What are the effects of implementing patient-controlled admissions in inpatient care? A study protocol of a large-scale implementation and naturalistic evaluation for adult and adolescent patients with severe psychiatric conditions throughout Region Stockholm

INTRODUCTION: Patient-controlled admissions (PCAs) represent a change in psychiatric inpatient care where patients are allowed to decide for themselves when hospitalisation might be required. Prior research has demonstrated that PCA increase the number of admissions, but decrease days in inpatient c...

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Autores principales: Smitmanis Lyle, Maria, Allenius, Emelie, Salomonsson, Sigrid, Björkdahl, Anna, Strand, Mattias, Flyckt, Lena, Hellner, Clara, Lundgren, Tobias, Jayaram-Lindström, Nitya, Rozental, Alexander
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9386218/
https://www.ncbi.nlm.nih.gov/pubmed/35973700
http://dx.doi.org/10.1136/bmjopen-2022-065770
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author Smitmanis Lyle, Maria
Allenius, Emelie
Salomonsson, Sigrid
Björkdahl, Anna
Strand, Mattias
Flyckt, Lena
Hellner, Clara
Lundgren, Tobias
Jayaram-Lindström, Nitya
Rozental, Alexander
author_facet Smitmanis Lyle, Maria
Allenius, Emelie
Salomonsson, Sigrid
Björkdahl, Anna
Strand, Mattias
Flyckt, Lena
Hellner, Clara
Lundgren, Tobias
Jayaram-Lindström, Nitya
Rozental, Alexander
author_sort Smitmanis Lyle, Maria
collection PubMed
description INTRODUCTION: Patient-controlled admissions (PCAs) represent a change in psychiatric inpatient care where patients are allowed to decide for themselves when hospitalisation might be required. Prior research has demonstrated that PCA increase the number of admissions, but decrease days in inpatient care, while both the admissions to and days in involuntary care decrease. However, investigations have been restricted to specific patient groups and have not examined other possible benefits, such as effects on symptoms, quality of life and autonomy. METHODS AND ANALYSIS: This study explores the implementation process and effects of PCA in Region Stockholm, who is currently introducing PCA for all patients with severe psychiatric conditions and extensive healthcare utilisation. In total, the study comprises approximately 45 inpatient wards, including child and adolescent psychiatry. In a naturalistic evaluation, patients assigned PCA will be followed up to 36 months, both with regard to hospitalisation rates and self-reported outcomes. In addition, qualitative studies will explore the experiences of patients, caregivers of adolescents and healthcare providers. ETHICS AND DISSEMINATION: Approval has been granted by the Swedish Ethical Review Authority (Dnr: 2020-06498). The findings from this study will be disseminated via publications in international peer-reviewed journals, at scientific conferences, as part of two doctoral theses, and through the Swedish Partnership for Mental Health. TRIAL REGISTRATION NUMBER: NCT04862897.
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spelling pubmed-93862182022-09-06 What are the effects of implementing patient-controlled admissions in inpatient care? A study protocol of a large-scale implementation and naturalistic evaluation for adult and adolescent patients with severe psychiatric conditions throughout Region Stockholm Smitmanis Lyle, Maria Allenius, Emelie Salomonsson, Sigrid Björkdahl, Anna Strand, Mattias Flyckt, Lena Hellner, Clara Lundgren, Tobias Jayaram-Lindström, Nitya Rozental, Alexander BMJ Open Mental Health INTRODUCTION: Patient-controlled admissions (PCAs) represent a change in psychiatric inpatient care where patients are allowed to decide for themselves when hospitalisation might be required. Prior research has demonstrated that PCA increase the number of admissions, but decrease days in inpatient care, while both the admissions to and days in involuntary care decrease. However, investigations have been restricted to specific patient groups and have not examined other possible benefits, such as effects on symptoms, quality of life and autonomy. METHODS AND ANALYSIS: This study explores the implementation process and effects of PCA in Region Stockholm, who is currently introducing PCA for all patients with severe psychiatric conditions and extensive healthcare utilisation. In total, the study comprises approximately 45 inpatient wards, including child and adolescent psychiatry. In a naturalistic evaluation, patients assigned PCA will be followed up to 36 months, both with regard to hospitalisation rates and self-reported outcomes. In addition, qualitative studies will explore the experiences of patients, caregivers of adolescents and healthcare providers. ETHICS AND DISSEMINATION: Approval has been granted by the Swedish Ethical Review Authority (Dnr: 2020-06498). The findings from this study will be disseminated via publications in international peer-reviewed journals, at scientific conferences, as part of two doctoral theses, and through the Swedish Partnership for Mental Health. TRIAL REGISTRATION NUMBER: NCT04862897. BMJ Publishing Group 2022-08-16 /pmc/articles/PMC9386218/ /pubmed/35973700 http://dx.doi.org/10.1136/bmjopen-2022-065770 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Mental Health
Smitmanis Lyle, Maria
Allenius, Emelie
Salomonsson, Sigrid
Björkdahl, Anna
Strand, Mattias
Flyckt, Lena
Hellner, Clara
Lundgren, Tobias
Jayaram-Lindström, Nitya
Rozental, Alexander
What are the effects of implementing patient-controlled admissions in inpatient care? A study protocol of a large-scale implementation and naturalistic evaluation for adult and adolescent patients with severe psychiatric conditions throughout Region Stockholm
title What are the effects of implementing patient-controlled admissions in inpatient care? A study protocol of a large-scale implementation and naturalistic evaluation for adult and adolescent patients with severe psychiatric conditions throughout Region Stockholm
title_full What are the effects of implementing patient-controlled admissions in inpatient care? A study protocol of a large-scale implementation and naturalistic evaluation for adult and adolescent patients with severe psychiatric conditions throughout Region Stockholm
title_fullStr What are the effects of implementing patient-controlled admissions in inpatient care? A study protocol of a large-scale implementation and naturalistic evaluation for adult and adolescent patients with severe psychiatric conditions throughout Region Stockholm
title_full_unstemmed What are the effects of implementing patient-controlled admissions in inpatient care? A study protocol of a large-scale implementation and naturalistic evaluation for adult and adolescent patients with severe psychiatric conditions throughout Region Stockholm
title_short What are the effects of implementing patient-controlled admissions in inpatient care? A study protocol of a large-scale implementation and naturalistic evaluation for adult and adolescent patients with severe psychiatric conditions throughout Region Stockholm
title_sort what are the effects of implementing patient-controlled admissions in inpatient care? a study protocol of a large-scale implementation and naturalistic evaluation for adult and adolescent patients with severe psychiatric conditions throughout region stockholm
topic Mental Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9386218/
https://www.ncbi.nlm.nih.gov/pubmed/35973700
http://dx.doi.org/10.1136/bmjopen-2022-065770
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