Some Factors Relating to Satisfactory Post-Discharge Community Maintenance of Chronic Psychotic Patients

Fernando, M. L. D.; Velamoor, Varadaraj R.; Cooper, Alan; Cernovsky, Zack Z.

doi:10.1177/070674379003500111

Cited by 17 publications

(9 citation statements)

References 8 publications

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“…In a recent study into schizophrenic relapse, Hirsch et al (1996 , p. 49) found that ‘patients who continued on regular medication had 80% less risk of relapse than those who had been withdrawn from medication either by choice or under double‐blind controlled [research] conditions’. Compliance with medication following discharge from hospital in patients suffering from schizophrenia or bipolar affective disorder was also found to be ‘correlated significantly with longer stays in the community’ ( Fernando, Velamoor, Cooper & Cernovsky, 1990, p. 72).…”

Section: Introductionmentioning

confidence: 99%

The use of the Liverpool University neuroleptic side‐effect rating scale (LUNSERS) in clinical practice

Morrison

Gaskill

Meehan

et al. 2000

Australian and New Zealand Journal of Mental Health Nursing

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Forty-four mental health clients completed the Liverpool University Neuroleptic Side-Effect Rating Scale (LUNSERS)--a self-rating scale to assess the prevalence and intensity of neuroleptic side-effects. In the month prior to the study, 50% of the clients surveyed had experienced more than half of the side-effects outlined on the 41-item scale. A prevalence profile allowed us to rank the frequency of individual side-effects across the sample. Some side-effects such as 'difficulty concentrating', 'difficulty remembering', 'tiredness' and 'restlessness' were experienced by most of the clients in the study while 'unusual skin marks', 'difficulty passing water', 'rashes' were experienced by a few. A prevalence profile may be a useful guide in developing strategies for managing side-effects more effectively in small groups of clients. In addition, the use of the LUNSERS in clinical practice would enable case managers to establish baseline measures for individual clients and evaluate changes in medication and other non-medical strategies for reducing unwanted side-effects. The identification and assessment of antipsychotic side-effects is an important area for client and professional carer education.

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Section: Introductionmentioning

confidence: 99%

The use of the Liverpool University neuroleptic side‐effect rating scale (LUNSERS) in clinical practice

Morrison

Gaskill

Meehan

et al. 2000

Australian and New Zealand Journal of Mental Health Nursing

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“…Die Einstufung der Compliance erfolgt ebenfalls nach unterschiedlichen Kriterien [39,43,45]. Die Patientenkollektive sind z. T. diagnostisch sehr heterogen [41,44,46] oder zeigen ganz unterschiedliche Krankheitsverläufe; so werden entweder ausschlieûlich chronisch Kranke [40] bzw. solche mit mindestens einem stationären Aufenthalt in der Vorgeschichte [38,45,46] oder Patienten mit Erstmanifestationen und intermittierenden Verläufen eingeschlossen [41,42,44].…”

Section: Diskussionunclassified

“…Die Patientenkollektive sind z. T. diagnostisch sehr heterogen [41,44,46] oder zeigen ganz unterschiedliche Krankheitsverläufe; so werden entweder ausschlieûlich chronisch Kranke [40] bzw. solche mit mindestens einem stationären Aufenthalt in der Vorgeschichte [38,45,46] oder Patienten mit Erstmanifestationen und intermittierenden Verläufen eingeschlossen [41,42,44]. Einige Studien befassen sich ausschlieûlich mit stationären, andere wiederum mit Patienten in einem ambulanten Setting [43,45].…”

Section: Diskussionunclassified

“…Einige Studien befassen sich ausschlieûlich mit stationären, andere wiederum mit Patienten in einem ambulanten Setting [43,45]. Die Art der Datenerhebung ist retrospektiv [39] oder prospektiv [45,46] Zusammenfassend kann festgestellt werden, dass eine psychoedukative Basisbehandlung während des Indexaufenthaltes mit einer anschlieûenden kontinuierlichen ambulanten Langzeitbehandlung sowohl die Compliance als auch die Rehospitalisierungsrate positiv beeinflusst. Künftige Forschungsbemühungen sollten sich deshalb speziell auf jene bereits früh identifizierbaren Patienten und deren Angehörige konzentrieren, die sich den psychoedukativen Behandlungsmöglichkeiten gegenüber ablehnend verhalten.…”

Section: Diskussionunclassified

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Psychoedukative Gruppen bei schizophrenen Patienten und anschließende ambulante Langzeitbehandlung - Eine 4-Jahres-Katamnese und Literaturübersicht -

Basan¹,

Pitschel-Walz²,

Bäuml³

2000

Fortschr Neurol Psychiatr

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A subset of schizophrenic inpatients and families participated in an eight-sessions bifocal psychoeducational intervention, followed by treatment in a corresponding outpatient department. These patients were a part of the multicenter and randomized Münchner Psychosis-Information-Project (PIP). The course of illness in 88 patients treated in the outpatient department of the Technical University of Munich has been recorded in a 4-year follow-up study. 60% of the patients continued outpatient treatment while 40% lost contact with the outpatient department. Predictors for patient drop-out were assessed and the course of illness of both groups was compared. There was no significant difference between the relapse rate of the patients who dropped out (66%) and those who continued the long-term treatment (53%). However, within the 4-year period the drop-out patients had more than twice as many hospital days compared to the patients who maintained the outpatient treatment. The improved social adjustment and quality of life of these patients, along with the 50% reduction of readmission days demonstrates the impact of the long-term treatment in this study.

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“…Discharge planning procedures were first developed by general hospitals (Kadushin and Kulys 1993), and are required by the Joint Commission on Accreditation of Health Care Organizations for both hospitals and behavioral health organizations (JCAHO 2003). The literature on discharge planning and homelessness includes various explorations about the transition to outpatient services and its impact on subsequent hospitalizations (Caton 1981;Fernando et al 1990;Hogarty 1972;Lurie et al 1981;Rock 1987). Clinical experience shows that lack of proper planning increases the chance that people will return to jails or mental health facilities, or relapse into problem behaviors (Community Shelter Board 2002).…”

Section: Introductionmentioning

confidence: 99%

The Role of Effective Discharge Planning in Preventing Homelessness

2007

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Effective discharge planning can contribute significantly to preventing homelessness. As part of a larger continuum of care, this process can help people reach goals of stable housing, recovery, and increased quality of life in the community. Discharge planning identifies and organizes services a person with mental illness, substance abuse, and other vulnerabilities needs when leaving an institutional or custodial setting and returning to the community. A three-component model is presented, relating discharge planning to institutional assessment and treatment, and to community services. Service challenges, innovative programs (based on a state-by-state analysis), and recommendations for enhancing discharge planning also are discussed.

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Some Factors Relating to Satisfactory Post-Discharge Community Maintenance of Chronic Psychotic Patients

Cited by 17 publications

References 8 publications

The use of the Liverpool University neuroleptic side‐effect rating scale (LUNSERS) in clinical practice

The use of the Liverpool University neuroleptic side‐effect rating scale (LUNSERS) in clinical practice

Psychoedukative Gruppen bei schizophrenen Patienten und anschließende ambulante Langzeitbehandlung - Eine 4-Jahres-Katamnese und Literaturübersicht -

The Role of Effective Discharge Planning in Preventing Homelessness

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