Facilitating discharge in state psychiatric institutions: A group intervention strategy.

Abstract

Despite more than 30 years of deinstitutionalization, a significant number of individuals continue to experience prolonged stays in state psychiatric hospitals. Many of these individuals appear to develop an ambivalence or resistance to discharge. This can itself contribute to further delay in discharge planning and implementation. We will describe a group intervention for persons with long stays labeled as "resistant." This effort was guided by the premise that each individual could benefit from personally exploring those aspects of his or her experience that may be contributing to continued hospitalization. The group utilized standard methods of rehabilitation and training with strong emphasis on validating individual needs and feelings, peer support and practical results. After 1 1/2 years of group intervention, 5 of the 7 group members had achieved discharge and initial community success.

Determinants of length of stay for psychiatric inpatients: Analysis of a national database covering the entire Korean elderly population

“…Although considerable debate remains regarding whether a short stay is enough to provide appropriate care, the cost-effectiveness of the planned short stay is generally agreed upon [9][10][11][12][13]. As a result, the LOS for treating mental disorders has been reduced to an average of 22.0 days in OECD countries, while it is 3.7 days in Norway, 6.9 days in the U.S., and 58.8 days in the U.K. in 2005-2007 [1].…”

What is the Lived Experience of Being Discharged From a Psychiatric Inpatient Stay?

“…Kao & Liu, 2010;Meehan, et al, 2006) or has explored the effectiveness of discharge interventions (e.g. Johnson, et al, 2005;Patrick, et al, 2006;Puschner, et al, 2011). However, what the actual discharge is like for patients has not been explored.…”

“…A discharge preparation group aimed at helping patients address difficulties associated with discharge reported some success in supporting the discharge of patients deemed "resistant" to discharge (Patrick, Smith, Schleifer, Morris, & McLennon, 2006).…”

Patient and caregiver experience with delayed discharge from a hospital setting: A scoping review

“…The characteristics of the included articles are presented in Table . Of the seven included articles, five had qualitative study designs and two were mixed‐methods studies . Of the qualitative studies, the majority employed interviews (n = 4) and one employed ethnography .…”

“…The majority of articles included both male and female participants (n = 5). One article included only male participants and the ethnographic study contained three detailed case reports of three female participants. In the four articles that reported the age of patient participants, all were above 80 years old .…”