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1、52Discharge PlanningUseful Elements of Discharge Planning: Consumer PerceptionsCharlene Hann M.Sc., Registered Provisional PsychologistAlberta Health Services, Fort McMurrayYvonne Hoppins RN, MNAlberta Health Services, Red DeerShelley MacGregor, RN, MBAAlberta Health Services, Grande PrairieSEARCH C
2、anadaAcknowledgementsA sincere thank you is extended to the following individuals and groups for ongoing support necessary to complete this SEARCH project:Gerri Lasiuk, SEARCH facility member and Professor, University of Alberta for her guidance, expertise and prompt feedback, as our facility adviso
3、r.Gordon Fick, SEARCH facility member and Professor, University of Calgary for his guidance in the data analysis component of our project.Debbie Kunkel, for her contributions to the research and development of the original research question.Our work supervisors and colleagues for continued support i
4、n “holding down the fort” while we travelled to attend modules. Alberta Health Services Leadership team for sponsoring the SEARCH classic program.SEARCH Canada for the evidence literacy training and the virtual learning environment access and support.Our families for their unending support for which
5、 we are always truly grateful.AbstractTitle: Useful Elements of Discharge Planning: Consumer PerceptionsAuthors: Charlene Hann M.Sc., Registered Provisional Psychologist Mental Health Therapist, Alberta Health Services, 7 Hospital Street, Fort McMurray AB 780.791.6194 channnlhr.ca Yvonne Hoppins RN,
6、 MN Patient Safety Coordinator, Alberta Health Services, Red Deer Shelley MacGregor, RN, MBA Quality and Risk Management Coordinator, Alberta Health Services, Grande PrairieFaculty Advisor: Gerri Lasiuk, RN, PhD Faculty Member, SEARCH Canada and University of AlbertaBACKGROUND: The professional lite
7、rature is clear that effective discharge planning contributes to the continuity of care of individuals suffering from mental illness (Adair et al., 2005) and is associated with reduced suicide and hospital readmissions rates and improvements in social functioning and quality of life (Boyer, 1997). D
8、espite this, clients and their families often report a lack of support as they transition back to the community after discharge from hospital. In Alberta, as elsewhere, this contributes to high readmission rate, medication non-adherence, and poor use of community resources (Durbin, Goering & Streine
9、r, 2004; Eija & Marja-Leena, 2005; Rose, Gerson & Cabo, 2007). To our knowledge, no one has explored what constitutes effective discharge planning from the perspective of clients receiving mental health/psychiatric care and their families. PURPOSE: To identify what elements of discharge planning tha
10、t foster continuity of care from the perspective of individuals recently discharged from an acute psychiatric unit and their families. METHODS: This exploratory, descriptive study employed a 12-item telephone questionnaire developed by the investigators with 39 adults recently discharged from one of
11、 several Alberta Health Services Mental Health/Psychiatric Units. The interview tool consisted of 12 questions, each relating to a particular component of the discharge process. Interviews took place from November 2008-April 2009. The study was reviewed and approved by SEARCH Canada Faculty, by the
12、Community Research Ethics Board of Alberta (CREBA) and approved by Alberta Health Services.RESULTS: Findings of the current study support the published literature, which indicates that elements of discharge planning that foster continuity of care are perceived as helpful by mental health clients. Th
13、ese elements include being assigned a Case Manager; speaking regularly with their Case Manager before and after discharge; being given information about medication, what to do in a crisis/emergency and community services; meeting with a care team to discuss upcoming discharge; having the opportunity
14、 to participate in counseling, and having family and friends to participate in their care. The authors note that these services are not being consistently delivered to all mental health clients in Alberta.IMPLICATIONS: These findings suggest that a standardized approach to helping clients prepare fo
15、r discharge will enhance continuity of mental health care. Such an approach must include the components identified as helpful by research, healthcare professionals, and most importantly, mental health clients.Table of ContentsIntroduction6 Purpose7Literature Identification and Selection7 Literature Identification7 Selection8Literature Review8 Information Sharing/Communica
