The influence of a mental health home visit service partnership intervention on the caregivers’ home visit service satisfaction and care burden

Cheng, Jui-Fen; Huang, Xuan‐Yi; Lin, Mei-Jue; Wang, Yahui; Yeh, Tzu‐Pei

doi:10.1111/jocn.14123

Cited by 5 publications

(5 citation statements)

References 20 publications

(42 reference statements)

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“…Coordinated care can improve patient outcomes during transitions, longitudinal high-risk care management, and unplanned acute episodic care (59). Health care administration and social welfare departments need to cooperate with family members to provide active public mental health care services, prevent mental illness, reduce the occurrence of community nuisance cases, reduce the burden on caregivers, and improve care satisfaction (60)(61)(62).…”

Section: Discussionmentioning

confidence: 99%

Change of home visit frequency by public health nurses predicts emergency escorts for psychiatric patients living in the community: A retrospective medical record review

Hung²,

Fang³

et al. 2023

Front. Public Health

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BackgroundImproper or insufficient treatment of mental health illness harms individuals, families, and society. When psychiatric treatment shifts from a hospital-based to a community-based health care system, risk management is essential to the provision of effective care.ObjectiveWe examine whether an upgrade in home visit frequency of psychiatric patients as identified by public health nurses can predict the subsequent need for emergency escort services for medical treatment.DesignA 2-year retrospective medical record review.Setting(s)A district of New Taipei City in Taiwan.ParticipantsA total of 425 patients with a diagnosed mental health illness cared for through home visits by public health nurses from January 2018 to December 2019.MethodsWe accessed the Ministry of Health and Welfare's psychiatric care management information system to identify a set of medical records, and analyzed these records using chi-square and regression analyses.ResultsThe analyses indicated that the groups experiencing the greatest need for emergency escort services were: male, 35–49 years old, with a senior high school level of education, without a disability identification card, with a schizophrenia diagnosis, and had been reported by the nurse as having progressed to a serious level. Nurses' increased frequency of home visits (an indicator that the patient's overall condition was worsening) and nurses' reports of increased severity of problems were significant predictors of the need for emergency escort services.ConclusionsThe nurses' adjustment of visit frequency based on the results of the visit assessment predicts the need for emergency escort services for mental patients. The findings support not only the professional roles and functions of public health nurses, but also the importance of strengthening psychiatric health community support services.

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Section: Discussionmentioning

confidence: 99%

Change of home visit frequency by public health nurses predicts emergency escorts for psychiatric patients living in the community: A retrospective medical record review

Hung²,

Fang³

et al. 2023

Front. Public Health

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“…With deinstitutionalization, it is suggested that mental health care should be performed in territorial-and community-based services; however, returning to social life is difficult for the user and family. 17 In the findings of this study, the professors use home visiting to access the population as this is an important way to reduce the search for specialized services, as well as to reduce mental health hospitalization rates. 18 The extension activities in mental health proposed by the public HEIs has been a choice of professors for teaching mental health in PHC, and offers the student the opportunity to develop in articulation with the social reality.…”

Section: /13mentioning

confidence: 92%

Mental Health Nursing Education in Brazil: Perspectives for Primary Health Care

Nóbrega

Venzel

Sales

et al. 2020

Texto contexto - enferm.

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Objective: To analyze the limitations, strategies, importance and obstacles in mental health education in undergraduate nursing, focused on the role of nurses in Primary Health Care. Method: An exploratory descriptive study conducted with 103 professors in the mental health area of Bachelor/Postgraduate nursing courses from 89 public Higher Education Institutions in the five regions of Brazil. Results: Only 23.3% (24) of the professors teach mental health classes only in primary health care. Of the sample, the limitations to teaching in primary care education are few class hours (46.6%), faculty to expand teaching beyond specialty settings (38.8%), and prioritization of other scenarios (48.5%). When teaching, the strategies used are home visits (43.7%), educational actions (34.0%) and active search for mental health cases (29.1%). The professors consider them important to support mental health actions (58.3%); and the barriers are the lack of articulation between the Collective Health and Health disciplines to conduct teaching (87.5%). Conclusion: It is suggested that the institutions, courses and professors make the commitment and focus efforts to overcome the gaps, which hinder the nurse’s education process regarding primary knowledge in mental health, so that they can offer care to patients in psychological distress in the context of the community, as well as strengthen national mental health policy.

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“…However, the study found that this intervention did not change the care burden. The authors recommended a strengthened mental health home visit as it is helpful for caregivers and patients and finally, they recommend government policies in the reduction of caregivers individual and comprehensive assistance [40].…”

Section: Intervention Care and Mental Health Knowledge For Caregiversmentioning

confidence: 99%

Generalities About Caring Mental Illness and Impact on Family Caregivers in Chinese Community: A Ten Years Narrative Review Study

Balthazar¹,

Xu²,

Li³

et al. 2021

SJMH

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Background: Worldwide, the burden of mental health is increasing day by day. The WHO alerts countries that diseases caused by mental health will occupy the second rank on the rest of non-communicable diseases. The increase of mental diseases is always associated with the increase of multiple challenges in primary caregivers who are mostly family members of the patient. China is one of nations with high prevalence of mental health disorders. Like many other countries caregiving mental health in china would have challenges and opportunities. This study aimed to narratively combine studies on family caregivers of psychiatric illness in China thereby making an objective conclusion Methods: A matrix method was narratively used in this study. Studies conducted in Chinese community which includes studies in main land China, Hong Kong and Taiwan conducted in the period between 2008-2019 were considered. 47 studies were considered for analysis and five main themes were found for consideration. Results: The findings in this study are summarized in the following themes 1. High burden and burnout of care and influencing factors, 2. The high stigma of caregivers 3. The low quality of life of caregivers 4. the social support. 5. Care and intervention for caregivers of psychiatric disorders. Conclusion: caregivers of psychiatric illness in Chinese community face challenges that are in some cases different to the rest of the world however there are many similarities with the rest of the world that are found. To overcome these challenges, all parties are called to play its assigned role in the eradication of these challenges. There is a need of strengthening the available opportunities and the common understanding of the problem is required in Chinese community.

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The influence of a mental health home visit service partnership intervention on the caregivers’ home visit service satisfaction and care burden

Cited by 5 publications

References 20 publications

Change of home visit frequency by public health nurses predicts emergency escorts for psychiatric patients living in the community: A retrospective medical record review

Change of home visit frequency by public health nurses predicts emergency escorts for psychiatric patients living in the community: A retrospective medical record review

Mental Health Nursing Education in Brazil: Perspectives for Primary Health Care

Generalities About Caring Mental Illness and Impact on Family Caregivers in Chinese Community: A Ten Years Narrative Review Study

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