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Published on: August 11, 2015
Rapid follow-up for patients after psychiatric crisis
Cheryl McCullumsmith1, Brendan Clark, Courtney Blair
1Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati, Cincinnati, OH, USA, cheryl.mccullumsmith@uc.edu.
Abstract:
Patients in psychiatric crisis often lack connection to community resources and present to emergency departments (EDs) for care. A transitional psychiatry clinic (TPC) bridged patients after ED visit. These retrospective chart review data of 390 patients were analyzed by ANOVA, logistic regression and survival analysis. Predictors of ED return included psychosis, personality disorder and increased number of prior ED visits. Longer wait for the TPC was associated strongly with non-attendance. TPC appointment within 3 days was associated with significantly longer time in the community without ED presentation. Rapid follow-up after ED visits increased attendance at aftercare and lengthens community tenure.
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