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Home-based treatment in Monaghan: the first two years.

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Home-based treatment (HBT) is a viable service for diverse patients with mental health needs, particularly in rural areas. While effective for many, some cases still require hospital admission, indicating a need for further study on sustainability.

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Area of Science:

  • Mental Health Services
  • Healthcare Delivery Models
  • Psychiatric Care

Background:

  • Home-based treatment (HBT) offers an alternative to traditional inpatient or outpatient care.
  • Evaluating new service models is crucial for adapting to patient needs and resource availability.
  • The feasibility of HBT in rural settings requires specific investigation due to potential access challenges.

Purpose of the Study:

  • To describe the characteristics of patients receiving home-based treatment (HBT).
  • To identify the primary reasons for utilizing HBT and the outcomes of this service.
  • To assess the viability and patient profile of a novel HBT service.

Main Methods:

  • Analysis of patient charts for demographic, diagnostic, and presenting complaint data.
  • Utilizing a checklist to systematically record information from HBT service logs.
  • Statistical analysis of data from 206 patients (275 episodes) over two years.

Main Results:

  • The study included 206 patients (275 episodes), with a near-equal gender distribution.
  • Severe depression was the most common presenting complaint (39.3%), and depressive disorders the most frequent diagnosis (28.7%).
  • Outcomes included 13% admission, 67.3% referral to outpatients, and 9.5% discharge to a General Practitioner (GP).

Conclusions:

  • Home-based treatment (HBT) is a feasible service model for a broad spectrum of patients and presenting complaints.
  • The HBT model demonstrates viability within a rural healthcare setting.
  • Further research is necessary to confirm the long-term sustainability and generalizability of HBT to other regions.