Relevant bibliographies by topics / Mentally ill Victoria Hospital care Evaluation

Academic literature on the topic 'Mentally ill Victoria Hospital care Evaluation'

Author: Grafiati
Published: 10 December 2022
Last updated: 28 January 2023

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Journal articles on the topic "Mentally ill Victoria Hospital care Evaluation"

1

TALBOTT, JOHN A. "Evaluation of Comprehensive Care of the Mentally Ill: The Transition From Mental Hospital Care to Extramural Care of the Mentally Ill in European Community Countries." American Journal of Psychiatry 150, no. 1 (January 1993): 157. http://dx.doi.org/10.1176/ajp.150.1.157.

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2

O'Shea, Eamon, Jenny Hughes, Lourde Fitzpatrick, Elizabeth Dunne, Mary O'Sullivan, and Margaret Cole. "An economic evaluation of inpatient treatment versus day hospital care for psychiatric patients." Irish Journal of Psychological Medicine 15, no. 4 (December 1998): 127–30. http://dx.doi.org/10.1017/s0790966700004821.

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AbstractObjectives: To provide a methodology for the examination of costs and clinical outcomes in two distinct care settings for psychiatric patients inpatient and day hospitals. The major emphasis is on the relationship between costs and outcomes in the two care regimes.Method: The study is a retrospective cost-effectiveness analysis. People living in Sector B catchment area in the Mid-Western Health Board who were admitted to inpatient care, or treated as day hospital patients, between June 1st 1994 -February 28th 1995 are eligible for inclusion in the study. Information on resource use and clinical outcome is available for 92 of these patients.Results: The average weekly cost of care for mentally ill patients in the inpatient setting is over twice the level of the cost of care for people attending the day hospital facility. Pay costs and hotel costs are higher in the inpatient facility. Day hospital care is also more cost-effective than inpatient care, when account is taken of the relationship between cost and clinical outcomes.Conclusion: The study supports the general literature view of the superiority of community care settings for certain categories of mentally ill people. However, the absence of randomisation in the study, incomplete data, and the retrospective nature of the analysis suggests that caution is needed in the interpretation of the results.
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3

Holloway, Frank. "Book Reviews : Evaluation of Comprehensive Care of the Mentally Ill. the Transition From Mental Hospital To Extramural Care of the Mentally Ill in European Community Countries." International Journal of Social Psychiatry 38, no. 2 (June 1992): 158–59. http://dx.doi.org/10.1177/002076409203800210.

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4

Barbato, Angelo. "Psychiatry in Transition: Outcomes of Mental Health Policy Shift in Italy." Australian & New Zealand Journal of Psychiatry 32, no. 5 (October 1998): 673–79. http://dx.doi.org/10.3109/00048679809113122.

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Objective: To assess the outcomes of changes in mental health policy introduced in Italy in 1978. Methods: Data on psychiatric services, before and after the policy change, are presented. Effects of change are evaluated through indicators related to four issues: transfer of care, criminalisation of the mentally ill, suicides, and homelessness. Results: Admissions of new patients to mental hospitals have been stopped and the size of the mental hospital population is now very low (26 per 100 000 population). Psychiatric care has been shifted to community services including general hospital psychiatric units. There has been an overall reduction of psychiatric hospitalisation. However, the provision of residential facilities is inadequate and community services are unevenly distributed across the country. Few negative effects of changing patterns of care have been reported, although the low quality of data limits the validity of such a conclusion. Outcome of care in areas where the full range of community services is available has been rated as satisfactory. Conclusions: Although care of the mentally ill has been shifted to community services, we lack hard data on the social and clinical outcome of communty care at the nation-wide level. Long-term monitoring and evaluation of community services is a high priority in Italy.
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5

Burns, T. "Essential Features in Outpatient Care of Severely Mentally Individuals." European Psychiatry 24, S1 (January 2009): 1. http://dx.doi.org/10.1016/s0924-9338(09)70472-9.

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Aims:Most community mental health services have evolved in response to the downsizing and closing of mental hospitals. Their form varies in different health care settings and their evolution was rarely subjected to formal evaluation. The introduction of Assertive Community Treatment in 1980 lead to a flurry of research activity which yielded conflicting results. Examination of these results provides the opportunity to distinguish essential from redundant components of care.Methods:Two separate studies were conducted - a systematic review followed by cluster and regression analysis of reported components of care and a secondly a meta-regression analysis of published studies.Results:The meta-regression demonstrated that most of the variation in hospitalization outcome was due to differences in baseline hospital usage. Staffing levels (e.g. caseloads) were not found to be crucial but multi-disciplinary working and integrated psychiatrists were. The systematic review indicated the importance of integration of health and social care and outreach.Conclusions:Multidisciplinary teams which include both social workers and psychiatrists and which focus on visiting patients at home are highly successful in managing severely ill patients in the community. Many of the detailed requirements proposed for ACT teams are probably superfluous.
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6

Sahota, Kavinder, and Carole Bennett. "Analysis of Emergency Room Visits Reveals a Seriously Mentally Ill, Medically Fragile Population Requiring Strategic Management." Journal of the American Psychiatric Nurses Association 25, no. 6 (January 28, 2019): 496–500. http://dx.doi.org/10.1177/1078390318823972.

