Psychiatric Home Care, Community Tenure and the Elderly Mentally Ill: A Program Comparison

2.50
Hdl Handle:
http://hdl.handle.net/10755/151310
Type:
Presentation
Title:
Psychiatric Home Care, Community Tenure and the Elderly Mentally Ill: A Program Comparison
Abstract:
Psychiatric Home Care, Community Tenure and the Elderly Mentally Ill: A Program Comparison
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:McGinity, Ann Scanlon, PhD, RN
P.I. Institution Name:The Methodist Hospital
Title:Vice President and Chief Nurse Executive
[Research Presentation] Health care costs for the chronically mentally ill and the distribution of those dollars are of great concern to all involved in the care of these individuals. High cost users of those monies are individuals with repeated hospital admissions. The revolving door phenomenon is attributed to multiple factors including the severity of the illness, medication non-compliance and constricted network density.á With the greatest recidivism rates occurring in the first two months post discharge, structures that are easier to access seem to hold the greatest potential for decreasing the risk of rehospitalization. The principle goal of this study was to compare the effectiveness of two different after care programs for the elderly mentally ill by assessing clinical and fiscal outcomes post inpatient discharge.áThe key research questions this study examined were:1. Is there a difference between home care and outpatient care groups in frequency of rehospitalization? 2.áIs there a difference between the groups in patient outcomes (length of stay in the community, compliance with outpatient visits, compliance with medication and length of stay in rehospitalization? 3.á Is there a difference between the groups in cost of care?á4. What is the patients/families perspective of the benefits/problems with home care services. Using a nonequivalent group design with a total of 203 patients, results showed that home care patients were rehospitalized nearly twice as few times as patients receiving traditional outpatient services. When rehospitalized, home care patients had a significantly shorter length of stay and theá cost of care was less post hospital discharge.á The home care patients used fewer services post discharge, were more compliant with their follow-up treatment plans, had longer community tenure and greater satisfaction.áResults indicate that home care services for the elderly mentally ill are clinically, qualitatively and fiscally more effective for this population.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePsychiatric Home Care, Community Tenure and the Elderly Mentally Ill: A Program Comparisonen_GB
dc.identifier.urihttp://hdl.handle.net/10755/151310-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Psychiatric Home Care, Community Tenure and the Elderly Mentally Ill: A Program Comparison</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">McGinity, Ann Scanlon, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The Methodist Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Vice President and Chief Nurse Executive</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ascanlon@tmh.tmc.edu</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Health care costs for the chronically mentally ill and the distribution of those dollars are of great concern to all involved in the care of these individuals. High cost users of those monies are individuals with repeated hospital admissions. The revolving door phenomenon is attributed to multiple factors including the severity of the illness, medication non-compliance and constricted network density.&aacute; With the greatest recidivism rates occurring in the first two months post discharge, structures that are easier to access seem to hold the greatest potential for decreasing the risk of rehospitalization. The principle goal of this study was to compare the effectiveness of two different after care programs for the elderly mentally ill by assessing clinical and fiscal outcomes post inpatient discharge.&aacute;The key research questions this study examined were:1. Is there a difference between home care and outpatient care groups in frequency of rehospitalization? 2.&aacute;Is there a difference between the groups in patient outcomes (length of stay in the community, compliance with outpatient visits, compliance with medication and length of stay in rehospitalization? 3.&aacute; Is there a difference between the groups in cost of care?&aacute;4. What is the patients/families perspective of the benefits/problems with home care services. Using a nonequivalent group design with a total of 203 patients, results showed that home care patients were rehospitalized nearly twice as few times as patients receiving traditional outpatient services. When rehospitalized, home care patients had a significantly shorter length of stay and the&aacute; cost of care was less post hospital discharge.&aacute; The home care patients used fewer services post discharge, were more compliant with their follow-up treatment plans, had longer community tenure and greater satisfaction.&aacute;Results indicate that home care services for the elderly mentally ill are clinically, qualitatively and fiscally more effective for this population.</td></tr></table>en_GB
dc.date.available2011-10-26T10:58:18Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:58:18Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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