Practices preventing rehospitalization of individuals with schizophrenia.
While psychosocial care approaches such as assertive community treatment or partial hospitalization can help prevent psychiatric inpatient stay, the ability of specific services to prevent admission is less clear (e.g., recognizing signs of impending relapse, promoting daily structure). Therefore, within 3 months of psychiatric hospital discharge, this study examined the extent to which inpatient readmission among 264 persons with schizophrenia was averted by interventions addressing medication education, symptom education, service continuity, social skills, daily living, daily structure, and family issues. After accounting for demographic characteristics in logistic regression equations, findings suggested that interventions addressing symptom education, service continuity, and daily structure were most effective in preventing inpatient stay among individuals with four or more prior hospitalizations. However, these services became statistically insignificant in preventing readmission among counterparts with fewer previous inpatient stays. While protective effects may differ among persons with varying hospitalization histories, results indicate that resource-poor outpatient centers could focus on these three interventions when care must be limited to rehospitalization prevention.
Prince
Jonathan D
JD
Rutgers: The State University of New Jersey, School of Social Work, New Brunswick, New Jersey 08901-1167, USA.
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D000359:Aftercare / Q000379:methods; D015928:Cognitive Behavioral Therapy / Q000379:methods; D003156:Community Mental Health Services / Q000379:methods; D003266:Continuity of Patient Care; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006778:Hospitals, Psychiatric / Q000706:statistics & numerical data; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D010351:Patient Discharge; D010353:Patient Education as Topic; D010359:Patient Readmission / Q000706:statistics & numerical data; D011314:Preventive Health Services / Q000379:methods*; D011569:Psychiatric Status Rating Scales; D012559:Schizophrenia / Q000175:diagnosis / Q000534:rehabilitation / Q000628:therapy*; D012565:Schizophrenic Psychology; D055502:Secondary Prevention; D016896:Treatment Outcome