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Related Experiment Videos

Psychiatric aftercare: identified needs versus referral patterns.

D A Wasylenki, P Goering, W Lancee

    The American Journal of Psychiatry
    |September 1, 1981
    PubMed
    Summary

    Psychiatric aftercare planning revealed significant gaps. While medical needs were met, nonmedical community resource referrals lagged behind identified patient needs, highlighting areas for service improvement.

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    Area of Science:

    • Psychiatry
    • Health Services Research
    • Community Mental Health

    Background:

    • Psychiatric aftercare is crucial for patient recovery and community reintegration.
    • Existing research inadequately addresses community resource needs and referral patterns for psychiatric patients pre-discharge.
    • Understanding these gaps is vital for effective post-hospitalization support.

    Purpose of the Study:

    • To investigate the community resource needs of psychiatric patients prior to hospital discharge.
    • To examine the patterns of predischarge referrals for identified patient needs.
    • To identify discrepancies between needs and referrals in psychiatric aftercare.

    Main Methods:

    • A survey of hospital staff was conducted regarding the needs and referrals for 747 psychiatric patients.

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  • Data collection focused on medical/therapeutic needs and three nonmedical aftercare areas.
  • Analysis compared identified needs with actual referrals made before discharge.

    • Main Results:

    • Nearly all patients exhibited medical/therapeutic needs, with most receiving appropriate referrals.
    • Identified needs in three nonmedical aftercare domains were significantly higher than the referrals provided.
    • Referrals in nonmedical areas were two to three times lower than the identified patient needs.

    Conclusions:

    • Current psychiatric aftercare practices demonstrate a deficit in addressing nonmedical community resource needs.
    • There is a critical need to enhance predischarge planning to align referrals with comprehensive patient requirements.
    • Improving aftercare services requires a more robust integration of community resources beyond traditional medical support.