Needs, Perceived Support, and Hospital Readmissions in Patients with Severe Mental Illness.
People with severe mental illness have multiple and complex needs that often are not addressed. The purpose of this study was to analyse needs and support perceived and the relationship with hospital readmission. We assessed 100 patients with severe mental illness at discharge from an acute inpatient unit in terms of needs (Camberwell Assessment of Needs), clinical status (The Brief Psychiatric Rating Scale), and social functioning (Personal and Social Performance); we also followed up these patients for 1 year. The group of patients who were readmitted had more total needs than did the non-readmitted, in addition to more unmet needs, although the differences were not significant. The highest risk factor for rehospitalisation was the number of previous admissions. In addition, the help of informal carers in alleviating psychological distress was associated with the risk of readmission. The main conclusion concerns the role of the psychological support provided by informal networks in preventing readmission.
Department of Mental Health, Research Institute of Malaga (IBIMA), University General Hospital of Malaga, Biomedical, Malaga, Spain. joseguzman@uma.es.|Plaza Hospital Civil S/N Unidad de Investigación Salud Mental, Planta 1 Pabellón 4, 29010, Malaga, Spain. joseguzman@uma.es.
Jose
J
Guzman-Parra
Departamento Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Grupo GAP, Universidad de Málaga, Malaga, Spain.
Berta
B
Moreno-Küstner
Department of Mental Health, Research Institute of Malaga (IBIMA), University General Hospital of Malaga, Biomedical, Malaga, Spain.
Fabio
F
Rivas
Department of Mental Health, Research Institute of Malaga (IBIMA), University General Hospital of Malaga, Biomedical, Malaga, Spain.
Mercedes
M
Alba-Vallejo
Department of Mental Health, Research Institute of Malaga (IBIMA), University General Hospital of Malaga, Biomedical, Malaga, Spain.
Javier
J
Hernandez-Pedrosa
Department of Mental Health, Research Institute of Malaga (IBIMA), University General Hospital of Malaga, Biomedical, Malaga, Spain.
Fermin
F
Mayoral-Cleries
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006301:Health Services Needs and Demand / Q000706:statistics & numerical data; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D001523:Mental Disorders / Q000628:therapy*; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D012917:Social Adjustment; D055815:Young Adult
Needs; Perceived Support; Readmissions; Severe Mental illness