Pilot study of enhanced social support with automated telephone monitoring after psychiatric hospitalization for depression.

Abstract:

BACKGROUND:Following discharge, patients hospitalized for depression are at high risk for poor retention in outpatient care and adverse outcomes. AIMS:Pilot tests a post-hospital monitoring and enhanced support program for depression. METHOD:48 patients at a Veterans Affairs Medical Center discharged following a depression-related inpatient stay received weekly visits or phone calls for 6 months from their choice of either a family member/friend (n = 19) or a certified peer support specialist (n = 29). Participants also completed weekly automated telephone monitoring calls assessing depressive symptoms and antidepressant medication adherence. RESULTS:Over 90% of participants were more satisfied with their care due to the service. The mean change from baseline to 6 months in depression symptoms was -7.9 (p < 0.05) according to the Patient Health Questionnaire and -11.2 (p < 0.05) according to the Beck Depression Inventory-II for those supported by a family member/friend, whereas those supported by a peer specialist had mean changes of -3.5 (p < 0.05) and -1.7 (p > 0.10), respectively. CONCLUSIONS:Increased contact with a chosen support person coupled with automated telephone monitoring after psychiatric hospitalization is an acceptable service for patients with depression. Those who received the service, and particularly those supported by a family member/friend, experienced reductions in symptoms of depression.

authors

Pfeiffer PN,Valenstein M,Ganoczy D,Henry J,Dobscha SK,Piette JD

doi

10.1007/s00127-016-1288-2

subject

Has Abstract

pub_date

2017-02-01 00:00:00

pages

183-191

issue

2

eissn

0933-7954

issn

1433-9285

pii

10.1007/s00127-016-1288-2

journal_volume

52

pub_type

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