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.
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.
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.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0360320
Code Inist : 002B18I11. Création : 14/12/1999.