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Related Experiment Videos

Reluctance to readmit psychiatric patients.

A Willner, C J Rabiner

    The Hillside Journal of Clinical Psychiatry
    |January 1, 1983
    PubMed
    Summary

    Staff reluctance to readmit psychiatric patients was linked to higher readmission rates and more males. Difficult personalities and treatment philosophies influenced these decisions, impacting patient chronicity.

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    Area of Science:

    • Psychiatry
    • Clinical Psychology

    Background:

    • Inpatient psychiatric services face challenges in readmitting certain patients.
    • Understanding factors influencing readmission reluctance is crucial for improving patient care and reducing chronicity.

    Purpose of the Study:

    • To compare psychiatric patients whom staff were reluctant to readmit with those readmitted without reservation.
    • To identify characteristics associated with staff reluctance and explore its impact on patient outcomes.

    Main Methods:

    • Comparative analysis of two patient groups: those with readmission reservations and those without.
    • Review of patient diagnoses, readmission history, gender, and clinician attitudes.

    Main Results:

    • Patients with readmission reluctance showed significantly higher readmission rates and a greater proportion of males.
    • While diagnoses did not differ significantly, a trend towards personality and affective disorders was observed in the reluctant-to-readmit group.
    • Clinician agreement existed regarding difficulties in treating patients with antisocial/aggressive personalities, leading to reluctance.

    Conclusions:

    • Staff reluctance to readmit psychiatric patients is associated with increased readmissions and specific patient characteristics.
    • Differing clinician attitudes and treatment philosophies contribute to variability in managing difficult chronic patients.
    • Patient chronicity may be influenced by individual factors, family dynamics, and characteristics of mental health professionals and programs.

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