title: The effects of a referral coordinator on compliance with psychiatric discharge plans.
abstract: To investigate the effectiveness of a referral coordinator on patient compliance with initial aftercare referrals, the authors conducted a three-phase study involving 554 adult psychiatric patients at a Veterans Administration medical center. The first phase of the study established baseline data on compliance; the second phase monitored compliance following staff attempts to provide patients with more assistance in making initial aftercare appointments; and the third phase monitored compliance following the interventions of the referral coordinator. Analysis of the data on patient, hospital, and treatment characteristics indicated a marked increase in aftercare compliance after the addition of the referral coordinator to the treatment team. Compliance was especially increased in the most difficult patient group--the more acutely disturbed, chronic older patients. The authors discuss the implications of the results for discharge planning.
mesh_terms: D000328:Adult; D000359:Aftercare / Q000523:psychology; D006787:Hospitals, Veterans; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D009518:New York; D010348:Patient Care Team; D010349:Patient Compliance; D010351:Patient Discharge; D011567:Psychiatric Department, Hospital / Q000458:organization & administration; D012017:Referral and Consultation