Reasons for rapid readmission to general adult psychiatry wards

Abstract

Rapid readmission to psychiatry wards (the 'revolving doors' scenario) is a common source of frustration to both patients and the teams treating them. However, the reasons behind these rapid readmissions have not been closely studied previously. Here, the authors describe their retrospective study investigating the reasons behind the readmissions that had taken place in the general adult psychiatry wards of a Scottish hospital within 30 days of the last discharge. Nandini Chakraborty MD, DNB (Psych), MRCPsych Charles Aryiku MRCPsych Original research Rapid readmission to psychiatry wardsProgress in Neurology and Psychiatry

Learning through Cognitive Milieu Therapy among Inpatients with Dual Diagnosis: A Qualitative Study of Interdisciplinary Collaboration

“…Inpatient teams can feel frustrated and demoralized by patients who persistently misuse substances and are frequently readmitted (Chakraborty & Aryiku, 2008). The complexity of problems associated with co-occurring psychosis and drug and alcohol misuse is especially demanding for the milieu therapists, as they spend a large proportion of their time involved with the patients.…”

Thematic analysis of readmission into inpatient units for adults with intellectual disabilities: Two case studies

“…The Specialist Intellectual Disabilities Service (SLDS) in Hertfordshire Partnerships NHS Foundation Trust has outreach teams set up specifically to try and prevent admissions to hospitals by treating people in the community. In any setting, whether it is intellectual disabilities or mental health, there is a tendency for some service users to be re-referred for the same difficulties (Chakroborty and Aryiku, 2008). The SLDS service was interested in looking at factors associated with readmission, which is how this audit came into fruition.…”