Youth‐, Family‐, and Professional‐Rated Utility of a Narrative Discharge Letter Written to Older Adolescent Psychiatric Inpatients

Bobier, Candace; Dowell, Joanne; Craig, Brian

doi:10.1111/j.1744-6171.2009.00197.x

Cited by 4 publications

(12 citation statements)

References 6 publications

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“…All articles and documents discussed the promise and benefit of discharge interventions. Many interventions featured multiple components which assisted the discharge process for youth being discharged from inpatient CAMHS, including, a thorough assessment of the child's needs [48,49,60,62,64], tailoring resources and services to needs and preferences [47,48,50,[58][59][60][63][64][65], hospital discharge planning [55,57,58,61,63,64], community linkage [47, 49-53, 58, 63], family education and support [47,53,54,56,58,61,63,64], and a protocol in place for follow-up [49,51,52,54,59,62,64]. These discharge interventions demonstrated positive improvement in patient experiences or health outcomes [47][48][49][50][51][52][53][54][55]…”

Section: Discussionmentioning

confidence: 99%

“…and "Was the language and style of the letter useful for you?" Articles commented on the positive feedback received from participants on the intervention's format or delivery [57], increased socialization and cohesion among participants [52], and overall positive reception of the interventions from the participant and/or their parent [48,58,59,62,65].…”

Section: Patient Experiencementioning

confidence: 99%

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Discharge interventions from inpatient child and adolescent mental health care: a scoping review

Chen

Dinyarian

Inglis

et al. 2020

Eur Child Adolesc Psychiatry

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The post-discharge period is an extremely vulnerable period for patients, particularly for those discharged from inpatient children and adolescent mental health services (CAMHS). Poor discharge practices and discontinuity of care can put children and youth at heightened risk for readmission, among other adverse outcomes. However, there is limited understanding of the structure and effectiveness of interventions to facilitate discharges from CAMHS. As such, a scoping review was conducted to identify the literature on discharge interventions. This scoping review aimed to describe key components, designs, and outcomes of existing discharge interventions from CAMHS. Nineteen documents were included in the final review. Discharge interventions were extracted and summarized for pre-discharge, post-discharge, and bridging elements. Results of this scoping review found that intervention elements included aspects of risk assessment, individualized care, discharge preparation, community linkage, psychoeducation, and follow-up support. Reported outcomes of discharge interventions were also extracted and included positive patient and caregiver satisfaction, improved patient health outcomes, and increased cost effectiveness. Literature on discharge interventions from inpatient CAMHS, while variable in structure, consistently underscore the role of such interventions in minimizing patient and family vulnerability post-discharge. However, findings are limited by inadequate reporting and heterogeneity across studies. There is a need for further research into the design, implementation, and evaluation of interventions to support successful discharges from inpatient child and adolescent mental health care.

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Section: Discussionmentioning

confidence: 99%

Section: Patient Experiencementioning

confidence: 99%

Discharge interventions from inpatient child and adolescent mental health care: a scoping review

Chen

Dinyarian

Inglis

et al. 2020

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

show abstract

“…Reflection, discharge, and recovery interventions Narrative discharge letter. Bobier et al (2009a) assessed the potential value of letter writing 'with' adolescents rather than 'about' them. One assigned primary nurse initiated the letter process, depending on the rapport between the clinician and adolescent.…”

Section: Quality Appraisalmentioning

confidence: 99%

What nonpharmacological therapeutic interventions are provided to adolescents admitted to general mental health inpatient units? A descriptive review

Hayes

Palmer²,

Hamilton

et al. 2019

Int J Mental Health Nurs

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Limited research exists regarding the therapeutic operations of adolescent mental health inpatient units, particularly in terms of nonpharmacological therapeutic interventions. This review collates what is known about reported nonpharmacological therapeutic interventions for young people admitted to general or non‐disorder‐specific adolescent mental health inpatient settings. A descriptive review of this nature was not located in the literature. The aim was to identify what is currently known about reported nonpharmacological therapeutic interventions. The purpose was to consider gaps and contribute to further work being undertaken in describing an exemplary inpatient model of care for adolescents. Sources included CINAHL, MEDLINE, ERIC, EMBASE, and PsycINFO. Studies included were those published in English, between the years 2000 and 2018. Exclusions included residential, community, outpatient, forensic settings, and studies detailing pharmacological interventions. Ten studies were identified. This descriptive review provides an objective foundation to inform an exemplary inpatient model of care currently being investigated. There is a critical need to understand these interventions to identify key components of an inpatient model of care. Such knowledge will provide guidance for future services seeking to create an exemplary model of care. Furthermore, these results can influence current practice by improving quality and delivery of inpatient care.

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“…Participants reported that care following a PFCI was "helpful" and "more efficient than expected" . In particular, participants felt more confident and "treated like an adult" where they could assert their independence and make decisions and when they were supported to make plans for the future (Bobier, Dowell, & Craig, 2009).…”

Section: Qualitative Meta-synthesismentioning

confidence: 99%

“…Participants also reported increased empowerment of parents in the health care process (Bobier et al, 2009), which was not addressed in the quantitative studies in the review. Young people also reported that they were "still having problems getting help" , suggesting that the implementation of more patient-and family-centred health services does not guarantee high levels of patient satisfaction.…”

Section: Qualitative Meta-synthesismentioning

confidence: 99%

Conceptualisation of patient- and family-centred care for young adults with hearing loss and their family members

Allen¹

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The period of life between 16 and 25 years of age is an important time of change and development, with many young people leaving home, moving into tertiary education, establishing careers, or beginning families of their own. In Australia, more than 8000 young adults are living with a hearing loss requiring hearing rehabilitation. These hearing losses have the potential to have significant and far-reaching consequences for the social, emotional, educational, and vocational lives of these young adults, and it is currently unclear what these effects might be, or whether hearing rehabilitation is reducing them. In addition, while it is known that the effects of chronic health conditions including hearing loss can be effectively reduced by the application of patient-and family-centred care (PFCC), it is not currently clear what constitutes PFCC in this population. This thesis aimed to explore the lived experiences of young adults with hearing loss and to identify the nature of high-quality PFCC among them and their family members. Beginning with two systematic reviews of previously-published research addressing PFCC among young adults with other chronic health conditions, the likely primary elements of PFCC were identified, as well as evidence suggesting that attempts to implement these elements are likely to result in improved outcomes for young adults with chronic health conditions. Following this preparatory work, a survey was conducted to explore the demographics of young adults with hearing loss in Australia, and compare these to those of other young adults in Australia. Significantly poorer life satisfaction outcomes were found for young adults with hearing loss, although a correlation between life satisfaction and the patientcentredness of hearing (re)habilitation was identified, supporting the importance of patientcentred intervention in this population.

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Youth‐, Family‐, and Professional‐Rated Utility of a Narrative Discharge Letter Written to Older Adolescent Psychiatric Inpatients

Abstract: Narrative letter writing is a valuable therapeutic tool to facilitate reflective, empowering partnerships among professionals, youth, and family members.

Cited by 4 publications

References 6 publications

Discharge interventions from inpatient child and adolescent mental health care: a scoping review

Discharge interventions from inpatient child and adolescent mental health care: a scoping review

What nonpharmacological therapeutic interventions are provided to adolescents admitted to general mental health inpatient units? A descriptive review

Conceptualisation of patient- and family-centred care for young adults with hearing loss and their family members

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