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Mental health. Right approach.

R Keys1

  • 1BHB Community Health Care Trust, Essex, UK.

The Health Service Journal
|August 29, 1997
PubMed
Summary

The care programme approach for long-term mental illness patients has doubled the average length of stay in psychiatric wards. A new model aims to reduce delays by integrating community services early in the admission process.

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Area of Science:

  • Psychiatry
  • Healthcare Management

Background:

  • The care programme approach (CPA) is a framework for managing mental health care.
  • The CPA has been linked to an increase in the average length of psychiatric inpatient stays.
  • One trust observed a near doubling of average length of stay since 1991.

Purpose of the Study:

  • To investigate factors contributing to increased length of stay for mental illness patients.
  • To develop a new model for psychiatric care to reduce discharge delays.

Main Methods:

  • Analysis of length of stay data in psychiatric wards.
  • Development of a revised care model involving community services and a unified care plan.

Main Results:

  • The care programme approach is associated with longer inpatient stays.
  • Complex care plans and multidisciplinary meetings contribute to discharge delays.
  • A new integrated care model is proposed to streamline patient discharge.

Conclusions:

  • The current implementation of the care programme approach may inadvertently prolong hospital stays.
  • Integrating community services and standardizing care plans are key strategies to expedite discharge for mental illness patients.

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