Brief Report: A Randomized Control Trial Assessing the Influence of a Telephone-based Intervention on Readmissions for Patients with Severe Mental Illness in a Developing Country

Autor: Dana J.H. Niehaus, Liezl Koen, Esme Jordaan, Ulla Botha, M. Mazinu
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Male
medicine.medical_specialty
Health (social science)
Telephone-based facilitation
Population
Psychological intervention
Poison control
Motivational Interviewing
Suicide prevention
Patient Readmission
Health(social science)
law.invention
03 medical and health sciences
South Africa
0302 clinical medicine
Randomized controlled trial
law
Intervention (counseling)
Interview
Psychological
medicine
Humans
030212 general & internal medicine
Days in hospital
education
Developing Countries
education.field_of_study
Dual diagnosis patients
business.industry
Brief Report
Mental Disorders
Public Health
Environmental and Occupational Health
Length of Stay
Mental illness
medicine.disease
030227 psychiatry
Telephone
Psychiatry and Mental health
Post-discharge initiative
Emergency medicine
Dual diagnosis
Female
Medical emergency
business
Readmission
Zdroj: Community Mental Health Journal
ISSN: 1573-2789
0010-3853
Popis: Whilst comprehensive post-discharge interventions have been successful in reducing readmissions in our setting, they are possibly not sustainable due to limited resources. We assessed the impact of a more cost-effective telephone-based intervention on readmissions in a developing country over 12 months. 100 patients with severe mental illness were randomized to facilitated care or treatment as usual. All were interviewed prior to discharge and after 12 months. Facilitated care consisted of structured telephonic interviews and motivational support to patients and families. At 12 months no significant differences in either readmissions (p = 0.10) or days in hospital (p = 0.44) could be demonstrated. Substance use was high (64%), particularly methamphetamine (44%) in both groups. The intervention did not have any impact on inpatient usage in our setting. Though this study was limited by its small sample size, the results indicated that affordable post-discharge services may not be comprehensive enough to reduce readmission rates and would have to be tailored to the distinct population of dual diagnosis patients identified in this study.
Databáze: OpenAIRE
Externí odkaz: