A Collaborative Approach to Discharge Planning for Chronic Mental Patients

Altman, Helen

doi:10.1176/ps.34.7.641

Cited by 8 publications

(7 citation statements)

References 1 publication

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“…First, because there are usually multiple health providers for a single patient, continuity of care can be achieved only by interventions to establish personal and specific linkages between the discharging facility and the aftercare provider [6]. Second, to ensure the relevancy of the referral to outpatient care setting, inpatient treatment should include the coordination of community services that are matched to the patient's level of functioning [6]. Third, “nonpsychiatric obstacles,” such as housing, employment, and need for supplemental security income, that serve as difficult barriers to effective planning must be dealt with [7].…”

Section: Literature Reviewmentioning

confidence: 99%

“…Third, “nonpsychiatric obstacles,” such as housing, employment, and need for supplemental security income, that serve as difficult barriers to effective planning must be dealt with [7]. And, finally, the discharge plan must be integrated into the treatment process in such a way that the patient is offered the chance to become an active participant in the plan and thus is more likely to accept it [6]. …”

Section: Literature Reviewmentioning

confidence: 99%

“…Health providers in the community support system noted that many of the patients who were resistant to aftercare services were those for whom discharge planning came late during their hospitalization, or for whom plans were not integrated into the treatment process; however, plans were made early [6]. …”

Section: Literature Reviewmentioning

confidence: 99%

“…Altman [6] examined the use of collaborative discharge planning (CDP) meetings for patients with chronic mental illness patients. A higher percentage of patients who were involved in collaborative discharge planning became involved in aftercare services compared to those who were not involved in CDP.…”

Section: Literature Reviewmentioning

confidence: 99%

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Psychiatric Discharge Process

Alghzawi

2012

ISRN Psychiatry

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Background. Integration of research evidence into clinical nursing practice is essential for the delivery of high-quality nursing care. Discharge planning is an essential process in psychiatric nursing field, in order to prevent recurrent readmission to psychiatric units. Objective. The purpose of this paper is to perform literature overview on psychiatric discharge planning, in order to develop evidence-based practice guideline of psychiatric discharge plan. Methods. A search of electronic databases was conducted. The search process aimed to locate different levels of evidence. Inclusion criteria were studies including outcomes related to prevention of readmission as stability in the community, studies investigating the discharge planning process in acute psychiatric wards, and studies that included factors that impede discharge planning and factors that aid timely discharge. On the other hand, exclusion criteria were studies in which discharge planning was discussed as part of a multi faceted intervention and was not the main focus of the review. Result. Studies met inclusion criteria were mainly literature reviews, consensus statements, and descriptive studies. All of these studies are considered at the lower levels of evidence. Conclusion. This review demonstrated that discharge planning based on general principles (evidence based principles) should be applied during psychiatric discharge planning to make this discharge more effective. Depending on this review, it could be concluded that effective discharge planning includes main three stages; initial discharge meeting, regular discharge meeting(s), and leaving from hospital and discharge day. Each stage of them has requirements should be accomplished be go to the next stage.

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Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

See 2 more Smart Citations

Psychiatric Discharge Process

Alghzawi

2012

ISRN Psychiatry

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“…A study conducted by Altman (1983) focused on recidivism and shows that patients in programs that arranged aftercare appointments prior to discharge had rehospitalizations rates three times lower than a control group of patients whose aftercare appointments had not been arranged. This study took place over a 1 year time period.…”

Section: Models Of Continuity Of Carementioning

confidence: 99%

Children and adolescents with mental retardation in acute inpatient psychiatric care

Helsel

McGonigle

1992

Behavioral Interventions

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Predictors of self-sufficiency for the mentally ill in long-term care

Kruzich

Berg

1985

Community Ment Health J

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A growing interest of mental health professionals is the community adjustment of former mental hospital patients. Recognition of the influence of environmental factors on adjustment has led to attempts to determine the specific environmental factors that are influential. The present study of 87 former mental hospital patients in long-term care indicates that the type of management practices used, together with the facility director's attitudes toward social services are major predictors of clients self-sufficiency. Implications for administrators, staff and consultants to long-term care facilities are noted.

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A Collaborative Approach to Discharge Planning for Chronic Mental Patients

Cited by 8 publications

References 1 publication

Psychiatric Discharge Process

Psychiatric Discharge Process

Children and adolescents with mental retardation in acute inpatient psychiatric care

Predictors of self-sufficiency for the mentally ill in long-term care

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