Transitional care programs to improve the post-discharge experience of patients with multiple chronic conditions and co-occurring serious mental illness: A scoping review.

Autor: Brom H; Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, United States of America; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 19104, United States of America. Electronic address: hmbrom@upenn.edu., Sliwinski K; Center for Health Services and Outcomes Research, Northwestern University Feinberg School of Medicine, 633 N. St. Clair St. Suite 2000, Chicago, IL 60611, United States of America. Electronic address: Kathy.sliwinski@northwestern.edu., Amenyedor K; Yale School of Medicine, 333 Cedar St., New Haven, CT 06510, United States of America. Electronic address: kelvin.amenyedor@yale.edu., Brooks Carthon JM; Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, 418 Curie Blvd., Philadelphia, PA 19104, United States of America; Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 19104, United States of America. Electronic address: jmbrooks@nursing.upenn.edu.
Jazyk: angličtina
Zdroj: General hospital psychiatry [Gen Hosp Psychiatry] 2024 Nov-Dec; Vol. 91, pp. 106-114. Date of Electronic Publication: 2024 Oct 15.
DOI: 10.1016/j.genhosppsych.2024.10.007
Abstrakt: The transition from hospital to home can be especially challenging for those with multiple chronic conditions and co-occurring serious mental illness (SMI). This population tends to be Medicaid-insured and disproportionately experiences health-related social needs. The aim of this scoping review was to identify the elements and outcomes of hospital-to-home transitional care programs for people diagnosed with SMI. A scoping review was conducted using Arksey and O'Malley's methodology. Three databases were searched; ten articles describing eight transitional care programs published from 2013 to 2024 met eligibility criteria. Five programs focused on patients being discharged from a psychiatric admission. Five of the interventions were delivered in the home. Intervention components included coaching services, medication management, psychiatric providers, and counseling. Program lengths ranged from one month to 90 days post-hospitalization. These programs evaluated quality of life, psychiatric symptoms, medication adherence, readmissions, and emergency department utilization. Notably, few programs appeared to directly address the unmet social needs of participants. While the focus and components of each transitional care program varied, there were overall positive improvements for participants in terms of improved quality of life, increased share decision making, and connections to primary and specialty care providers.
Competing Interests: Declaration of competing interest Research reported in this publication was supported by the National Institute of Nursing Research of the National Institutes of Health under Award Number T32NR007104. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors report no competing interests to declare. The authors have no other competing interests to declare.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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