Recovery-oriented inpatient mental health care and readmission.

IF 1.8 3区医学 Q3 PSYCHIATRY Psychiatric Rehabilitation Journal Pub Date : 2022-12-01 Epub Date: 2022-10-06 DOI:10.1037/prj0000533

Alan B McGuire, Mindy E Flanagan, Laura J Myers, Marina Kukla, Angela L Rollins, Jennifer Garabrant, Nancy Henry, Johanne Eliacin, Marcia G Hunt, Gayle Y Iwamasa, Jessica L Carter, Michelle P Salyers

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Abstract

Objective: This article examines the relationship between inpatient mental health units' adherence to recovery-oriented care and 30-day patient readmission.

Method: The sample included patients admitted to one of 34 Veterans Health Administration inpatient mental health units. Recovery-oriented care was assessed using interviews and site visits. Patient characteristics and readmission data were derived from administrative data.

Findings: Overall recovery orientation was not associated with readmission. Exploratory analyses found higher scores on a subsample of items pertaining to inpatient therapeutic programming were associated with lower patient readmissions. Additionally, patients with more prior service use and substance abuse or personality disorders were more likely to be readmitted.

Conclusions and implications for practice: A growing body of literature supports the association between psychotherapeutic services in inpatient units and better patient outcomes. However, further research is needed to examine this association. More work is needed to develop appropriate psychotherapy services for the inpatient setting and support their implementation. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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以康复为导向的住院精神健康护理和再入院。

目的本文研究了住院精神卫生单位坚持以康复为导向的护理与患者 30 天再入院之间的关系：方法：样本包括退伍军人健康管理局 34 家精神疾病住院部中的一家。通过访谈和实地考察对康复导向护理进行评估。患者特征和再入院数据来自管理数据：总体康复导向与再入院无关。探索性分析发现，在与住院治疗计划相关的子项目上得分越高，患者的再入院率越低。此外，以前使用过更多服务、有药物滥用或人格障碍的患者更有可能再次入院：越来越多的文献支持住院部的心理治疗服务与更好的患者预后之间的关联。然而，还需要进一步的研究来检验这种关联。还需要做更多的工作，为住院环境开发适当的心理治疗服务，并支持其实施。(PsycInfo Database Record (c) 2023 APA，保留所有权利）。

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来源期刊

Psychiatric Rehabilitation Journal Multiple-

CiteScore

3.80

自引率

5.30%

发文量

期刊介绍： The Psychiatric Rehabilitation Journal is sponsored by the Center for Psychiatric Rehabilitation, at Boston University"s Sargent College of Health and Rehabilitation Sciences and by the US Psychiatric Rehabilitation Association (USPRA) . The mission of the Psychiatric Rehabilitation Journal is to promote the development of new knowledge related to psychiatric rehabilitation and recovery of persons with serious mental illnesses.