Characterizing the inpatient care of young adults experiencing early psychosis: A medical record review.
Adolescent
Adult
Antipsychotic Agents
/ therapeutic use
British Columbia
Cohort Studies
Combined Modality Therapy
Dose-Response Relationship, Drug
Early Medical Intervention
Emergency Service, Hospital
Female
Hospital Records
Hospitals, Urban
Humans
Length of Stay
Male
Middle Aged
Patient Admission
Patient Readmission
Psychiatric Department, Hospital
Psychotic Disorders
/ diagnosis
Retrospective Studies
Treatment Outcome
Young Adult
early intervention
patient care
psychiatric hospital
psychiatric nursing
psychotic disorder
Journal
Early intervention in psychiatry
ISSN: 1751-7893
Titre abrégé: Early Interv Psychiatry
Pays: Australia
ID NLM: 101320027
Informations de publication
Date de publication:
Apr 2019
Apr 2019
Historique:
received:
24
03
2017
revised:
12
05
2017
accepted:
17
06
2017
pubmed:
2
8
2017
medline:
25
7
2019
entrez:
1
8
2017
Statut:
ppublish
Résumé
To characterize the inpatient care received by individuals experiencing early psychotic episodes in an inner city hospital. Medical records of patients admitted between April 01, 2013, and March 31, 2015, to a psychiatric ward at an inner city hospital were retrospectively examined. Included in the study are patients who were 25 years of age or younger and were hospitalized for psychotic symptoms. Demographics and health service use were summarized using descriptive statistics. A total of 73 inpatients (mean age = 22; males =78%; Caucasian = 41%) met the study inclusion criteria with a combined total of 102 care episodes and an average length of stay of 32.6 days. Monitoring of vital signs (VS) and mental status examinations (MSE) were performed in most care episodes although these were not performed regularly (daily VS checks-31%; MSE every nursing shift-18.6%). In 49% of the care episodes, patients were discharged on long-acting injectable antipsychotics. Even when indicated, not all care episodes had follow-up appointments (82.8%) in the community. The use of seclusion was higher in the wards (32%) than in the emergency department (21%), whereas the use of restraints was higher in the emergency department (16%) than in the wards (<1%). There is wide variation in the rate at which various clinical care processes are performed and in the provision of inpatient care to younger adults experiencing episodes of early psychosis. Consistent standards of care are needed to reduce variations and improve treatment outcomes and experiences.
Substances chimiques
Antipsychotic Agents
0
Types de publication
Journal Article
Langues
eng
Pagination
224-230Informations de copyright
© 2017 John Wiley & Sons Australia, Ltd.