Insertion dans les soins après une première hospitalisation dans un secteur pour psychose

Bonsack, Charles; Pfister, Thomas; Conus, Philippe

doi:10.1016/s0013-7006(06)76219-4

Cited by 20 publications

(7 citation statements)

References 19 publications

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“…In 2000, a retrospective study on 52 consecutive first admissions for psychosis in the SPC hospital revealed a long duration of untreated psychosis (DUP) that exceeded 2 years on the basis of file assessment, and high rates of drug abuse comorbidity (50%), previous suicidal ideation (30%) and suicide attempts (13%). First admission was involuntary in 50% of cases, and 25% of patients went through periods of seclusion.…”

Section: Methodsmentioning

confidence: 99%

Treatment and Early Intervention in Psychosis Program (TIPP‐Lausanne): implementation of an early intervention programme for psychosis in Switzerland

Baumann

Crespi

Marion-Veyron

et al. 2013

Early Intervention Psych

105

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Programmes for early intervention in psychosis have a major impact on patients' engagement into treatment. While development of mobile teams and assertive case management with specific training are crucial, they do not necessitate massive financial support to be started. Inclusion of a research component is important as well, in terms of service planning and improvement of both quality of care and impact of early intervention strategies.

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Section: Methodsmentioning

confidence: 99%

Treatment and Early Intervention in Psychosis Program (TIPP‐Lausanne): implementation of an early intervention programme for psychosis in Switzerland

Baumann

Crespi

Marion-Veyron

et al. 2013

Early Intervention Psych

105

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“…This may indicate that it is the focus on preparing for engagement, rather than the specifics of the transitional case management process that is particularly effective. Globally, the rate of engagement with care was, however, much higher than it was in the only previous study carried out in Lausanne which mostly included younger male patients with first episode psychosis ( 10 ). This rate was also considerably above the average rate of 50% identified in the wider literature for follow-up after acute hospitalization ( 9 ).…”

Section: Discussionmentioning

confidence: 64%

“…In another literature review, Vigod and colleagues reported, however, that only 7 out of 15 studies found a significant reduction of rehospitalizations ( 8 ). Previous studies demonstrated that around 50% of hospitalized psychiatric patients did not attend their scheduled or rescheduled outpatient appointment after discharge ( 9 , 10 ). A pilot study showed that primary and secondary care hospitalized patients tend to have a less severe illness and a better social functioning than heavy users of acute psychiatric care but that their distress and needs tended to be underestimated during hospitalization ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

Linking Primary and Secondary Care after Psychiatric Hospitalization: Comparison between Transitional Case Management Setting and Routine Care for Common Mental Disorders

Bonsack¹,

Golay²,

Manetti³

et al. 2016

Front. Psychiatry

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ObjectivesTo improve engagement with care and prevent psychiatric readmission, a transitional case management intervention has been established to link with primary and secondary care. The intervention begins during hospitalization and ends 1 month after discharge. The goal of this study was to assess the effectiveness of this short intervention in terms of the level of engagement with outpatient care and the rate of readmissions during 1 year after discharge.MethodsIndividuals hospitalized with common mental disorders were randomly assigned to be discharged to routine follow-up by private psychiatrists or general practitioners with (n = 51) or without (n = 51) the addition of a transitional case management intervention. Main outcome measures were number of contacts with outpatient care and rate of readmission during 12 months after discharge.ResultsTransitional case management patients reported more contacts with care service in the period between 1 and 3 months after discharge (p = 0.004). Later after discharge (3–12 months), no significant differences of number of contacts remained. The transitional case management intervention had no statistically significant beneficial impact on the rate of readmission (hazard ratio = 0.585, p = 0.114).ConclusionThe focus on follow-up after discharge during hospitalization leads to an increased short-term rate of engagement with ambulatory care despite no differences between the two groups after 3 months of follow-up. This short transitional intervention did, however, not significantly reduce the rate of readmissions during the first year following discharge.Trial registration number: Identifier NCT02258737.

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“…Our findings suggest that lack of ongoing treatment utilization in outpatients is a major concern and emphasize the need to improve treatment engagement among individuals with depression. Strategies for increasing the likelihood of outpatient treatment adherence include providing patients with information regarding their diagnosis, including the outpatient treatment team in discussions during the hospitalization, and teaching basic strategies for managing daily living activities and for seeking help (Anderson, 2007; Bonsack, Pfister, & Conus, 2006; Hansson, Bodlund, & Chotai, 2008; Tay, 2007). Some inpatients in our study were able to begin outpatient treatment while hospitalized which may have facilitated outpatient treatment adherence.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Treatment Utilization in Major Depression

Alonzo

Harkavy‐Friedman

Stanley³

et al. 2011

Archives of Suicide Research

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Suicide attempters with major depression are at risk for repeat attempts and often do not utilize treatment. Identifying predictors of treatment non-utilization could inform interventions to motivate treatment use and reduce suicide risk in major depression. Two hundred and seventy three participants with a major depressive episode as part of a major depressive disorder or bipolar disorder, were assessed for socio-demographic and clinical characteristics at baseline and again 1 year later to identify predictors of treatment utilization. Treatment utilization rate was high 1 year after initial evaluation (72.5%). Severity of baseline depression, baseline treatment status, and education were associated with treatment utilization at 1 year. Interventions focused on increasing knowledge about depression and treatment efficacy may improve treatment adherence when treating depression.

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Insertion dans les soins après une première hospitalisation dans un secteur pour psychose

Cited by 20 publications

References 19 publications

Treatment and Early Intervention in Psychosis Program (TIPP‐Lausanne): implementation of an early intervention programme for psychosis in Switzerland

Treatment and Early Intervention in Psychosis Program (TIPP‐Lausanne): implementation of an early intervention programme for psychosis in Switzerland

Linking Primary and Secondary Care after Psychiatric Hospitalization: Comparison between Transitional Case Management Setting and Routine Care for Common Mental Disorders

Predictors of Treatment Utilization in Major Depression

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