Rapid follow-up for patients after psychiatric crisis.
Patients in psychiatric crisis often lack connection to community resources and present to emergency departments (EDs) for care. A transitional psychiatry clinic (TPC) bridged patients after ED visit. These retrospective chart review data of 390 patients were analyzed by ANOVA, logistic regression and survival analysis. Predictors of ED return included psychosis, personality disorder and increased number of prior ED visits. Longer wait for the TPC was associated strongly with non-attendance. TPC appointment within 3 days was associated with significantly longer time in the community without ED presentation. Rapid follow-up after ED visits increased attendance at aftercare and lengthens community tenure.
Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati, Cincinnati, OH, USA, cheryl.mccullumsmith@uc.edu.
Cheryl
C
McCullumsmith
Brendan
B
Clark
Courtney
C
Blair
Karen
K
Cropsey
Richard
R
Shelton
D000328:Adult; D000359:Aftercare; D000407:Alabama / Q000453:epidemiology; D000704:Analysis of Variance; D003156:Community Mental Health Services; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D004637:Emergency Services, Psychiatric / Q000706:statistics & numerical data*; D005260:Female; D006785:Hospitals, University; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology / Q000628:therapy*; D008875:Middle Aged; D010360:Patient Transfer; D012189:Retrospective Studies