Home-based crisis team in North Cork service description and patient-related outcomes

ObjectiveHome-based crisis team (HBCT) in North Cork was established in 2013 to provide short term, intensive home treatment to people who are experiencing acute mental health problems, with the aim of averting hospital admission wherever possible or supporting patients discharged from hospital.MethodsA retrospective descriptive study design was adopted to describe the activities of the North Cork HBCT over a 1 year period. Data were analysed using R version 3.4.0 for Windows.ResultsA total of 388 patients were referred to the HBCT in 2015, of which 328 required assessments. General practitioners (GPs) made 56% of all referrals. The most common referral reason was low mood (40%). Stepped-up care to the psychiatric inpatient unit was required for 12.4% of patients, 62% were discharged to the outpatient clinic for routine follow-up.ConclusionMany common psychiatric presentations can be managed at home with the support of the HBCT although hospital admission is required for significant numbers.

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Patients’ Characteristics and Consumer Satisfaction on an Inpatient Child Psychiatric Unit

The Canadian Journal of Psychiatry ◽

10.1177/070674379303800304 ◽

1993 ◽

Vol 38 (3) ◽

pp. 175-180 ◽

Cited By ~ 19

Author(s):

E. Jane Bradley ◽

Barbara S. Clark

Keyword(s):

Treatment Outcome ◽

Consumer Satisfaction ◽

Tertiary Care ◽

Psychiatric Inpatient ◽

Program Evaluations ◽

Home Based ◽

Psychiatric Inpatient Unit ◽

Child Psychiatric ◽

Satisfaction Evaluation

This paper reports the results of a chart review and consumer satisfaction evaluation of referrals to a tertiary care child psychiatric inpatient unit. The evaluation involved an examination of the types of child and family difficulties treated during the period of the study; the nature and extent of assessment, treatment and follow-up; treatment outcome and parental perception of factors related to treatment outcome; and the satisfaction of both the parents and referral sources. Results indicated that children admitted for treatment were a heterogeneous group with severe difficulties from families with a number of problems. Most parents and referring therapists were very satisfied with the treatment, recommendations and follow-up provided. Significant correlations were observed between the parents’ and referring therapist's satisfaction with the service and the extent to which home based problems were addressed during the child's stay in hospital. In addition, some suggestions are given for strategies to improve services. The findings are discussed with special reference to the value of program evaluations for inpatient child psychiatric services.

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Features of degenerative mitral valve prolapse in the North East of China: repair characteristics, and short-term follow-up results

Minerva Cardioangiologica ◽

10.23736/s0026-4725.20.05248-2 ◽

2020 ◽

Vol 68 (5) ◽

Author(s):

Silvia Corona ◽

Paolo Barbier ◽

Guangyu Liu ◽

Osafo A. Annoh ◽

Marcio Scorsin ◽

...

Keyword(s):

Mitral Valve ◽

Mitral Valve Prolapse ◽

Short Term ◽

North East ◽

The North

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Commentary: Short-Term Child Psychiatric Inpatient Unit

Emotional Disorders in Children and Adolescents ◽

10.1016/b978-0-08-035153-7.50018-8 ◽

1980 ◽

pp. 229-234

Author(s):

G. Pirooz Sholevar

Keyword(s):

Psychiatric Inpatient ◽

Inpatient Unit ◽

Short Term ◽

Psychiatric Inpatient Unit ◽

Child Psychiatric ◽

Child Psychiatric Inpatient

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Significant predictive factors of the severity and outcomes of the first attack of acute angioedema in children

BMC Pediatrics ◽

10.1186/s12887-019-1809-8 ◽

2019 ◽

Vol 19 (1) ◽

Author(s):

Yuan-Jhen Syue ◽

Chao-Jui Li ◽

Wen-Liang Chen ◽

Tsung-Han Lee ◽

Cheng-Chieh Huang ◽

...

Keyword(s):

Hospital Admission ◽

Respiratory Symptoms ◽

Clinical Presentation ◽

Preschool Age ◽

Short Term ◽

Patient Demographics ◽

Life Threatening ◽

History Of ◽

Initial Episode

Abstract Background The initial episode of angioedema in children can be potential life-threatening due to the lack of prompt identification and treatment. We aimed to analyze the factors predicting the severity and outcomes of the first attack of acute angioedema in children. Methods This was a retrospective study with 406 children (< 18 years) who presented in the emergency department (ED) with an initial episode of acute angioedema and who had subsequent follow-up visits in the out-patient department from January 2008 to December 2014. The severity of the acute angioedema was categorized as severe (requiring hospital admission), moderate (requiring a stay in the short-term pediatric observation unit [POU]), or mild (discharged directly from the ED). The associations among the disease severity, patient demographics and clinical presentation were analyzed. Result In total, 109 (26.8%) children had severe angioedema, and the majority of those children were male (65.1%). Most of the children were of preschool age (56.4%), and only 6.4% were adolescents. The co-occurrence of pyrexia or urticaria, etiologies of the angioedema related to medications or infections, the presence of respiratory symptoms, and a history of allergies (asthma, allergic rhinitis) were predictors of severe angioedema (all p < 0.05). Finally, the duration of angioedema was significantly shorter in children who had received short-term POU treatment (2.1 ± 1.1 days) than in those who discharged from ED directly (2.3 ± 1.4 days) and admitted to the hospital (3.5 ± 2.0 days) (p < 0.001). Conclusion The co-occurrence of pyrexia or urticaria, etiologies related to medications or infections, the presence of respiratory symptoms, and a history of allergies were predictors of severe angioedema. More importantly, short-term POU observation and prompt treatment might be benefit for patients who did not require hospital admission.

