Psychiatric readmission: an integrative review of the literature

Machado, Vanessa Foresto; Leonidas, Carolina; Santos, Manoel Antônio dos; Souza, Jacqueline de

doi:10.1111/j.1466-7657.2012.01011.x

Cited by 37 publications

(34 citation statements)

References 23 publications

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“…The review strategy involved the following steps:15,16 1) carry out a systematic survey of national and international publications on ED, social networks, and social support; 2) identify the authors, types of studies, years of publication, journals in which these studies were published, the origin of the articles, which language they were written in, the goals of the study, and the obtained results; and 3) conduct a descriptive analysis of the studies’ findings and provide a critical evaluation of the contributions offered for the production of knowledge on the subject.…”

Section: Methodsmentioning

confidence: 99%

Social support networks and eating disorders: an integrative review of the literature

Leonidas¹,

Santos²

2014

NDT

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AimsThis study aimed to analyze the scientific literature about social networks and social support in eating disorders (ED).MethodsBy combining keywords, an integrative review was performed. It included publications from 2006–2013, retrieved from the MEDLINE, LILACS, PsycINFO, and CINAHL databases. The selection of articles was based on preestablished inclusion and exclusion criteria.ResultsA total of 24 articles were selected for data extraction. There was a predominance of studies that used nonexperimental and descriptive designs, and which were published in international journals. This review provided evidence of the fact that fully consolidated literature regarding social support and social networks in patients with ED is not available, given the small number of studies dedicated to the subject. We identified evidence that the family social network of patients with ED has been widely explored by the literature, although there is a lack of studies about other networks and sources of social support outside the family.ConclusionThe evidence presented in this study shows the need to include other social networks in health care. This expansion beyond family networks would include significant others – such as friends, colleagues, neighbors, people from religious groups, among others – who could help the individual coping with the disorder. The study also highlights the need for future research on this topic, as well as a need for greater investment in publications on the various dimensions of social support and social networks.

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Section: Methodsmentioning

confidence: 99%

Social support networks and eating disorders: an integrative review of the literature

Leonidas¹,

Santos²

2014

NDT

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“…Atualmente, as políticas em saúde mental do Estado brasileiro se caracterizam por ações integradas dos governos federal, estadual, municipal e de movimentos sociais, que buscam efetivar a pretendida transição do modelo centrado no hospital psiquiátrico para um modelo de atenção comunitário e baseado na comunidade (Machado, Leonidas, & Santos, 2012). Esse novo modelo é chamado Atenção Psicossocial (Amarante, 2011;Costa-Rosa, 2000) ou Estratégia Atenção Psicossocial (Costa-Rosa, 2013;Yasui & Costa-Rosa, 2008), que não se restringe à disponibilização de uma rede de serviços que se propõem a substituir o manicômio, mas representa a instauração de um outro paradigma de cuidado em saúde mental, que acompanha a mudança paradigmática implantada em diversos países e continentes envolvendo desde a problematização do conceito de saúde mental até as táticas de tratamento e as estratégias de cuidado (Yasui, 2010).…”

Section: Novos Ventos Chegam Aos Trópicos: a Reforma Psiquiátrica Braunclassified

Estrutura e funcionamento de uma equipe de saúde mental de Trieste na perspectiva de seus integrantes: um estudo qualitativo

Oliveira¹,

Fabrici

Santos

2018

Psipesq

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O Modelo de Atenção Psicossocial vigente no Brasil requer práticas interdisciplinares e intersetoriais que produzam autonomia e cidadania. Essemodelo teve forte inspiração no modelo italiano. Este estudo teve por objetivo investigar a estrutura e funcionamento de uma equipe de saúdemental de Trieste, Itália, referência internacional na área, na perspectiva de seus integrantes. Entrevistas semiestruturadas foram realizadas com noveprofissionais. As entrevistas audiogravadas foram transcritas e analisadas qualitativamente. Os resultados apontam que a cobertura populacional doserviço, número de profissionais, organização das práticas, frequência e qualidade de reuniões são recursos essenciais. O eixo central do trabalho é aexistência de múltiplos espaços de discussão para a equipe e usuários, que potencializam práticas centradas na pessoa e no território. O processo dereflexão contínua é pautado em ações não-especialísticas e na discussão sobre as práticas cotidianas.

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“…Repeated hospitalisations for patients with psychiatric disorders may reflect the type of illness, but also environmental factors and underlying inefficiencies in pre- and post-discharge treatment [1]. Readmissions may be disruptive to patients and their families, and represent a strain on limited health care resources.…”

Section: Introductionmentioning

confidence: 99%

“…Also, previous reviews have typically identified and discussed system characteristics as pre- or post-discharge service use of psychiatric patients [1, 7, 8]. However, in many instances there is not a clear cut separation between patient characteristics and systems characteristics.…”

Section: Introductionmentioning

confidence: 99%

Psychiatric readmissions and their association with environmental and health system characteristics: a systematic review of the literature

et al. 2016

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BackgroundPsychiatric readmissions have been studied at length. However, knowledge about how environmental and health system characteristics affect readmission rates is scarce. This paper systemically reviews and discusses the impact of health and social systems as well as environmental characteristics for readmission after discharge from inpatient care for patients with a psychiatric diagnosis.MethodsComprehensive literature searches were conducted in the electronic bibliographic databases Ovid Medline, PsycINFO, ProQuest Health Management and OpenGrey. In addition, Google Scholar was utilised. Relevant publications published between January 1990 and June 2014 were included. No restrictions regarding language or publication status were imposed. A qualitative synthesis of the included studies was performed. Variables describing system and environmental characteristics were grouped into three groups: those capturing regulation, financing system and governance; those capturing capacity, organisation and structure; and those capturing environmental variables.ResultsOf the 734 unique articles identified in the original search, 35 were included in the study. There is a limited number of studies on psychiatric readmissions and their association with environmental and health system characteristics. Even though the review reveals an extensive list of characteristics studied, most characteristics appear in a very limited number of articles. The most frequently studied characteristics are related to location (local area, district/region/country). In most cases area differences were found, providing strong indication that the risk of readmission not only relates to patient characteristics but also to system and/or environmental factors that vary between areas. The literature also points in the direction of a negative association of institutional length of stay and community aftercare with readmission for psychiatric patients.ConclusionThis review shows that analyses of system level variables are scarce. Furthermore they differ with respect to purpose, choice of system characteristics and the way these characteristics are measured. The lack of studies looking at the relationship between readmissions and provider payment models is striking. Without the link to provider payment models and other health system characteristics related to regulation, financing system and governance structure it becomes more difficult to draw policy implications from these analyses.Electronic supplementary materialThe online version of this article (doi:10.1186/s12888-016-1099-8) contains supplementary material, which is available to authorized users.

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Psychiatric readmission: an integrative review of the literature

Abstract: It was noted that the perspective of the patient regarding their readmissions, as well as the interface with the social and familial context in which they maintain their social relationships and care for their health, was largely unexplored by the literature.

Cited by 37 publications

References 23 publications

Social support networks and eating disorders: an integrative review of the literature

Social support networks and eating disorders: an integrative review of the literature

Estrutura e funcionamento de uma equipe de saúde mental de Trieste na perspectiva de seus integrantes: um estudo qualitativo

Psychiatric readmissions and their association with environmental and health system characteristics: a systematic review of the literature

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