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Impact of completing a psychosocial rehabilitation programme on inpatient service utilisation in South Africa

BACKGROUND: Deinstitutionalisation refers to the process of transferring most of the psychiatric care provision from inpatient state-run institutions to community-based care. However, it has proven difficult to implement and failed to reach its desired targets. New Beginnings (NB) is a transitional...

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Autores principales: Vava, Yanga, Koen, Liezl, Niehaus, Dana, Botha, Henmar F., Botha, Ulla
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9634828/
https://www.ncbi.nlm.nih.gov/pubmed/36340642
http://dx.doi.org/10.4102/sajpsychiatry.v28i0.1764
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author Vava, Yanga
Koen, Liezl
Niehaus, Dana
Botha, Henmar F.
Botha, Ulla
author_facet Vava, Yanga
Koen, Liezl
Niehaus, Dana
Botha, Henmar F.
Botha, Ulla
author_sort Vava, Yanga
collection PubMed
description BACKGROUND: Deinstitutionalisation refers to the process of transferring most of the psychiatric care provision from inpatient state-run institutions to community-based care. However, it has proven difficult to implement and failed to reach its desired targets. New Beginnings (NB) is a transitional care facility that facilitates the transition from in- to outpatient care. To date, no data exist as to whether the intervention provided at NB is effective in reducing psychiatric readmissions. AIM: To determine if completing a psychosocial rehabilitation (PSR) programme reduces acute inpatient service utilisation and if this is influenced by sociodemographic or clinic factors. SETTING: New Beginnings transitional care facility in South Africa. METHODS: A record review of all NB admissions between January 2011 and December 2015. Demographic and clinical data were collected, including readmissions and days-in-hospital (DIH), 36 months pre- and postindex admission. Patients were divided into a completer group (CG) and a noncompleter group (NCG) for the eight-week PSR programme, and comparative statistical analysis was performed. RESULTS: Completion of the 8-week voluntary inpatient PSR programme led to a significant decrease (p = 0.017) (CG vs. NCG) in DIH during the 36-month period postindex admission. In addition, both groups showed significantly decreased (p < 0.001) DIH postindex in comparison to pre-index admission. CONCLUSIONS: This study’s findings support that transitional care facilities offering an inpatient PSR programme may reduce inpatient service utilisation for all attendees but especially for those who complete the program. This highlights the need for such facilities that offer interventions tailored for patients with mental illness. CONTRIBUTION: This is the first local study highlighting the potentially important role transitional care facilities could play in reducing readmissions.
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spelling pubmed-96348282022-11-05 Impact of completing a psychosocial rehabilitation programme on inpatient service utilisation in South Africa Vava, Yanga Koen, Liezl Niehaus, Dana Botha, Henmar F. Botha, Ulla S Afr J Psychiatr Original Research BACKGROUND: Deinstitutionalisation refers to the process of transferring most of the psychiatric care provision from inpatient state-run institutions to community-based care. However, it has proven difficult to implement and failed to reach its desired targets. New Beginnings (NB) is a transitional care facility that facilitates the transition from in- to outpatient care. To date, no data exist as to whether the intervention provided at NB is effective in reducing psychiatric readmissions. AIM: To determine if completing a psychosocial rehabilitation (PSR) programme reduces acute inpatient service utilisation and if this is influenced by sociodemographic or clinic factors. SETTING: New Beginnings transitional care facility in South Africa. METHODS: A record review of all NB admissions between January 2011 and December 2015. Demographic and clinical data were collected, including readmissions and days-in-hospital (DIH), 36 months pre- and postindex admission. Patients were divided into a completer group (CG) and a noncompleter group (NCG) for the eight-week PSR programme, and comparative statistical analysis was performed. RESULTS: Completion of the 8-week voluntary inpatient PSR programme led to a significant decrease (p = 0.017) (CG vs. NCG) in DIH during the 36-month period postindex admission. In addition, both groups showed significantly decreased (p < 0.001) DIH postindex in comparison to pre-index admission. CONCLUSIONS: This study’s findings support that transitional care facilities offering an inpatient PSR programme may reduce inpatient service utilisation for all attendees but especially for those who complete the program. This highlights the need for such facilities that offer interventions tailored for patients with mental illness. CONTRIBUTION: This is the first local study highlighting the potentially important role transitional care facilities could play in reducing readmissions. AOSIS 2022-10-21 /pmc/articles/PMC9634828/ /pubmed/36340642 http://dx.doi.org/10.4102/sajpsychiatry.v28i0.1764 Text en © 2022. The Authors https://creativecommons.org/licenses/by/4.0/Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.
spellingShingle Original Research
Vava, Yanga
Koen, Liezl
Niehaus, Dana
Botha, Henmar F.
Botha, Ulla
Impact of completing a psychosocial rehabilitation programme on inpatient service utilisation in South Africa
title Impact of completing a psychosocial rehabilitation programme on inpatient service utilisation in South Africa
title_full Impact of completing a psychosocial rehabilitation programme on inpatient service utilisation in South Africa
title_fullStr Impact of completing a psychosocial rehabilitation programme on inpatient service utilisation in South Africa
title_full_unstemmed Impact of completing a psychosocial rehabilitation programme on inpatient service utilisation in South Africa
title_short Impact of completing a psychosocial rehabilitation programme on inpatient service utilisation in South Africa
title_sort impact of completing a psychosocial rehabilitation programme on inpatient service utilisation in south africa
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9634828/
https://www.ncbi.nlm.nih.gov/pubmed/36340642
http://dx.doi.org/10.4102/sajpsychiatry.v28i0.1764
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