Abstract：
:This study examined care pathways, program engagement, and key outcomes associated with a sub-acute inpatient stay in a 20-bed stand-alone Intermediate Stay Mental Health Unit (ISMHU; NSW, Australia). A 6-week evidenced-based tailored intervention program was offered, utilizing a recovery-oriented model of care. Service data from multiple record systems were combined, including admissions and service contacts 2-years prior to and following the index admission. During the initial 16-months there were 146 index admissions with a length of stay greater than 7 days. The majority (75.3%) were transfers from acute-care, with an average ISMHU stay of 50.3 days. Service and clinical outcomes were examined in relation to care pathways, recovery needs, program engagement and benefits achieved. Substantial engagement was detected (e.g., 74.0% >10 intervention types), together with significant improvements on self-report and clinician rated measures (e.g., social connection, symptoms, and self-belief). Logistic regression analyses revealed that arrival category was the strongest outcome predictor, with community referrals experiencing the largest reduction in subsequent acute mental health admissions (58.3% to 16.7%), followed by involuntary inpatient referrals (80.3% to 60.7%). Potential recovery-focused benefits are not limited to community treatment settings, while pathways to care may help identify clients with differing needs and opportunities for treatment.
journal_name
Psychiatry Resjournal_title
Psychiatry researchauthors
Sly KA,Lewin TJ,Frost BG,Tirupati S,Turrell M,Conrad AMdoi
10.1016/j.psychres.2020.112889subject
Has Abstractpub_date
2020-02-20 00:00:00pages
112889eissn
0165-1781issn
1872-7123pii
S0165-1781(19)32216-4journal_volume
286pub_type
杂志文章abstract：:Lithium alone has previously been shown to effect antipsychotic response in approximately one-quarter of mood incongruent psychoses. Such lithium-responsive psychoses and/or the antipsychotic effects of lithium appear to be seasonal, with maximal response rates occurring in the 3-month periods surrounding January and ...
journal_title：Psychiatry research
pub_type： 临床试验,杂志文章
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pub_type： 杂志文章
doi：10.1016/0165-1781(96)02760-6
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pub_type： 杂志文章
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pub_type： 杂志文章,多中心研究
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