1. A new inner-city specialist programme reduces readmission rates in frequently admitted patients with bipolar disorder
- Author
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Allan H. Young, Tim Mantingh, Emma Borthwick, Diego Hidalgo-Mazzei, Karine Macritchie, and Sarah Bourne
- Subjects
medicine.medical_specialty ,functional recovery ,audit ,Audit ,03 medical and health sciences ,0302 clinical medicine ,Inner city ,mental disorders ,Medicine ,In patient ,030212 general & internal medicine ,Bipolar disorder ,recurrence prevention ,Specialist care ,business.industry ,Specialist service development ,After discharge ,medicine.disease ,Original Papers ,030227 psychiatry ,Psychiatry and Mental health ,Mood disorders ,bipolar affective disorder ,Emergency medicine ,Home treatment ,business - Abstract
Aims and methodThe OPTIMA mood disorders service is a newly established specialist programme for people with bipolar disorder requiring frequent admissions. This audit compared data on hospital admissions and home treatment team (HTT) spells in patients before entry to and after discharge from the core programme. We included patients admitted between April 2015 and March 2017 who were subsequently discharged. Basic demographic data and numbers of admissions and HTT spells three years before and after discharge were collected and analysed.ResultsThirty patients who completed the programme were included in the analyses. The median monthly rate of hospital admissions after OPTIMA was significantly reduced compared with the rate prior to the programme. HTT utilisation was numerically reduced, but this difference was not statistically significant.Clinical implicationsThese results highlight the effectiveness and importance of individually tailored, specialist care for patients with bipolar disorder following discharge from hospital.Declaration of interestNone.
- Published
- 2018
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