Mobile Delivery Program to Prevent Relapse and Improve Functioning in Patients With Psychiatric Diseases.

Autor:	Sanzone EM; Cooper Medical School of Rowan University, Camden, NJ., Kam O; Stony Brook School of Medicine, Stony Brook, NY., Sanzone KE; Department of Psychiatry, University of California San Diego School of Medicine, La Jolla, CA., Bai M; Columbia University, New York, NY., Rodecker N; Department of Psychiatry and Behavioral Health, Stony Brook, NY., Shad MU; Department of Psychiatry, University of Nevada, Las Vegas, NV., Varghese SP; Department of Addiction Recovery Treatment Services, Veterans Affairs Northern California Health Care System, University of California, Davis, Sacramento, CA., Barlati S; Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy., Kirschner M; Department of Psychiatry, Division of Adult Psychiatry, University Hospitals of Geneva, Geneva, Switzerland, and Department of Psychiatry, Psychotherapy and Psychosomatics, Psychiatric Hospital, University of Zurich, Zurich, Switzerland., Kooner P; Department of Psychiatry, West London NHS Trust, London, England, UK., Velligan DI; Department of Psychiatry, University of Texas Health Science Center, San Antonio, TX., Aiyer R; Suny Hills Behavioral Health, Fullerton, CA., Waszkiewicz N; Department of Psychiatry, Medical University of Bialystok, Poland., Castle DJ; Department of Psychiatry, University of Tasmania, Hobart, TAS, Australia., Cowan RL; Departments of Psychiatry, Anatomy and Neurobiology, Memphis, TN.; Department of Health Promotions and Disease Prevention, University of Tennessee Health Science Center, Memphis, TN., Koola MM; Department of Psychiatry and Behavioral Health, Cooper University Health Care, Cooper Medical School of Rowan University, Camden, NJ.
Jazyk:	angličtina
Zdroj:	Journal of psychiatric practice [J Psychiatr Pract] 2024 Sep 01; Vol. 30 (5), pp. 364-373. Date of Electronic Publication: 2024 Sep 01.
DOI:	10.1097/PRA.0000000000000807
Abstrakt:	The term "revolving door patients" refers to those who are frequently rehospitalized for relapse. This phenomenon can be explained by a multitude of factors, including a lack of medical and/or social support. On the basis of a review of various modalities of psychiatric treatment, such as long-acting injectables, assisted outpatient treatment, and telehealth, it is clear that a major underlying issue among people with psychiatric diseases who lack insight into their mental and physical health is medication nonadherence. Therefore, we propose a mobile delivery program (MDP) in which health care professionals deliver medications and care to psychiatric patients in their own homes. The target patient population for MDP is patients with medication nonadherence, frequent emergency department visits, and missed appointments. Patients with mental illnesses, especially schizophrenia, are disproportionately represented among the homeless and incarcerated populations. By implementing MDP, we can help break the cycle of incarceration for patients with mental illnesses and homelessness. In addition, the cost of transportation and salaries for the mobile delivery team would be considerably lower than the billions of dollars spent each year due to relapses, emergency department visits, inpatient admissions, and crime leading to long-term stays in correctional facilities. This model has the potential to reduce relapse, improve functioning, and reduce excess morbidity and mortality. Substantial cost savings for health services can, in turn, be expected. Competing Interests: The authors declare no conflicts of interest. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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