Treatment Compliance Communications Between Patients with Severe Mental Illness and Treating Healthcare Providers: A Retrospective Study of Documentation Using Healthcare Reimbursement Claims and Medical Chart Abstraction

Aims and MethodMental illness may cause specific problems in the environment of an international airport. The aim of our study was to assess frequency, presentation and safety implications of mental disorders requiring formal admission at an international airport. We performed a retrospective study over 4 years including patients who were detained by the police and admitted.ResultsThe frequency of admissions was one per million passengers, the frequency of incidents raising safety concerns was four per 10 million passengers. An in-flight disturbance occurred in 1.4 per 10 million arriving passengers. Most common were schizophrenia or schizotypal disorder (46.8%) and mania (22.6%). Twenty per cent of patients presented with wandering.Clinical ImplicationsEmergency admissions and incidents causing safety concerns were rare. Airport wandering was a frequent presenting sign that should be recognised.

Download Full-text

Providers’ competencies positively affect personal recovery of involuntarily admitted patients with severe mental illness: A prospective observational study

International Journal of Social Psychiatry ◽

10.1177/0020764017749864 ◽

2017 ◽

Vol 64 (2) ◽

pp. 145-155 ◽

Cited By ~ 1

Author(s):

Ellen Jas ◽

Martijn Wieling

Keyword(s):

Mental Illness ◽

Severe Mental Illness ◽

Psychiatric Patients ◽

Linear Regression Analysis ◽

Healthcare Providers ◽

Mental Healthcare ◽

Alcohol Problems ◽

Treatment Motivation ◽

Personal Recovery ◽

Inpatient Settings

Objective: There is limited research on the patient–provider relationship in inpatient settings. The purpose of this study was to measure the effect of mental healthcare providers’ recovery-promoting competencies on personal recovery in involuntarily admitted psychiatric patients with severe mental illness. Methods: In all, 127 Dutch patients suffering from a severe mental illness residing in a high-secure psychiatric hospital reported the degree of their personal recovery (translated Questionnaire about Processes of Recovery questionnaire (QPR)) and the degree of mental healthcare providers’ recovery-promoting competence (Recovery Promoting Relationship Scale (RPRS)) at two measurement points, 6 months apart. Analyses: (Mixed-effects) linear regression analysis was used to test the effect of providers’ recovery-promoting competence on personal recovery, while controlling for the following confounding variables: age, gender drug/alcohol problems, social relationships, activities of daily living, treatment motivation and medication adherence. Results: Analyses revealed a significant positive effect of providers’ recovery-promoting competencies on the degree of personal recovery ( t = 8.4, p < .001) and on the degree of change in personal recovery over time ( ts > 4, p < .001). Conclusion: This study shows that recovery-promoting competencies of mental healthcare providers are positively associated with (a change in) personal recovery of involuntarily admitted patients. Further research is necessary on how to organize recovery-oriented care in inpatient settings and how to enhance providers’ competencies in a sustainable way.

Download Full-text