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  • Title: A descriptive interview with 64 patients discharged from an acute-psychiatric-inpatient service.
    Author: Callaly T, Dodd S, Goodman D, Asgari Y, Berk M.
    Journal: J Eval Clin Pract; 2008 Dec; 14(6):990-5. PubMed ID: 18759756.
    Abstract:
    BACKGROUND: Acute-mental-health services receive hundreds of admissions every year. Some of these patients will continue to be case-managed by community mental-health teams on discharge from the acute unit while others will not remain in contact with the mental-health service. This study compares the findings of comprehensive interviews conducted with current and past patients of the community mental-health service 3 or more years following case closure from the community ambulatory service. METHODS: Between 1 July 1999 and 30 June 2001, there were 2245 closed cases identified at Barwon Health. Letters of invitation to participate in a research project were sent to people who had suffered from psychotic illnesses, and had been case-closed by community mental-health services between the above dates and had not been in contact with the Community and Mental Health Service for at least 6 months. A second group of participants was recruited from people who had also been case-closed by community mental-health teams in Barwon Health during the 1999-2001 2-year-time window but whose cases had been re-opened and who were in case management with Barwon Health at the time of the study. All participants were interviewed using the Diagnostic Interview for Psychosis. RESULTS: Letter responses were received from 17 men and 18 women, aged 40.7 +/- 12.0 (mean +/- SD), who were interviewed. A second group of 17 men and 12 women, aged 40.9 +/- 9.6 (mean +/- SD) of currently case-managed patients was interviewed. All interviewees reported a detailed history of mental illness. Persistent social dysfunction and impaired quality of life were reported in both groups. CONCLUSION: Patients suffering from psychotic disorders who had been case-closed by community mental-health teams and had been discharged to the care of their general practitioners or elsewhere continued to show evidence of significant impairment due to mental illness 3 years after being case-closed.
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