Needs of Persons With Serious Mental Illness Following Discharge From Inpatient Treatment: Patient and Family Views
Section snippets
Background
Severely mentally ill persons, diagnosed with schizophrenia or mood disorder, often experience a complex and disturbing illness course. Characterized by significant and sometimes disabling symptoms of delusions, hallucinations, social withdrawal, and amotivation, these patients are at high risk for relapse. Frequent relapse and rehospitalizations are major concerns, indicating a “downward spiral” of decreased functioning and increased dependence on others for care and support (U.S. Public
Design
This pilot study was designed to follow up a sample of recently discharged patients with SMI and document the extent of their ongoing illness-related needs. Open-ended interviews were used to assess patients' and families' perspectives of this aspect of transition to the community. Quantitative measures were used to describe the participants' functional status, coping, social support, illness-related needs, and satisfaction with care. The interviews were conducted to further explore the
Participants
Ten patients were enrolled in the study. They ranged in age from 23 to 81 years. All participants were African American. There were six men and four women. At baseline, patients were asked about their medications. Five patients were prescribed multiple medications, ranging from two to five medications. One patient was prescribed one medication, and four patients could not recall their medications. Three participants had one previous hospitalization; two had two previous hospitalizations, and
Discussion
Integration of the multiple sources of data from both patients and family members over a 4-week period enhanced the overall interpretation of the results of the needs assessment and evaluation of community adjustment after discharge. The presence of persistent illness-related symptoms in this small sample was not surprising, given that current psychiatric care relies on a comprehensive system of follow-up care for patients after inpatient treatment. The mean number of total needs of the
References (36)
- et al.
The association between substance use and the needs of patients with psychiatric disorder, levels of anxiety, and caregiving burden
Archives of Psychiatric Nursing
(2008) State of the science: Outcomes of acute inpatient care
Archives in Psychiatric Nursing
(2004)- et al.
Assessment of client/patient satisfaction: Development of a general scale
Evaluation and Program Planning
(1979) - et al.
A re-analysis of the relationship among coping, symptom severity and quality of life in schizophrenia
Archives of Psychiatric Nursing
(2009) - et al.
The effect of individual, program, and neighborhood variables on continuity of treatment among dually diagnosed individuals
Drug & Alcohol Dependence
(2007) - et al.
Brief psychiatric rating scale: Schizophrenia, reliability, and validity studies
Nordic Journal of Psychiatry
(1986) - et al.
The cost of relapse and the predictors of relapse in the treatment of schizophrenia
BMC Psychiatry
(2010) - et al.
Case-control study of frequent visitors to an urban psychiatric emergency services
Psychiatric Services
(2004) - et al.
Health outcomes for people with serious mental illness: A case study
Perspectives in Psychiatric Care
(2003) What community living problems do problems with schizophrenia report during periods of stability?
Perspectives in Psychiatric Care
(2010)