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Mobile Delivery Program to Prevent Relapse and Improve Functioning in Patients With Psychiatric Diseases
Erin M Sanzone1, Olivia Kam2, Kaitlin E Sanzone3
1Cooper Medical School of Rowan University, Camden, NJ.
Journal of Psychiatric Practice
|October 2, 2024
Summary
Frequent hospital readmissions for psychiatric relapse can be reduced by a mobile delivery program (MDP). This program delivers medication and care directly to patients
Area of Science:
- Psychiatry
- Health Services Research
- Public Health
Background:
- The "revolving door" phenomenon describes frequent rehospitalizations for psychiatric relapse.
- Medication nonadherence is a significant factor, particularly in patients with limited insight into their health.
- Existing treatments like long-acting injectables and telehealth have limitations in addressing nonadherence.
Purpose of the Study:
- To propose a novel Mobile Delivery Program (MDP) to address medication nonadherence in psychiatric patients.
- To target patients with a history of frequent emergency department visits and missed appointments.
- To reduce relapse rates and improve patient outcomes, particularly for those with schizophrenia.
Main Methods:
- The proposed MDP involves healthcare professionals delivering medications and care directly to patients' homes.
- Focus on patients exhibiting medication nonadherence and high healthcare utilization.
- Implementation aims to integrate care within the patient's living environment.
Main Results:
- The MDP is expected to decrease relapse rates and improve overall patient functioning.
- Potential to reduce hospital admissions, emergency department visits, and associated healthcare costs.
- Anticipated reduction in incarceration rates for individuals with mental illness and homelessness.
Conclusions:
- The Mobile Delivery Program offers a cost-effective solution to improve psychiatric care adherence and outcomes.
- MDP can help break the cycle of homelessness and incarceration linked to severe mental illness.
- Significant cost savings for the healthcare system are projected through reduced relapses and hospitalizations.
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