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Discharge interventions from inpatient child and adolescent mental health care: a scoping review
The post-discharge period is an extremely vulnerable period for patients, particularly for those discharged from inpatient children and adolescent mental health services (CAMHS). Poor discharge practices and discontinuity of care can put children and youth at heightened risk for readmission, among o...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9209379/ https://www.ncbi.nlm.nih.gov/pubmed/32886222 http://dx.doi.org/10.1007/s00787-020-01634-0 |
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author | Chen, A. Dinyarian, C. Inglis, F. Chiasson, C. Cleverley, Kristin |
author_facet | Chen, A. Dinyarian, C. Inglis, F. Chiasson, C. Cleverley, Kristin |
author_sort | Chen, A. |
collection | PubMed |
description | The post-discharge period is an extremely vulnerable period for patients, particularly for those discharged from inpatient children and adolescent mental health services (CAMHS). Poor discharge practices and discontinuity of care can put children and youth at heightened risk for readmission, among other adverse outcomes. However, there is limited understanding of the structure and effectiveness of interventions to facilitate discharges from CAMHS. As such, a scoping review was conducted to identify the literature on discharge interventions. This scoping review aimed to describe key components, designs, and outcomes of existing discharge interventions from CAMHS. Nineteen documents were included in the final review. Discharge interventions were extracted and summarized for pre-discharge, post-discharge, and bridging elements. Results of this scoping review found that intervention elements included aspects of risk assessment, individualized care, discharge preparation, community linkage, psychoeducation, and follow-up support. Reported outcomes of discharge interventions were also extracted and included positive patient and caregiver satisfaction, improved patient health outcomes, and increased cost effectiveness. Literature on discharge interventions from inpatient CAMHS, while variable in structure, consistently underscore the role of such interventions in minimizing patient and family vulnerability post-discharge. However, findings are limited by inadequate reporting and heterogeneity across studies. There is a need for further research into the design, implementation, and evaluation of interventions to support successful discharges from inpatient child and adolescent mental health care. |
format | Online Article Text |
id | pubmed-9209379 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-92093792022-06-22 Discharge interventions from inpatient child and adolescent mental health care: a scoping review Chen, A. Dinyarian, C. Inglis, F. Chiasson, C. Cleverley, Kristin Eur Child Adolesc Psychiatry Review The post-discharge period is an extremely vulnerable period for patients, particularly for those discharged from inpatient children and adolescent mental health services (CAMHS). Poor discharge practices and discontinuity of care can put children and youth at heightened risk for readmission, among other adverse outcomes. However, there is limited understanding of the structure and effectiveness of interventions to facilitate discharges from CAMHS. As such, a scoping review was conducted to identify the literature on discharge interventions. This scoping review aimed to describe key components, designs, and outcomes of existing discharge interventions from CAMHS. Nineteen documents were included in the final review. Discharge interventions were extracted and summarized for pre-discharge, post-discharge, and bridging elements. Results of this scoping review found that intervention elements included aspects of risk assessment, individualized care, discharge preparation, community linkage, psychoeducation, and follow-up support. Reported outcomes of discharge interventions were also extracted and included positive patient and caregiver satisfaction, improved patient health outcomes, and increased cost effectiveness. Literature on discharge interventions from inpatient CAMHS, while variable in structure, consistently underscore the role of such interventions in minimizing patient and family vulnerability post-discharge. However, findings are limited by inadequate reporting and heterogeneity across studies. There is a need for further research into the design, implementation, and evaluation of interventions to support successful discharges from inpatient child and adolescent mental health care. Springer Berlin Heidelberg 2020-09-04 2022 /pmc/articles/PMC9209379/ /pubmed/32886222 http://dx.doi.org/10.1007/s00787-020-01634-0 Text en © The Author(s) 2020 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Review Chen, A. Dinyarian, C. Inglis, F. Chiasson, C. Cleverley, Kristin Discharge interventions from inpatient child and adolescent mental health care: a scoping review |
title | Discharge interventions from inpatient child and adolescent mental health care: a scoping review |
title_full | Discharge interventions from inpatient child and adolescent mental health care: a scoping review |
title_fullStr | Discharge interventions from inpatient child and adolescent mental health care: a scoping review |
title_full_unstemmed | Discharge interventions from inpatient child and adolescent mental health care: a scoping review |
title_short | Discharge interventions from inpatient child and adolescent mental health care: a scoping review |
title_sort | discharge interventions from inpatient child and adolescent mental health care: a scoping review |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9209379/ https://www.ncbi.nlm.nih.gov/pubmed/32886222 http://dx.doi.org/10.1007/s00787-020-01634-0 |
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