1. Rapid follow-up for patients after psychiatric crisis.
- Author
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McCullumsmith C, Clark B, Blair C, Cropsey K, and Shelton R
- Subjects
- Adult, Aftercare, Alabama epidemiology, Analysis of Variance, Community Mental Health Services, Female, Hospitals, University, Humans, Male, Mental Disorders epidemiology, Middle Aged, Patient Transfer, Retrospective Studies, Emergency Service, Hospital statistics & numerical data, Emergency Services, Psychiatric statistics & numerical data, Mental Disorders therapy
- Abstract
Patients in psychiatric crisis often lack connection to community resources and present to emergency departments (EDs) for care. A transitional psychiatry clinic (TPC) bridged patients after ED visit. These retrospective chart review data of 390 patients were analyzed by ANOVA, logistic regression and survival analysis. Predictors of ED return included psychosis, personality disorder and increased number of prior ED visits. Longer wait for the TPC was associated strongly with non-attendance. TPC appointment within 3 days was associated with significantly longer time in the community without ED presentation. Rapid follow-up after ED visits increased attendance at aftercare and lengthens community tenure. more...
- Published
- 2015
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