Title |
Short time effect of a self-referral to inpatient treatment for patients with severe mental disorders: a randomized controlled trial
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Published in |
BMC Health Services Research, September 2016
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DOI | 10.1186/s12913-016-1712-z |
Pubmed ID | |
Authors |
Inger Elise Opheim Moljord, Kristel Antine Helland-Hansen, Øyvind Salvesen, Turid Møller Olsø, Camilla Buch Gudde, Marit By Rise, Aslak Steinsbekk, Lasse Eriksen |
Abstract |
Service user participation is a central principle in mental healthcare, and the opportunity to self-refer to inpatient treatment is used to increase service user involvement and activation. The aim of this study was to investigate the short-term effect of a self-referral system in an inpatient rehabilitation unit at a community mental health center on patient activation and recovery in individuals with severe mental disorders. A randomized controlled study including 53 patients (41 % females, mean age 40 years). Twenty-six patients in the intervention group were given a contract for self-referral to inpatient treatment, limited to maximum 5 days and a quarantine time of 14 days between each stay. The control group (27 participants) received treatment as usual, and was offered the intervention after 1 year. The Patient Activation Measure was the primary outcome and secondary outcome was the Recovery Assessment Scale. Mixed models were used to assess group differences. During the 4 months period, 15 (58 %) of 26 participants in the intervention group used the contract of self-referral to inpatient treatment. The intervention group had more admissions than the control group but both groups had a similar total use of inpatient days and out-patient consultations. The self-referral to inpatient treatment counted for 11 % of all inpatient days for the intervention group. There were no significant differences in the outcome between the groups on patient activation (estimated mean difference 2.7, 95 % confidence interval = -5.5 to 10.8, p = 0.52) or recovery (estimated mean difference 0.01, 95 % confidence interval = -0.3 to 0.3, p = 0.92). Giving persons with severe mental disorders the possibility to self-refer to inpatient treatment did not change their level of patient activation and recovery after 4 months and did not lead to increased use of health services. The cost-effectiveness and long-term effect of self-referral to inpatient treatment should be investigated further. NCT01133587 , clinicaltrials.gov. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 48 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 7 | 15% |
Student > Doctoral Student | 6 | 13% |
Researcher | 5 | 10% |
Student > Master | 5 | 10% |
Student > Bachelor | 3 | 6% |
Other | 9 | 19% |
Unknown | 13 | 27% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 14 | 29% |
Medicine and Dentistry | 7 | 15% |
Nursing and Health Professions | 6 | 13% |
Biochemistry, Genetics and Molecular Biology | 1 | 2% |
Agricultural and Biological Sciences | 1 | 2% |
Other | 4 | 8% |
Unknown | 15 | 31% |