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Follow-up of short-term child psychiatric inpatient treatment

Nordic Journal of Psychiatry ◽

10.3109/08039489509011890 ◽

1995 ◽

Vol 49 (2) ◽

pp. 95-101 ◽

Cited By ~ 7

Author(s):

Andre Sourander ◽

Tuula Heikkilä ◽

Hannu Leijala ◽

Anna-Maria Heinisuo ◽

Hans Helenius ◽

...

Keyword(s):

Inpatient Treatment ◽

Psychiatric Inpatient ◽

Short Term ◽

Psychiatric Inpatient Treatment ◽

Child Psychiatric ◽

Child Psychiatric Inpatient

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Course and Predictors of Physical Aggressive Behaviour after Discharge from a Psychiatric Inpatient Unit: 1 Year Follow-up

Community Mental Health Journal ◽

10.1007/s10597-012-9530-1 ◽

2012 ◽

Vol 49 (4) ◽

pp. 451-456 ◽

Cited By ~ 7

Author(s):

Mario Amore ◽

Cristina Tonti ◽

William Esposito ◽

Stefano Baratta ◽

Domenico Berardi ◽

...

Keyword(s):

Aggressive Behaviour ◽

Psychiatric Inpatient ◽

Inpatient Unit ◽

Psychiatric Inpatient Unit

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Utilizing cognitive therapy on the short-term psychiatric inpatient unit

General Hospital Psychiatry ◽

10.1016/0163-8343(90)90076-o ◽

1990 ◽

Vol 12 (3) ◽

pp. 170-176 ◽

Cited By ~ 6

Author(s):

Mary Helen Davis ◽

David A. Casey

Keyword(s):

Cognitive Therapy ◽

Psychiatric Inpatient ◽

Inpatient Unit ◽

Short Term ◽

Psychiatric Inpatient Unit

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Two Year Follow-up of Behavioural Functioning in Long-Stay Chronically Mentally Ill Clients Transferred to the Community

Australian Journal of Rehabilitation Counselling ◽

10.1017/s1323892200001265 ◽

1998 ◽

Vol 4 (2) ◽

pp. 59-70 ◽

Cited By ~ 1

Author(s):

Robyn Vertongen ◽

Frank P. Deane ◽

Graeme Beaumont

Keyword(s):

Mentally Ill ◽

Adaptive Functioning ◽

Psychiatric Inpatient ◽

Readmission Rates ◽

Social Contacts ◽

Chronically Mentally Ill ◽

Psychiatric Inpatient Unit ◽

Maladaptive Behaviour ◽

Community Programmes

The effects of transferring 28 long-stay chronically mentally ill patients from a psychiatric hospital to community placements was evaluated. The Rehabilitation Evaluation Hall and Baker (REHAB; Baker & Hall, 1983) scale was used to assess clients' adaptive and maladaptive behavioural functioning at 12, 18 and 24 month intervals following the hospital baseline. Social contacts and inpatient readmissions were also assessed. The results showed that clients' general adaptive functioning and maladaptive behaviour, on average, remained stable across the hospital baseline and two year follow-up period. Clients with frequent social contacts were found to have significantly better adjustment on a number of the REHAB subscales and those who exhibited more maladaptive behaviour were more likely to be readmitted to a psychiatric inpatient unit. Overall the results were encouraging with relatively low readmission rates, however, approximately 10% of clients showed significant difficulty adjusting in the community. The implications of the findings for chronically mentally ill people and suggestions for community programmes are discussed.

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Do Psychosocial Factors Influence Outcome in Severely Depressed Female Psychiatric In-patients?

The British Journal of Psychiatry ◽

10.1192/bjp.163.6.747 ◽

1993 ◽

Vol 163 (6) ◽

pp. 747-754 ◽

Cited By ~ 49

Author(s):

Bernice Andrew ◽

Keith Hawton ◽

Joan Fagg ◽

David Westbrook

Keyword(s):

Hospital Admission ◽

Hospital Discharge ◽

Psychosocial Factors ◽

Severe Depression ◽

Self Esteem ◽

Short Term ◽

Factors Associated ◽

Community Or ◽

Suicidal Ideas

Fifty-nine women admitted to hospital because of severe depression were studied prospectively during hospital admission and nine months following hospital discharge in order to identify psychosocial and illness factors associated with prognosis. Outcome was measured in terms of both depression scores and recovery at the time of follow-up. In keeping with the findings of other studies, the outcome was often poor, with only 54% having recovered nine months after discharge, poorer outcome being associated with more negative self-esteem measured when the women were depressed and with suicidal ideas. The findings indicate that in severely depressed women likely to be admitted to hospital, psychosocial factors may have less relevance to outcome, at least in the short term, than in less severely depressed patients studied in community or out-patient samples.

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