Cargando…

Two-year experience of the implementation of a psychiatric home hospitalization care service for acute mental illness

INTRODUCTION: Psychiatric home hospitalisation is a service aiming to support people with mental illnesses in their acute stage at their own home. This care model has been recently implemented in our territory with the main objective of avoiding hospital admissions. OBJECTIVES: Our goal is to descri...

Descripción completa

Detalles Bibliográficos
Autores principales: Guàrdia, A., Marin, L., González-Rodríguez, A., Bañon, V., Izquierdo, E., Lafuente, L., Martinez-Bio, X., Llors, D., Natividad, M., Ros, L., Monreal, J. A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cambridge University Press 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10393009/
http://dx.doi.org/10.1192/j.eurpsy.2023.408
_version_ 1785083072743473152
author Guàrdia, A.
Marin, L.
González-Rodríguez, A.
Bañon, V.
Izquierdo, E.
Lafuente, L.
Martinez-Bio, X.
Llors, D.
Natividad, M.
Ros, L.
Monreal, J. A.
author_facet Guàrdia, A.
Marin, L.
González-Rodríguez, A.
Bañon, V.
Izquierdo, E.
Lafuente, L.
Martinez-Bio, X.
Llors, D.
Natividad, M.
Ros, L.
Monreal, J. A.
author_sort Guàrdia, A.
collection PubMed
description INTRODUCTION: Psychiatric home hospitalisation is a service aiming to support people with mental illnesses in their acute stage at their own home. This care model has been recently implemented in our territory with the main objective of avoiding hospital admissions. OBJECTIVES: Our goal is to describe a cohort of patients followed up over 2-years in the context of a pilot mental health program within a community-based model (Mutua Terrassa University Hospital). METHODS: We conducted a prospective longitudinal study including 125 patients attended from 01/11/2020 to 09/11/2022 in our reference area of 250,000 inhabitants. The team was formed by 1 psychiatrist and 1 mental health nurse. DSM-5 diagnoses, socio-demographic variables, mean stay and care trajectories were collected. RESULTS: One-hundred twenty-five patients were attended (women: 70). Mean age at consultation: 38.3 years-old. Mean stay: 24 days. The most frequent diagnoses: non-affective psychotic disorders (58%), affective disorders (30%), followed by anxiety and personality disorders. Referrals from Community Mental Health Outpatient Services (CMHS) (72%), Acute Inpatient Unit (25%), and Psychiatric Emergency Service (3%). Referrals after discharge: CMHS (83%), Adult Acute Inpatient Unit (13%), others (4%). Individualized mental health plans were carried out in all cases, in coordination with community mental health services. Follow-up adherence after discharge was about 95%. Patients with first-episode of psychosis showed the highest degree of satisfaction (N=46). CONCLUSIONS: Patients with emerging psychosis were the profile of users who showed the highest benefit of our service. Women showed higher adherence, and loss to follow-up was lower than we expected. DISCLOSURE OF INTEREST: None Declared
format Online
Article
Text
id pubmed-10393009
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher Cambridge University Press
record_format MEDLINE/PubMed
spelling pubmed-103930092023-08-02 Two-year experience of the implementation of a psychiatric home hospitalization care service for acute mental illness Guàrdia, A. Marin, L. González-Rodríguez, A. Bañon, V. Izquierdo, E. Lafuente, L. Martinez-Bio, X. Llors, D. Natividad, M. Ros, L. Monreal, J. A. Eur Psychiatry Abstract INTRODUCTION: Psychiatric home hospitalisation is a service aiming to support people with mental illnesses in their acute stage at their own home. This care model has been recently implemented in our territory with the main objective of avoiding hospital admissions. OBJECTIVES: Our goal is to describe a cohort of patients followed up over 2-years in the context of a pilot mental health program within a community-based model (Mutua Terrassa University Hospital). METHODS: We conducted a prospective longitudinal study including 125 patients attended from 01/11/2020 to 09/11/2022 in our reference area of 250,000 inhabitants. The team was formed by 1 psychiatrist and 1 mental health nurse. DSM-5 diagnoses, socio-demographic variables, mean stay and care trajectories were collected. RESULTS: One-hundred twenty-five patients were attended (women: 70). Mean age at consultation: 38.3 years-old. Mean stay: 24 days. The most frequent diagnoses: non-affective psychotic disorders (58%), affective disorders (30%), followed by anxiety and personality disorders. Referrals from Community Mental Health Outpatient Services (CMHS) (72%), Acute Inpatient Unit (25%), and Psychiatric Emergency Service (3%). Referrals after discharge: CMHS (83%), Adult Acute Inpatient Unit (13%), others (4%). Individualized mental health plans were carried out in all cases, in coordination with community mental health services. Follow-up adherence after discharge was about 95%. Patients with first-episode of psychosis showed the highest degree of satisfaction (N=46). CONCLUSIONS: Patients with emerging psychosis were the profile of users who showed the highest benefit of our service. Women showed higher adherence, and loss to follow-up was lower than we expected. DISCLOSURE OF INTEREST: None Declared Cambridge University Press 2023-07-19 /pmc/articles/PMC10393009/ http://dx.doi.org/10.1192/j.eurpsy.2023.408 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstract
Guàrdia, A.
Marin, L.
González-Rodríguez, A.
Bañon, V.
Izquierdo, E.
Lafuente, L.
Martinez-Bio, X.
Llors, D.
Natividad, M.
Ros, L.
Monreal, J. A.
Two-year experience of the implementation of a psychiatric home hospitalization care service for acute mental illness
title Two-year experience of the implementation of a psychiatric home hospitalization care service for acute mental illness
title_full Two-year experience of the implementation of a psychiatric home hospitalization care service for acute mental illness
title_fullStr Two-year experience of the implementation of a psychiatric home hospitalization care service for acute mental illness
title_full_unstemmed Two-year experience of the implementation of a psychiatric home hospitalization care service for acute mental illness
title_short Two-year experience of the implementation of a psychiatric home hospitalization care service for acute mental illness
title_sort two-year experience of the implementation of a psychiatric home hospitalization care service for acute mental illness
topic Abstract
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10393009/
http://dx.doi.org/10.1192/j.eurpsy.2023.408
work_keys_str_mv AT guardiaa twoyearexperienceoftheimplementationofapsychiatrichomehospitalizationcareserviceforacutementalillness
AT marinl twoyearexperienceoftheimplementationofapsychiatrichomehospitalizationcareserviceforacutementalillness
AT gonzalezrodrigueza twoyearexperienceoftheimplementationofapsychiatrichomehospitalizationcareserviceforacutementalillness
AT banonv twoyearexperienceoftheimplementationofapsychiatrichomehospitalizationcareserviceforacutementalillness
AT izquierdoe twoyearexperienceoftheimplementationofapsychiatrichomehospitalizationcareserviceforacutementalillness
AT lafuentel twoyearexperienceoftheimplementationofapsychiatrichomehospitalizationcareserviceforacutementalillness
AT martinezbiox twoyearexperienceoftheimplementationofapsychiatrichomehospitalizationcareserviceforacutementalillness
AT llorsd twoyearexperienceoftheimplementationofapsychiatrichomehospitalizationcareserviceforacutementalillness
AT natividadm twoyearexperienceoftheimplementationofapsychiatrichomehospitalizationcareserviceforacutementalillness
AT rosl twoyearexperienceoftheimplementationofapsychiatrichomehospitalizationcareserviceforacutementalillness
AT monrealja twoyearexperienceoftheimplementationofapsychiatrichomehospitalizationcareserviceforacutementalillness