![](../images/left/left_top.jpg)
Past Issues
Factors Affecting the Readmission Rate after Psychiatric Home Treatment
Jen-Hung Huang, Li-Chung Huang, Yue-Cune Chang, Kuo-Jung Chang, Yueh-Ming Tai
Objective:The objective of this study was to explore the factors associated
with differences in hospital admission rates before and after psychiatric home
treatment in Taiwan. Specifically, this study was to focus on social, demographic,
clinical, and service-related factors. Methods:We recruited 97 convenient samples
of patients who received psychiatric home treatment from either the Beitou
Branch, Tri-Service General Hospital (Beitou Branch, TSGH) in Taipei, Taiwan,
or Chiayi Christian Hospital (CCH) in Chiayi, Taiwan. The data were collected
from the participants’ home treatment medical records and from data of interviews
with their case managers to assess the effects of several factors on the numbers of
hospital admissions before and after home treatment. Results:A generalized, multivariate
linear model revealed that more frequent hospital admissions were significantly
associated with more difference in admission after home treatment (p<
0.001). In addition, higher Clinical Global Impressions-Severity (CGI-S) scores (p
< 0.001) and a criminal history (p< 0.01 in univariate analysis, and p< 0.05 in
multivarate anlysis) were significantly associated with less improved hospital admission.
The most important predictors of improvements in hospital admission
rates after home treatment in Taiwan were the previous admission rate, CGI-S
score and criminal history. Previous admission positively predicts the improvement
in hospital admission whereas CGI-S and criminal history predict negatively.
Conclusion:Our findings of this study suggest that home treatment should be
encouraged among patients with higher rates of previous hospital admissions. In
addition to home treatment, other adjuvant interventions should be used for patients
with high CGI-S scores or criminal records to reduce the likelihood of future
hospitalization.
Key Word | home treatment, psychiatric readmission, community mental health, chronic mental disorder |
---|