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Home visits: psychiatrists' attitudes and practice patterns

K M Reding1, M Raphelson, C B Montgomery

  • 1Western Michigan University, School of Public Affairs and Administration, Kalamazoo 49008.

Community Mental Health Journal
|June 1, 1994
PubMed
Summary
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Psychiatrist home visits are effective but uncommon in the US. Despite recognizing their value, only 15% of surveyed psychiatrists made home visits in the past year, contrary to expectations about community mental health center employment.

Area of Science:

  • Psychiatry
  • Mental Health Services
  • Healthcare Delivery

Background:

  • Home visits by psychiatrists are an effective treatment strategy.
  • This practice is not widespread in the United States.
  • Previous research suggests potential benefits for patient care and outcomes.

Purpose of the Study:

  • To examine psychiatrists' attitudes toward home visits.
  • To investigate current practice patterns regarding psychiatric home visits.
  • To test the hypothesis that community mental health center employment influences attitudes and practices related to home visits.

Main Methods:

  • A survey was conducted among 212 psychiatrists in the United States.
  • The survey assessed psychiatrists' attitudes towards home visits.

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  • It also collected data on their recent practice patterns, including frequency of home visits.

    • Main Results:

    • A majority of surveyed psychiatrists agreed that home visits possess diagnostic and treatment value.
    • Despite this agreement, only 15% of respondents reported making a home visit within the past year.
    • The hypothesis that psychiatrists employed by community mental health centers are more likely to conduct home visits was not supported.

    Conclusions:

    • There is a significant gap between the recognized value of psychiatric home visits and their actual implementation.
    • Factors beyond employment at community mental health centers may influence the adoption of this practice.
    • Further research is needed to understand barriers and facilitators to psychiatric home visit utilization.