Readmission to an acute psychiatric unit within 28 days of discharge : identifying those at risk

Callaly, Thomas, Hyland, Mary, Trauer, Tom, Dodd, Seetal and Berk, Michael 2010, Readmission to an acute psychiatric unit within 28 days of discharge : identifying those at risk, Australian health review, vol. 34, no. 3, pp. 282-285.

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Title Readmission to an acute psychiatric unit within 28 days of discharge : identifying those at risk
Author(s) Callaly, Thomas
Hyland, Mary
Trauer, Tom
Dodd, Seetal
Berk, Michael
Journal name Australian health review
Volume number 34
Issue number 3
Start page 282
End page 285
Publisher CSIRO Publishing
Place of publication Melbourne, Vic.
Publication date 2010
ISSN 0156-5788
1449-8944
Summary Objective. To examine factors that could help identify those most at risk of readmission to an acute psychiatric in-patient unit within 28 days of a discharge.

Method. A detailed file audit was conducted comparing 54 consecutive patients who had been readmitted within 28 days of discharge with 61 patients, chosen at random, who had not been readmitted during the same period.

Results. Readmission within 28-days of discharge was associated with having been admitted in the previous year (P = 0.004), receiving the Disability Support Pension (P = 0.015), not having a discharge plan sent to the patient’s GP on discharge from the index admission (P = 0.05), receiving follow-up by the mental health team within 7 days of discharge (P = 0.007) and being unemployed (P = 0.015).

Conclusions. Targeting those with previous admissions for focussed discharge planning may help organisations reduce the numbers of unnecessary early readmissions.

What is known about the topic?
Readmission within 28-days of discharge is being increasingly used by service funders and organisations as an indicator of the effectiveness of community care and of the organisation’s ability to provide continuous care across programs. Previous studies, mainly conducted in the US in the mid-90s, often reach contradictory conclusions and their relevance to the Australian setting is limited.

What does this paper add?
This paper uses data from an Australia mental health service. It identifies patient and service characteristics associated with rapid re-admission and provides a baseline to evaluate strategies to reduce the readmission rate.

What are the implications for practitioners? This paper highlights the importance of careful discharge planning and communication with general practitioners particularly in relation to patients who have had previous admissions.
Language eng
Field of Research 110319 Psychiatry (incl Psychotherapy)
Socio Economic Objective 920410 Mental Health
HERDC Research category C1 Refereed article in a scholarly journal
HERDC collection year 2010
Copyright notice ©2010, AHHA
Persistent URL http://hdl.handle.net/10536/DRO/DU:30031103

Document type: Journal Article
Collection: School of Medicine
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Created: Tue, 09 Nov 2010, 10:13:51 EST by Jane Moschetti

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