…They may also include providing financial support, managing positive and negative psychiatric symptoms, and complying with medication. Frequently, family may handle unexpected episodes due to the illness (Ko & Park, 2021). Previous studies reported various adverse caregiving outcomes in families, such as substantial subjective and objective family burdens, financial difficulties, social stigma, and low quality of life (QoL; Caqueo‐Urízar et al, 2017; Lasebikan & Ayinde, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…Due to progressive disability, people with schizophrenia are often dependent and may require assistance in their daily lives. As the tendency of institutional-based care has switched to community-and family-based care for those with disabilities in many countries, families are likely to undertake the responsibility of family members with the illness (Ko & Park, 2021;Koç et al, 2021). Globally, the primary caregivers of patients with schizophrenia are mostly family members, including parents, spouses, or siblings (Citrome et al, 2022;Lasebikan & Ayinde, 2013).However, caregiver roles in families are challenging.…”

mentioning

confidence: 99%

Effectiveness of family interventions for patients with schizophrenia: A systematic review and meta‐analysis

Kim

Park

2023

Int J Mental Health Nurs

Self Cite

View full text Add to dashboard Cite

The family is the primary caregiver for most patients with schizophrenia, and their roles are essential in patients' illness trajectories and outcomes. Due to this, various family interventions for schizophrenia have been developed and applied to the relatives who take care of their family members with schizophrenia. This study examined the effectiveness of existing family interventions for schizophrenia in achieving their target outcomes at both the family and patient levels by utilizing a systematic review and meta‐analysis. Combinations of terms were used to search for relevant studies from the databases. Thirty‐seven randomized controlled trials that met the inclusion criteria were included in the analysis. Based on the pooled result of the included studies, the programmes significantly improved the targeted outcomes with large effect size. The programmes' impacts on family‐related outcomes were higher than those on patients. Among the targeted outcomes, patients' treatment satisfaction and adherence and family caregivers' mental health were the most remarkable outcomes that had improved from the included programmes. Conversely, outcomes related to family relationships, caregiving experiences, perceived social support of family caregivers, and patients' medication use did not see significant improvements. The programmes delivered to individual family units and only to the family caregivers were more effective than those delivered to groups of caregivers and caregivers and patients together, respectively. Programme‐focused interventions were more effective than emotion‐focused ones. Based on these findings, an in‐home visiting nurse programme or advanced technology is suggested when applying family interventions for schizophrenia in practice.

show abstract

“…40 Such patients are often chronically ill and need specific attention in terms of in-hospital psychiatric care, transitional care and post-discharge care. 41 However, little information is available on the demographic and clinical characteristics of such patients. This descriptive study aimed to analyse the sociodemographic and clinical characteristics of patients with recurrent psychiatric readmissions in Qatar.…”

Section: Introductionmentioning

confidence: 99%

Sociodemographic and clinical characteristics of patients with recurrent psychiatric readmissions in Qatar

et al. 2020

View full text Add to dashboard Cite

Objective To examine the sociodemographic and clinical characteristics of psychiatric patients with recurrent psychiatric readmissions (RPR). Methods A retrospective study was conducted at Hamad General Hospital in Qatar on psychiatric patients with recurrent readmissions from August 2018 to January 2019. Results Of 380 psychiatric patients admitted during the study period, 40 (10.5%) were readmitted within 30 days of discharge. Most of the patients who were readmitted were single, male and unemployed. Psychotic spectrum disorder was the most frequent psychiatric condition and was diagnosed in 18 (45%) patients. A total of 30% of the patients were receiving treatment with anti-psychotics, and a similar number received more than one medication. Most patients showed poor or no compliance. Only 12.5% of patients stayed in the hospital for more than 5 weeks in their last admission during the study period. Conclusions Poor compliance, male sex and single status were the most common demographic and clinical features of patients with RPR. Post-discharge psychiatric care should be tailored to meet the requirements of patients prone to RPR.

show abstract

Life after hospital discharge for people with long‐term mental disorders in South Korea: Focusing on the “revolving door phenomenon”

Cited by 6 publications

References 21 publications

The revolving door phenomenon in severe psychiatric disorders: A systematic review

The revolving door phenomenon in severe psychiatric disorders: A systematic review

Effectiveness of family interventions for patients with schizophrenia: A systematic review and meta‐analysis

Sociodemographic and clinical characteristics of patients with recurrent psychiatric readmissions in Qatar

Contact Info

Product

Resources

About