title: Network coordination following discharge from psychiatric inpatient treatment: a study protocol.
abstract: BACKGROUND
  Inadequate discharge planning following inpatient stays is a major issue in the provision of a high standard of care for patients who receive psychiatric treatment. Studies have shown that half of patients who had no pre-discharge contact with outpatient services do not keep their first outpatient appointment. Additionally, discharged patients who are not well linked to their outpatient care networks are at twice the risk of re-hospitalization. The aim of this study is to investigate if the Post-Discharge Network Coordination Program at ipw has a demonstrably significant impact on the frequency and duration of patient re-hospitalization. Subjects are randomly assigned to either the treatment group or to the control group. The treatment group participates in the Post-Discharge Network Coordination Program. The control group receives treatment as usual with no additional social support. Further outcome variables include: social support, change in psychiatric symptoms, quality of life, and independence in daily functioning.
  
  
  METHODS
  The study is conducted as a randomized controlled trial. Subjects are randomly assigned to either the control group or to the treatment group. Computer generated block randomization is used to assure both groups have the same number of subjects. Stratified block randomization is used for the psychiatric diagnosis of ICD-10, F1. Approximately 160 patients are recruited in two care units at Psychiatrie-Zentrum Hard Embrach and two care units at Klinik Schlosstal Winterthur.
  
  
  CONCLUSIONS
  The proposed post-discharge network coordination program intervenes during the critical post-discharge period. It focuses primarily on promoting the integration of the patients into their social networks, and additionally to coordinating outpatient care and addressing concerns of daily life.
  
  
  BACKGROUND
  ISRCTN58280620.
authors.affiliation: Department of Applied Psychology, Zurich University of Applied Sciences (ZHAW), Minervastrasse 30, P,O, Box Zurich CH-8032, Switzerland. agnes.vonwyl@zhaw.ch.
authors.forename: Agnes
authors.initials: A
authors.lastname: von Wyl
authors.forename: Gisela
authors.initials: G
authors.lastname: Heim
authors.forename: Nicolas
authors.initials: N
authors.lastname: Rüsch
authors.forename: Wulf
authors.initials: W
authors.lastname: Rössler
authors.forename: Andreas
authors.initials: A
authors.lastname: Andreae
mesh_terms: D000293:Adolescent; D000328:Adult; D000553:Ambulatory Care / Q000458:organization & administration*; D002985:Clinical Protocols; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008605:Mental Health Services / Q000458:organization & administration*; D008875:Middle Aged; D010045:Outpatients; D010351:Patient Discharge; D012107:Research Design; D059039:Standard of Care / Q000458:organization & administration*