Reducing Length of Acute Inpatient Hospitalization Using a Residential Step Down Model for Patients with Serious Mental Illness
Autor: | Brian Sheitman, Brian V. Robbins, Theodore Zarzar, Alan Cook |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty Health (social science) Poison control Suicide prevention Occupational safety and health 03 medical and health sciences 0302 clinical medicine Health care medicine Humans 030212 general & internal medicine Residential Treatment Inpatient care business.industry Mental Disorders Public Health Environmental and Occupational Health Emergency department Length of Stay Mental illness medicine.disease Community hospital 030227 psychiatry Hospitalization Psychiatry and Mental health Treatment Outcome Emergency medicine Female business |
Zdroj: | Community mental health journal. 54(2) |
ISSN: | 1573-2789 |
Popis: | Psychiatric inpatient bed numbers have been markedly reduced in recent decades often resulting in long emergency department wait times for acutely ill psychiatric patients. The authors describe a model utilizing short-term residential treatment to substitute for acute inpatient care when the barrier to discharge for patients with serious mental illness (SMI) is finding appropriate community placement. Thirty-eight patients (community hospital (n = 30) and a state hospital (n = 8)) were included. Clinical variables, pre-/post-step down length of stay, and adverse outcomes are reported. Thirty of the 38 patients completed treatment on the residential unit and were discharged to the community. Five of the patients required readmission to an inpatient unit and the other three had pre-planned state hospital discharges. The majority of patients with SMI awaiting placement can be stepped down to residential treatment, potentially freeing up an inpatient bed for an acutely ill patient. Reforms in healthcare funding are necessary to incentivize such an approach on a larger scale, despite likely cost savings. |
Databáze: | OpenAIRE |
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