Recovering the Capacity to Live outside of a Psychiatric Hospital: Impact of a Specialized Inpatient Program.
Deinstitutionalization
Housing
Severe mental illness
Social difficulties
Journal
The Psychiatric quarterly
ISSN: 1573-6709
Titre abrégé: Psychiatr Q
Pays: United States
ID NLM: 0376465
Informations de publication
Date de publication:
06 2021
06 2021
Historique:
accepted:
17
09
2020
pubmed:
27
9
2020
medline:
9
11
2021
entrez:
26
9
2020
Statut:
ppublish
Résumé
Deinstitutionalization in psychiatry led to a decrease in hospital beds, short hospital admissions focussed on symptoms reduction, and the development of ambulatory care. However, the needs of patients who despite symptoms reduction do not display the minimal competencies to live alone or in a sheltered accommodation, are not met in such a context. They usually go through long admissions and fail to improve. In 2016, we implemented a new inpatient program focused on fostering the development of the competencies needed to adapt to living outside the hospital; the aim of this study was to evaluate if it lead to the resolution of these situations or in contrary if it turned into a long stay unit. 116 patients admitted to the program between 2016 and 2018 were included in the study. They were psychiatric inpatients who had no home, did not find a place in a sheltered accommodation and couldn't be discharged. In the majority of cases, the situation was resolved within 180 days and the majority of patients was referred to a sheltered accommodation. Functional and symptom levels improved significantly over time. A specific focus on restoring competencies to live outside of hospital allows complex patients to improve their functional level and to find a place to live in the community within a relatively short time. While deinstitutionalization has been beneficial to the vast majority of patients, denying the specific needs of a minority of patients leads to unnecessary long and inefficient hospital admissions.
Identifiants
pubmed: 32978720
doi: 10.1007/s11126-020-09846-y
pii: 10.1007/s11126-020-09846-y
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
751-759Références
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