Crisis discharges and readmission risk in acute psychiatric male inpatients

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dc.contributor.authorNiehaus, Dana J. H.
dc.contributor.authorKoen, Liezl
dc.contributor.authorGalal, Ushma
dc.contributor.authorDhansay, Khalid
dc.contributor.authorOosthuizen, Piet P.
dc.contributor.authorEmsley, Robin A.
dc.contributor.authorJordaan, Esme
dc.date.accessioned2010-12-14T12:43:51Z
dc.date.available2010-12-14T12:43:51Z
dc.date.issued2008-06
dc.date.updated2010-11-02T19:13:56Z
dc.description.abstractBackground: Severe pressures on beds in psychiatric services have led to the implementation of an early ("crisis") discharge policy in the Western Cape, South Africa. The study examined the effect of this policy and length of hospital stay (LOS) on readmission rates in one psychiatric hospital in South Africa. Methods: Discharge summaries of adult male patients (n = 438) admitted to Stikland Psychiatric Hospital during 2004 were retrospectively examined. Each patient's clinical course was then analysed for the period between January 1st, 2004, and August 31st, 2006. Results: Although shorter LOS was associated with decreased readmission rates, the effect of crisis discharges was far more powerful. Patients discharged as usual had a far lower risk of readmission than those discharged due to bed pressures (i.e. crisis discharge). Conclusion: Increased risks associated with the early discharge policy necessitate the urgent review of the current management of bed shortages in this inpatient facility. The strengthening of community initiatives, particularly assertive outreach could be a way forward.en_ZA
dc.description.versionPeer Reviewed
dc.format.extent6 p. : ill.
dc.identifier.citationNiehaus, DJH, Koen, L, Galal, U, Dhansay, K, Oosthuizen, PP, Emsley, RA & Jordaan, E 2008, 'Crisis discharges and readmission risk in acute psychiatric male inpatients', BMC Psychiatry, 8(1):44.en_ZA
dc.identifier.issn1471-244X
dc.identifier.otherhttp://dx.doi.org/10.1186/1471-244X-8-44
dc.identifier.urihttp://hdl.handle.net/10019.1/5110
dc.language.isoen_ZAen_ZA
dc.language.rfc3066en
dc.publisherBioMed Centralen_ZA
dc.rights.holderNiehaus et al.; licensee BioMed Central Ltd.en_ZA
dc.subjectEarly ("crisis") discharge policy -- South Africa -- Cape Townen_ZA
dc.subjectLength of hospital stay (LOS)en_ZA
dc.subjectPsychiatric hospitalsen_ZA
dc.subjectEarly discharge risken_ZA
dc.subjectHospital readmission -- South Africa -- Cape Townen_ZA
dc.titleCrisis discharges and readmission risk in acute psychiatric male inpatientsen_ZA
dc.typeArticleen_ZA
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