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OBJECTIVE: This practice improvement project evaluated the cost of health care services utilized by patients with comorbid mental and physical chronic conditions who were psychiatrically hospitalized but transported for health care services of physical symptoms that developed during their psychiatric hospitalization. METHOD: A retrospective review of invoices to a regional psychiatric hospital for non-psychiatric health services utilized by inpatients revealed high costs of emergency room (ER) visits from July 2016 to June 2017. Medical records for these seriously mentally ill inpatients who visited the ER for evaluation of sudden emergent physical symptoms were reviewed. The collected data were analyzed. RESULTS: ER invoices revealed that 41 visits had been made by 28 patients with a total cost of $308,466.67, of which $258,668.15 was judged to be for the treatment of patients with symptoms of preventable side effect syndromes. This chart review and analysis suggest a need for improved strategic medication management in an integrated model of care. CONCLUSIONS: Polypharmacy was found to be responsible for increased debilitating physical symptoms requiring ER visits for this seriously mentally ill, medically fragile population. An integration of care services for comorbid conditions by advanced practice registered nurses with protocols specifically designed for this population was recommended.
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7

Becker, Thomas, Frank Holloway, Paul McCrone, and Graham Thornicroft. "Evolving service interventions in Nunhead and Norwood." British Journal of Psychiatry 173, no. 5 (November 1998): 371–75. http://dx.doi.org/10.1192/bjp.173.5.371.

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BackgroundService evaluation requires a detailed understanding of the services studied.MethodCommunity mental health services evaluated in the PRiSM Psychosis Study in south London are described. The intensive sector and standard sector services are contrasted.ResultsThe intensive sector had two teams with extended opening hours: a psychiatric acute care and emergency (PACE) team, and a psychiatric assertive continuing care (PACT) team focusing on care for people with chronic illness. In the standard sector there was a generic community team providing office-hour assessments, case management of the severely mentally ill and close liaison with in-patient services. The team made use of the local psychiatric emergency clinic and of other local resources. The intensive sector was characterised by: more admissions to fewer beds, more non-hospital residential places, extended hours, on-call rota, wider range of interventions, more medical and nursing staff, a lower nursing grade mix and higher staff turnover. The standard sector had a less highly resourced generic community psychiatric service.ConclusionsChange in services has been more marked in the intensive sector.
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8

Dias Amaral, A., M. J. Peixoto, A. Cortiñas, S. Fonseca, and R. Curral. "The Psychiatry consultation in primary health care setting at an Oporto Area: Sociodemographic and clinical data." European Psychiatry 33, S1 (March 2016): S173. http://dx.doi.org/10.1016/j.eurpsy.2016.01.361.

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IntroductionThe Psychiatry consultation is a collaborative approach between primary health care services and community mental health teams. Our clinic provides support to three Oporto areas (Bonfim/Paranhos, Campanhã and Maia/Valongo) corresponding to a population of 350,000 inhabitants.ObjectivesTo analyze and collect Psychiatry consultation data of the first semester of 2015 in Maia/Valongo region. We aim to describe our population's sociodemographic characteristics, the most common referral motive, diagnosis and therapeutics, and orientation.MethodsPsychiatry consultation data of the first semester of 2015 were collected and analyzed using SPSS software (version 20).ResultsOne hundred and sixty-one patients were evaluated. A total of 26.09% were male and 73.91% were female. The mean age was 51.61 years old. The most frequent referral motives were depressive (47.82%) and anxiety (23.60%) symptoms. The two most common diagnostic groups according to the International Classification of Diseases (version 10) were F30-F39–Mood affective disorders (57.76%) and F40-F48–Neurotic, stress-related and somatoform disorders (18.63%). 22.36% of the patients were referred without medication, but only four were discharged drug-free, corresponding to bereavement situations. 34.16% of our population were previously prescribed two or more psychotropic drugs, increasing to 63.98% after assessment. Only 18.63% met criteria to hospital referral.ConclusionsThe Psychiatry consultation selects the most severe patients and allows a faster evaluation of mentally ill patients awaiting hospital consultation, thus preventing unnecessary access to the emergency room. Authors consider that all the patients referred to a hospital consultation should be previously evaluated by a consultant psychiatrist on a primary health care setting.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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9

James, David V. "Court Diversion in Perspective." Australian & New Zealand Journal of Psychiatry 40, no. 6-7 (June 2006): 529–38. http://dx.doi.org/10.1080/j.1440-1614.2006.01835.x.

