Identifying Risk Factors and Key Strategies in Linkage to Outpatient Psychiatric Care

Boyer, Carol A.; McAlpine, Donna; Pottick, Kathleen J.; Olfson, Mark

doi:10.1176/appi.ajp.157.10.1592

Cited by 139 publications

(117 citation statements)

References 26 publications

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“…A number of meta-analyses 58,60 and literature reviews [59][60][61][62] indicate that FPE is an evidence-based practice. Even more modest levels of family involvement in treatment have been associated with a number of beneficial outcomes, including increased treatment participation 63 ; greater satisfaction with care 64 ; and improved hope, knowledge, and patient empowerment 65 . The Patient Outcomes Research Team (PORT) 66 , as well as practice guidelines of the American Psychiatric Association 67 and Department of Veterans Affairs healthcare system 68 , strongly recommend family involvement in treatment as a critical element of quality care for persons with schizophrenia and other serious mental illnesses.…”

Section: Results Of Psychoeducational Programsmentioning

confidence: 99%

Psychoeducation for Psychotic Patients

Praško¹,

Vrbová²,

Látalová³

et al. 2011

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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Background. Psychoeducation programs have been shown in the last two decades to significantly improve the post-hospital discharge care of individuals with schizophrenia by demonstrated effects on rehospitalization rates, compliance with medication and knowledge. The benefits of psychoeducation can be sustained for up to seven years although most studies have not shown such enduring benefit. Psychoeducation is a type of psychotherapeutic support that aims to provide broad and adequate information on psychotic disorders for both patients and their families.Method. The purpose of the group psychoeducational program at the Psychiatric clinic in Olomouc is to familiarize patients with the core of the disorder, explain the part played by pharmacotherapy, teach recognition of the warning signs of relapse, to advise on communication problems within families, and finally the training of social skills.Results. Patients perceive the program as meaningful and helpful in better understanding their lives. INTRODUCTIONSchizophrenia is a chronic psychiatric illness affecting 1% to 2% of the population. Unfortunately, suboptimal follow-through with treatment too often leads to a classic revolving-door pattern of relapse and rehospitalization. While the core intervention in schizophrenia remains antipsychotic medication; the limitations of medication alone in symptomatic, relapse prevention, and satisfaction/quality of life terms have long prompted interest in wider forms of management. This aside, in the CATIE study 1 , a naturalistic randomized-controlled trial comparing five antipsychotic compounds, 74% of all patients discontinued their original medication before the end of the 18 months of the first phase of the trial.One inherent deficit in schizophrenicia is an inability to engage appropriately in social and occupational activities. The debilitating effect of this is often a lasting feature of the illness, despite adequate psychopharmacological intervention, often isolating them and making it difficult for them to advocate appropriate social support or community services. Further, studies have found that there is a correlation between poor social functioning and relapse. One of the challenges of this area, is also wide interindividual variability although standardized measures have been developed to rate the social deficits. These assessments have become important tools in the determination of effective non-pharmacological treatment strategies. In addition to long-term pharmacotherapy, quality education is considered an additional important form of assistanc.Family caregivers report high levels of burden related to caring for their mentally ill family members 2 . They may not have the knowledge and skills necessary to take on the caring responsibilities. As a result, patient relapse and readmission are common 3 .Although no evidence of a definitive cause of schizophrenia is yet available, it can be reasonably controlled though the use of pharmacotherapy and psychosocial interventions. Relapse rates (measured by number of h...

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Section: Results Of Psychoeducational Programsmentioning

confidence: 99%

Psychoeducation for Psychotic Patients

Praško¹,

Vrbová²,

Látalová³

et al. 2011

Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub

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“…Communication between inpatient and outpatient clinicians is an intervention associated with improved odds of a successful linkage to postdischarge outpatient care (Boyer et al, 2000). …”

Section: Research Evidencementioning

confidence: 99%

Quality of Care for PTSD and Depression in the Military Health System: Phase I Report

Hepner¹,

Sloss²,

Roth³

et al. 2016

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This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited. Permission is given to duplicate this document for personal use only, as long as it is unaltered and complete. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial use. For information on reprint and linking permissions, please visit www.rand.org/pubs/permissions.html.The RAND Corporation is a research organization that develops solutions to public policy challenges to help make communities throughout the world safer and more secure, healthier and more prosperous. RAND is nonprofit, nonpartisan, and committed to the public interest.RAND's publications do not necessarily reflect the opinions of its research clients and sponsors. For more information on this publication, visit www.rand.org/t/RR978 Support RANDPublished by the RAND Corporation, Santa Monica, Calif. © Copyright 2016 RAND CorporationR® is a registered trademark. Cover: U.S. Air Force photo by Senior Airman Tabatha Zarrella iii PrefaceThe U.S. Department of Defense (DoD) strives to maintain a physically and psychologically healthy, mission-ready force, and the care provided by the Military Health System (MHS) is critical to meeting this goal. Given the rates of posttraumatic stress disorder (PTSD) and depression among U.S. service members, attention has been directed to ensuring the quality and availability of programs and services targeting these and other psychological health (PH) conditions. Understanding the current quality of care for PTSD and depression is an important step toward future efforts to improve care across the MHS.To help determine whether the service members with PTSD and/or depression are receiving evidence-based care and whether there are disparities in care quality by branch of service, geographic region, and service member characteristics (e.g., gender, age, pay grade, race/ethnicity, deployment history), DoD's Defense Centers of Excellence for Psychological Health and Traumatic Brain Injury (DCoE) asked the RAND Corporation to conduct a review of the administrative data and medical records of service members diagnosed with PTSD and/or depression and to recommend areas on which the MHS could focus its efforts to continuously improve the quality of care provided to all service members.This report should be of interest to MHS personnel who provide care for service members with PTSD and/or depression. It should also be useful to those responsible for monitoring the quality of that care and developing evidence-based quality measures to improve care for service members and individuals with PTSD or depression in other health systems.This research was sponsored by DCoE and conducted within the Forces and Resources Policy Center of the RAND National Defense Research Institute, a federally funded research and development center sponsored by the Office of ...

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“…Unfortunately, nonadherence is a tremendous problem, with as many as two thirds of patients in fact not following up with recommended postdischarge aftercare appointments (Boyer, McAlpine, Pottick, & Olfson, 2000).…”

mentioning

confidence: 99%

Postdischarge suicide: A psychodynamic understanding of subjective experience and its importance in suicide prevention

Schechter¹,

Goldblatt²,

Ronningstam³

et al. 2016

Bulletin of the Menninger Clinic

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Identifying Risk Factors and Key Strategies in Linkage to Outpatient Psychiatric Care

Abstract: Effective clinical bridging strategies can be used to avoid unnecessary gaps in the delivery of psychiatric services. Incorporating these strategies into routine care would enhance continuity of care, especially for some high-risk patients.

Cited by 139 publications

References 26 publications

Psychoeducation for Psychotic Patients

Psychoeducation for Psychotic Patients

Quality of Care for PTSD and Depression in the Military Health System: Phase I Report

Postdischarge suicide: A psychodynamic understanding of subjective experience and its importance in suicide prevention

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