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  1. An evaluation of a surveillance system for patients discharged from the acute psychiatry unit in southern Tasmania.

    Article - En anglais

    Objectives 

    The aim is to evaluate the current community follow-up, or health surveillance, system for patients discharged from the acute psychiatry unit into the community in southern Tasmania.

    Method 

    We developed a conceptual model which considered community mental health follow-up as analogous to an epidemiological surveillance system.

    The surveillance system was evaluated by prospectively following recorded contacts between the system and a cohort of 100 patients consecutively discharged from the acute psychiatry unit.

    Main outcome measures were attendance at follow-up appointments, patient re-engagement and hospital readmission.

    Results 

    There is no formal system of follow-up and no policy relating to non-attenders of follow-up appointments after psychiatric hospitalisation.

    There is no defined role for private medical practitioners and agencies in the community.

    Of the 97 patients considered to need community follow-up, 11 patients were lost to follow-up after 3 months, while another 15 remained in the system because of hospital readmission.

    A further seven patients returned to the system during the following 2 years (six in year 1 and one in year 2) due to readmission.

    There is appropriate policy about the content and timing of discharge summaries ; most summaries were sent promptly.

    Conclusions 

    After discharge from the acute psychiatric unit, there was inadequate community follow-up of those patients for whom follow-up was considered necessary. (...)

    Mots-clés Pascal : Surveillance sanitaire, Communauté, Sortie hôpital, Santé mentale, Psychiatrie, Etude longitudinale, Tasmanie, Australie, Océanie, Homme

    Mots-clés Pascal anglais : Sanitary surveillance, Community, Hospital discharge, Mental health, Psychiatry, Follow up study, Tasmania, Australia, Oceania, Human

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 99-0360320

    Code Inist : 002B18I11. Création : 14/12/1999.