title: Care coordinators: a controlled evaluation of an inpatient mental health service innovation.
abstract: The study aimed to evaluate the impact of introducing designated care coordinators into an acute mental health inpatient unit in terms of service delivery, clinical outcomes, and service user and significant other perceptions. A pre-post-controlled design was implemented with a consecutive sample of 292 service users admitted and staying more than 5 days in two wards, with care coordinators introduced in one ward. Data were obtained from clinical records, standard measures, and service user and significant other surveys. Care coordinator input was associated with significant improvements in service delivery and stronger involvement of significant others and community resources. Care-coordinated clients showed significantly better clinical outcomes, including the Health of Nations Outcome Scales behaviour subscale, less time in the intensive care subunit, less community crisis team input in the week following discharge, and lower rates of readmission in the month following discharge. Care-coordinated service users and their significant others gave higher ratings of service delivery, outcome, and satisfaction. The results indicate that designated care coordinators significantly improve care processes, outcomes, and service user experience in acute inpatient mental health settings.
authors.affiliation: Department of Psychology, Counties Manukau District Health Board, Waitemata District Health Board, Auckland, New Zealand.
authors.forename: Malcolm W
authors.initials: MW
authors.lastname: Stewart
authors.forename: Michael
authors.initials: M
authors.lastname: Wilson
authors.forename: Karla
authors.initials: K
authors.lastname: Bergquist
authors.forename: John
authors.initials: J
authors.lastname: Thorburn
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003266:Continuity of Patient Care / Q000458:organization & administration; D005260:Female; D006801:Humans; D007297:Inpatients; D008297:Male; D001523:Mental Disorders / Q000628:therapy; D008605:Mental Health Services / Q000458:organization & administration; D008875:Middle Aged; D017060:Patient Satisfaction; D015397:Program Evaluation; D011567:Psychiatric Department, Hospital / Q000458:organization & administration* / Q000592:standards; D011568:Psychiatric Nursing / Q000458:organization & administration; D055815:Young Adult