Official Title: Implementation and Evaluation of a Transition to Discharge Program for the Reduction of Early Readmission in a Mental Health Inpatient Unit
Status: RECRUITING
Status Verified Date: 2024-04
Last Known Status: None
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: No
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: PPREINGRESOS
Brief Summary: Early readmission to psychiatric units poses a significant challenge for both patients with mental health issues and healthcare institutions It hampers patient progress and prognosis and the professional approach taken during discharge can greatly influence the recovery process This paper proposes a multicomponent discharge transition intervention to mitigate the risk of early readmission to a Mental Health Hospitalization Unit MHHU
The intervention entails developing a measurement scale to assess patients risk of early readmission allowing for stratification into high medium and low-risk categories Tailored intervention strategies will focus on ensuring adherence and continuity of care post-discharge with a more comprehensive approach for high-risk patients Additionally a post-discharge psychotherapeutic group will be incorporated for high-risk cases to support recovery The efficacy of the program will be analyzed by comparing the overall early readmission risk at the Regional Hospital of Malagas MHHU with the previous year using admission episodes from two other hospitals in the province as a control group where the intervention program is not implemented The success of the post-discharge group psychotherapeutic intervention will be evaluated through pre-post assessments of recovery measures functionality subjective well-being social support and treatment satisfaction
This proposal aims to address the issue of early readmission to psychiatric units by enhancing predictability and understanding of intervention strategies to reduce readmission rates
Detailed Description: The aim of this study is firstly to create a tool for assessing the risk of early readmission that allows for stratification of admitted patients according to their risk level based on the analysis of clinical and sociodemographic variables The second objective is to implement an intervention program tailored to each risk level involving coordination among all involved mental health units and a specific intensive program for patients at higher risk
The present study is a quasi-experimental cluster clinical trial aimed at assessing the efficacy of a multicomponent discharge transition program for the reduction of early readmissions in a MHHU The development of this study consists of two distinct parts or elements
To carry out the main objective a quasi-experimental design with a control group will be used and within the intervention an early readmission risk assessment scale will be created to categorize patients into different risk levels
In addition a study will be conducted to assess the predictive value and validity of the early readmission risk rating scale and to study the risk factors for early readmission