Therapeutic relationships: from psychiatric hospital to community

Forchuk, Cheryl; Martin, Mary Lou; Chan, Yee-Ching Lilian; Jensen, Elsabeth

doi:10.1111/j.1365-2850.2005.00873.x

Cited by 107 publications

(146 citation statements)

References 29 publications

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“…The purpose of this study was to fill gaps in the literature related to peer support programs and cost: lack of comparison groups, small sample sizes (Forchuk, Martin, Chan, & Jensen, 2005), and the availability of research examining mental health utilization paid for by Medicaid (Mark et al, 2011). This study extends the author's previous analysis of the Georgia peer support program by examining the relationships between the utilization of peer support services and cost.…”

Section: Introductionmentioning

confidence: 73%

The Impact of Medicaid Peer Support Utilization on Cost

Landers¹,

Zhou²

2014

MMRR

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Background:Peer support programs have proliferated over the past decade, building on recovery oriented programming, yet relationships between peer support services and the costs to public programs have not been well described in literature. The purpose of this study is to fill gaps in the literature related to peer support programs and cost: lack of comparison groups, small sample sizes, and the availability of research examining utilization of Medicaid mental health services. Methods:The study employed a retrospective design with treatment and comparison groups created from three administrative databases. Three ordinary least squares regression models were constructed to predict crisis stabilization cost, psychiatric hospitalization cost, and total Medicaid cost while controlling for other factors. The Chronic Illness and Disability Payment System + Rx was used to control for illness severity.

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Section: Introductionmentioning

confidence: 73%

The Impact of Medicaid Peer Support Utilization on Cost

Landers¹,

Zhou²

2014

MMRR

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“…Typically, such transitions are fraught with the challenge of poor communication between in-and outpatient providers working in siloed systems, along with high rates of relapse, particularly in the first month postdischarge. 59 This has led to the development of transition-focused interventions, several of which embed recovery principles in the use of peer support and the emphasis on community engagement, 60,61 or in the use of rehabilitation-focused partial hospitals that facilitate earlier discharge and reduce admissions. 62 Such interventions show considerable promise in reducing rates of rehospitalization and improving community participation.…”

Section: Locating the Ward In A Recovery-oriented Systemmentioning

confidence: 99%

Mental Health Reform at a Systems Level: Widening the Lens on Recovery-Oriented Care

2014

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This paper is an initial attempt to collate the literature on psychiatric inpatient recoverybased care and, more broadly, to situate the inpatient care sector within a mental health reform dialogue that, to date, has focused almost exclusively on outpatient and community practices. We make the argument that until an evidence base is developed for recoveryoriented practices on hospital wards, the effort to advance recovery-oriented systems will stagnate. Our scoping review was conducted in line with the 2009 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (commonly referred to as PRISMA) guidelines. Among the 27 papers selected for review, most were descriptive or uncontrolled outcome studies. Studies addressing strategies for improving care quality provide some modest evidence for reflective dialogue with former inpatient clients, role play and mentorship, and pairing general training in recovery oriented care with training in specific interventions, such as Illness Management and Recovery. Relative to some other fields of medicine, evidence surrounding the question of recovery-oriented care on psychiatric wards and how it may be implemented is underdeveloped. Attention to mental health reform in hospitals is critical to the emergence of recovery-oriented systems of care and the realization of the mandate set forward in the Mental Health Strategy for Canada. W W W Réforme de la santé mentale au niveau des systèmes : élargir nos vues sur les soins orientés vers le rétablissementCet article est une première tentative de colliger la littérature sur les soins axés sur le rétablissement de patients psychiatriques hospitalisés et, plus généralement, de situer le secteur des soins des patients hospitalisés dans le dialogue sur la réforme de la santé mentale qui, jusqu'ici, a porté presque exclusivement sur les pratiques ambulatoires et communautaires. Nous alléguons que jusqu'à ce qu'une base de données probantes soit établie pour les pratiques axées sur le rétablissement dans les services d'hospitalisation, les efforts en vue d'améliorer les systèmes axés sur le rétablissement stagneront. Notre étude de portée a été menée conformément aux lignes directrices des éléments de rapport préférentiels pour les revues systématiques et les méta-analyses de 2009 (PRISMA). Sur les 27 articles sélectionnés pour la revue, la plupart étaient des études descriptives ou de résultats non contrôlés. Les études abordant les stratégies d'amélioration de la qualité des soins offrent une évidence modeste pour le dialogue réflectif avec d'anciens patients hospitalisés, le jeu de rôle et le mentorat, et le jumelage de la formation générale en soins axés sur le rétablissement avec la formation en interventions spécifiques, comme le programme de prise en charge de la maladie et de rétablissement. En ce qui concerne d'autres domaines de la médecine, l'évidence à la question des soins axés sur le rétablissement dans les services d'hospitalisation et à la manière de les mettre en oeuvre est sous-développée. L'attention portée à...

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“…For a general population of psychiatric patients that included forensic patients, a transitional discharge model which involved peer support and the establishment of a relationship with a community nurse was successful in reducing the length of stay of patients and improving quality of social relations (Forchuk, Martin, Chan, & Jensen, 2005). The importance of community support in reducing readmission of psychiatric patients to the hospital, diminishing symptoms, and increasing ability to live in the community has also been supported by other research (Reynolds et al, 2004).…”

mentioning

confidence: 86%