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Court diversion schemes have been running for a decade in New Zealand and are increasing in number in Australia. This paper aims to give an international and historical context to these developments, by reference to psychiatric initiatives at courts in the US and in England and Wales. From a review of the specialist literature, an account is given of three forms of psychiatric intervention in courts over the last 90 years: court psychiatric clinics and mental health courts in the US, and court diversion schemes in England and Wales. High levels of psychiatric morbidity among prisoners, coupled with a continuing increase in prisoner numbers, demonstrate the need for systems for dealing with mentally ill people who come before the courts. Court diversion in England and Wales developed as part of a system where the mentally ill who are found guilty are sent to hospital in lieu of any other sentence. Its focus is on a form of psychiatric triage, and its ethos is the health of the patient. Court psychiatric clinics in the US grew up as an alternative to assessment in prison. Their focus has been on full psychiatric evaluation in an insanity and incompetence jurisdiction. The ethos has been that of serving the court. Mental health courts are heavily influenced by ideas of therapeutic jurisprudence, and their emphasis has been on a judge holding minor offenders in community care through the threat of judicial sanction. Experience in England and Wales has shown that court diversion can be a powerful and effective intervention. In order for it to function properly, those running court schemes need direct admission rights to psychiatric beds, both open and locked. Court diversion schemes are best as part of a spectrum of services to police stations, courts and prisons, which involved both general and forensic psychiatrists.
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10

Reshetukha, T., N. Alavi, E. Prost, D. Groll, R. Cardy, N. Mofidi, P. Wang, C. Patel, and S. Sajid. "Outcomes of involuntary hospital admission. Satisfaction with treatment and the effect of involuntary admissions on patients." European Psychiatry 41, S1 (April 2017): S328—S329. http://dx.doi.org/10.1016/j.eurpsy.2017.02.264.

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IntroductionInvoluntary hospitalization in those presumed to be mentally ill has been a common practice. Although some patients are hospitalized for aggression, two-thirds of the patients are hospitalized because of the threat they pose to themselves. Although these patients require risk assessment and evaluation for possible presence of mental illness, the question is how much these patients will benefit from involuntary admission and what the long-term outcome would be.MethodAll patients admitted involuntary to the psychiatric ward in Kingston, Canada, and psychiatrists involved in their care were interviewed to see whether they think the involuntary admission was helpful. All patients were asked to fill-out MacArthur AES to assess their satisfaction with hospitalization.ResultsAlthough psychiatrists frequently reported that the admission was justified, only 29 out of 81 patients reported being explained to why they had been admitted involuntarily. Also, there was a significant difference in AES scores between those who were and were not given an explanation for admission. In addition, psychiatrists more often reported that the involuntary admission worsened the therapeutic relationship which was significantly associated with involuntary admission that was not explained to patients.DiscussionThe results of our study shows that patients admitted involuntarily often feel disappointed with staff and mental health system. It could lead to feeling of hopelessness, frustration and low self-esteem. If explained, some patients who present with risk to self might accept voluntary admissions, that will improve therapeutic alliance with psychiatrists and increase satisfaction from hospitalization. Result of this study could improve the decision making process for involuntary admissions.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Books on the topic "Mentally ill Victoria Hospital care Evaluation"

1

Emerson, Andrew. Hospital hostels: An evaluation of four psychiatric care facilities. London: Stationery Office, 1998.

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2

Radzey, Beate. Qualitätsbeurteilung der institutionellen Versorgung und Betreuung dementiell Erkrankter: (Literatur-Expertise). Stuttgart: W. Kohlhammer, 2001.

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3

Children, Connecticut Committee to Examine Hospital Inpatient Behavioral Health Bed Capacity for. Report of the Committee to Examine Hospital Inpatient Behavioral Health Bed Capacity for Children, for submission to the Connecticut General Assembly. [Hartford, Conn: Office of Health Care Access, 2006.

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4

Force, Victoria Investigative Task. The Investigative Task Force's findings on the Aradale Psychiatric Hospital and residential institution. [Canberra: Australian Govt. Pub. Service], 1991.

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5

L, Freeman Hugh, and Henderson John H, eds. Evaluation of comprehensive care of the mentally ill: The transition from mental hospital care to extramural care of the mentally ill in European Community countries. London: Gaskell, 1991.

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6

Merinda, Epstein, Wadsworth Yoland, Victorian Health Promotion Foundation, and Victorian Mental Health Awareness Council., eds. Understanding and involvement (U&I): Consumer evaluation of acute psychiatric hospital practice : "A project's beginnings-". Melbourne: Victorian Mental Illness Awareness Council, 1994.

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7

J, Sundram Clarence, Stack Elizabeth W, Benjamin William P, and New York (State). State Commission on Quality of Care for the Mentally Disabled., eds. Voices from the front line: Patients' perspectives of restraint and seclusion use. [Albany, N.Y.]: The Commission, 1994.

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