Baeuerle, Susanne and Loos, Sabine and Grempler, Julia and Freyberger, Harald and Spiessl, Hermann and Janssen, Birgit and Becker, Thomas (2013) A Needs-Oriented Discharge Planning Intervention for High Utilisers of Psychiatric Services: Quality of the Implementation and Opportunities for Improvement. PSYCHIATRISCHE PRAXIS, 40 (5). pp. 271-277. ISSN 0303-4259, 1439-0876
Full text not available from this repository. (Request a copy)Abstract
Objective: Process evaluation of a needs-oriented discharge planning and monitoring (NODPAM) intervention for patients with severe mental illness with high utilisation of inpatient psychiatric care (within a RCT showing lack of evidence of superiority over treatment as usual). Methods: Analysis of intervention drop-outs vs. intervention group patients participating in the intervention; analysis of the impact of intervention characteristics on unmet needs over time. Results: Patients with more severe forms of illness were more likely to be among intervention drop-outs, a relatively high proportion of unmet needs persisted in patients participating in the intervention. Good intervention implementation and high patient satisfaction with the intervention were associated with a reduction of unmet needs. Conclusions: The NODPAM intervention failed to reach patients with high service use and more severe forms of illness; quality of intervention implementation might have contributed to the lack of superiority over treatment as usual. The intervention might not have been well integrated in routine treatment and was therefore experienced as extraneous to routine care.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | MENTAL-HEALTH-CARE; RANDOMIZED CONTROLLED-TRIAL; SOCIAL SUPPORT; UNMET NEEDS; SCHIZOPHRENIA; ADHERENCE; ILLNESS; MEDICATION; PEOPLE; discharge planning; high utiliser; RCT; process evaluation |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Psychiatrie und Psychotherapie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 06 Apr 2020 11:54 |
| Last Modified: | 06 Apr 2020 11:54 |
| URI: | https://pred.uni-regensburg.de/id/eprint/16386 |
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