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Br J Psychiatry. 2013 Mar;202(3):187-94. doi: 10.1192/bjp.bp.112.115030.

Transitional interventions to reduce early psychiatric readmissions in adults: systematic review.

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1
Women's College Hospital and Women's College Research Institute, Department of Psychiatry, University of Toronto, 76 Grenville Street Rm. 956, Toronto, ON, Canada M5S 1B2. simone.vigod@wchospital.ca

Abstract

BACKGROUND:

Up to 13% of psychiatric patients are readmitted shortly after discharge. Interventions that ensure successful transitions to community care may play a key role in preventing early readmission.

AIMS:

To describe and evaluate interventions applied during the transition from in-patient to out-patient care in preventing early psychiatric readmission.

METHOD:

Systematic review of transitional interventions among adults admitted to hospital with mental illness where the study outcome was psychiatric readmission.

RESULTS:

The review included 15 studies with 15 non-overlapping intervention components. Absolute risk reductions of 13.6 to 37.0% were observed in statistically significant studies. Effective intervention components were: pre- and post-discharge patient psychoeducation, structured needs assessments, medication reconciliation/education, transition managers and in-patient/out-patient provider communication. Key limitations were small sample size and risk of bias.

CONCLUSIONS:

Many effective transitional intervention components are feasible and likely to be cost-effective. Future research can provide direction about the specific components necessary and/or sufficient for preventing early psychiatric readmission.

PMID:
23457182
DOI:
10.1192/bjp.bp.112.115030
[Indexed for MEDLINE]
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