Transitional discharge model for community mental health integration: A focused ethnographic study of clients' perspectives.
clients
community integration
focused ethnography
mental illness
transition discharge model
Journal
International journal of mental health nursing
ISSN: 1447-0349
Titre abrégé: Int J Ment Health Nurs
Pays: Australia
ID NLM: 101140527
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
received:
02
05
2020
revised:
27
10
2020
accepted:
02
11
2020
pubmed:
25
11
2020
medline:
29
7
2021
entrez:
24
11
2020
Statut:
ppublish
Résumé
Clients' perceptions of continuous support during the transition from hospital to the community have been understudied. The present study evaluated clients' perceptions of the benefits and potential adjustments to the implementation of a transitional discharge model (TDM), an intervention for community integration of clients with mental health issues. A focused ethnography methodology was used to investigate the effectiveness of the TDM. Data were collected using two sets of focus groups which involved 87 clients with mental illness seeking care from nine hospitals across the Province of Ontario, Canada. One focus group was conducted at six months and another at the one-year time point of the study. Data analysis followed a four-step ethnographic approach proposed by Leininger (1985) for thematic analysis in qualitative research. Four main themes emerged: (i) clients' perceived benefits of the TDM. These came in the form of reassurance about transitioning from hospitalization to community, reduced feelings of isolation, and enhanced continuity of care and recovery, (ii) TDM for community integration; clients believed that the intervention offered suitable friendships, was a tool for social connectedness, and helped to reduce stigma, (iii) encountered challenges, which included issues with trust, perceiving peer supporters as intruders, issues with communication, and initial fears about discharge and (4) suggestions for improving the TDM, such as, more in-person interactions, formalizing the TDM and raising awareness about community resources. The TDM implementation may facilitate the transition from hospital to the community by offering social support that enhances recovery.
Types de publication
Journal Article
Langues
eng
Pagination
553-562Subventions
Organisme : The Council of Academic Hospitals of Ontario (CAHO)
Informations de copyright
© 2020 Australian College of Mental Health Nurses Inc.
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