Reducing pediatric psychiatric hospital readmissions and improving quality care through an innovative Readmission Risk Predictor Tool

Abstract

Using the RPT and initiating the psychiatry nurse case manager position, less-than-30-day readmissions decreased over a 3-year period.

Models of integrated care for young people experiencing medical emergencies related to mental illness: a realist systematic review

“…However, these contrasting findings might explain more about short- and long-term readmission in this cohort rather than the intervention effects of general outpatient follow-up, given that the 'no aftercare' groups were allocated based on lower clinical acuity, thus, causing allocation bias. Alternatively, an integrated intervention for ‘troubleshoot’ telephone follow-up service was provided for caregivers ( N = 1211) [ 45 ]. The modal recipient groups were those with depressive, attention deficit hyperactivity (ADHD), anxiety, post-traumatic stress (PTSD), and autism spectrum disorders due to high risk of readmission.…”

“…Engaging family members or guardians was an innovative treatment modality for specific MHR emergencies. This was evident in innovations providing FBT aftercare for eating disorders [ 32 , 35 ], risk-prevention psychoeducation for guardians of individuals with suicide-related emergencies [ 29 ], and risk-targeted follow-up for caregivers of individuals with suicidality, PTSD, ADHD, or autism [ 28 , 45 ]. The important role of parental figures in aftercare therapies and recovery might be associated with their related risk factors, which are commonly deprivations such as parental mental illness, childhood trauma (ACEs), conflict in the home, and socioeconomic deprivation [ 49 ].…”