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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: The effects of a transitional discharge model for psychiatric patients
Author(s): Reynolds, William
Lauder, William
Sharkey, Siobhan
Maciver, Sheila
Veitch, Terry
Cameron, David A
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Keywords: randomized control trial
transitional discharge
user support
Mental health
Nursing models
Nursing Care psychology
Issue Date: Feb-2004
Date Deposited: 3-Dec-2009
Citation: Reynolds W, Lauder W, Sharkey S, Maciver S, Veitch T & Cameron DA (2004) The effects of a transitional discharge model for psychiatric patients. Journal of Psychiatric and Mental Health Nursing, 11 (1), pp. 82-88.
Abstract: This pilot randomized control trial was motivated by the discovery that many individuals with mental health problems are re-hospitalized within a year, with many being unable to fully adjust to community living. A solution was proposed in the form of an intervention called transitional discharge. The transitional discharge model included: (1) peer support, which is assistance from former patients who provide friendship, understanding and encouragement; and (2) overlap of inpatient and community staff in which the inpatient staff continue to work with the discharged patient until a working relationship is established with a community care provider. The overall aim of this study was to test the discharge model designed to assist patients discharged from acute admission wards to adjust to community living. This aim was tested through a number of related hypotheses, which suggest that, 5 months following discharge from an acute admission ward of a psychiatric hospital, individuals participating in a transitional discharge model: (1) report fewer symptoms; (2) report better levels of functioning; (3) have better quality of life; (4) are less likely to have been re-admitted to hospital. The study used a randomized experimental design with two conditions: experimental and usual treatment. In general, both the control and the experimental group demonstrated significant improvements in symptom severity and functional ability after 5 months. Usual treatment subjects in the control group were more than twice as likely to be re-admitted to hospital. This study needs to be replicated in Scotland with a larger sample and with a modified variation of the intervention called the Transitional Care Intervention.
DOI Link: 10.1111/j.1365-2850.2004.00692.x
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