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Published in: Community Mental Health Journal 5/2015

01-07-2015 | Original Paper

Effects of Home Visit Intervention on Re-hospitalization Rates in Psychiatric Patients

Authors: Yun-Chang Chang, Frank Huang-Chih Chou

Published in: Community Mental Health Journal | Issue 5/2015

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Abstract

To examine the home visit intervention (HoVI) effects on the re-hospitalization rate and medical costs in patients with schizophrenia or other psychiatric disorders. The subjects who received more than 3 HoVIs were defined as the HoVI group, whereas the subjects who received equal to or less than 3 HoVIs were defined as the HoVI < 4 group; the subjects who had never received an HoVI were defined as the non-HoVI group. Differences in the re-hospitalization rates and National Health Insurance (NHI) costs among the three groups were examined. The re-hospitalization rate of the HoVI group was significantly lower than that of the non-HoVI group. The hospitalization days and the NHI costs of the HoVI group were also lower than those of the non-HoVI group. However, the HoVI < 4 group was not different than the non-HoVI group regarding the re-hospitalization rate or the hospitalization days. The re-hospitalization rate was significantly higher before compared with after the HoVIs. The NHI costs were significantly higher before compared with after the HoVIs. HoVIs (More than 3 HoVIs) produced a lower re-hospitalization rate, number of hospitalization days, and NHI costs in patients who received care through the Home Visit. Project to strengthen the Community Rehabilitation Program.
Literature
go back to reference Audini, B., Marks, I. M., Lawrence, R. E., Connolly, J., & Watts, V. (1994). Home-based versus outpatient/in-patient care for people with serious mental illness. British Journal of Psychiatry, 165, 204–210.PubMedCrossRef Audini, B., Marks, I. M., Lawrence, R. E., Connolly, J., & Watts, V. (1994). Home-based versus outpatient/in-patient care for people with serious mental illness. British Journal of Psychiatry, 165, 204–210.PubMedCrossRef
go back to reference Boomsma, J., Dassen, T., Dingemans, C., & van-den Heuvel, W. (1999). Nursing intervention in crisis-oriented and long-term psychiatric home care. Scandinavian Journal of Caring Sciences, 1, 41–48.CrossRef Boomsma, J., Dassen, T., Dingemans, C., & van-den Heuvel, W. (1999). Nursing intervention in crisis-oriented and long-term psychiatric home care. Scandinavian Journal of Caring Sciences, 1, 41–48.CrossRef
go back to reference Burns, T., & Raftery, J. (1991). Cost of schizophrenia, in a randomized trial of home-based treatment. Schizophrenia Bulletin, 17(3), 407–410.PubMedCrossRef Burns, T., & Raftery, J. (1991). Cost of schizophrenia, in a randomized trial of home-based treatment. Schizophrenia Bulletin, 17(3), 407–410.PubMedCrossRef
go back to reference Chou, C. F., Hsiung, P. C., & Huang, J. Y. (1992a). The effect on the family’s perceived stress of schizophrenics from the nursing home care. The Journal of Nursing, 39, 55–64. Chou, C. F., Hsiung, P. C., & Huang, J. Y. (1992a). The effect on the family’s perceived stress of schizophrenics from the nursing home care. The Journal of Nursing, 39, 55–64.
go back to reference Chou, C. F., Hsiung, P. C., & Huang, J. Y. (1992b). The effect on the daily life of schizophrenics from the nursing home care. The Journal of Nursing, 39, 119–125. Chou, C. F., Hsiung, P. C., & Huang, J. Y. (1992b). The effect on the daily life of schizophrenics from the nursing home care. The Journal of Nursing, 39, 119–125.
go back to reference Chuang, M. M., & Cheng, J. J. (1995). The policy and measurement of psychiatry treatment, Research, Development and Evaluation Commission, Executive Yuan: Review for the service system of psychiatric patients treatment (1st version). Research, Development and Evaluation Commission, Executive Yuan, Taipei city, PP. 101–154. Chuang, M. M., & Cheng, J. J. (1995). The policy and measurement of psychiatry treatment, Research, Development and Evaluation Commission, Executive Yuan: Review for the service system of psychiatric patients treatment (1st version). Research, Development and Evaluation Commission, Executive Yuan, Taipei city, PP. 101–154.
go back to reference Dixon, L. (2000). Assertive community treatment: Twenty-five years of gold. Psychiatric Service, 51(6), 759–765.CrossRef Dixon, L. (2000). Assertive community treatment: Twenty-five years of gold. Psychiatric Service, 51(6), 759–765.CrossRef
go back to reference Fenton, F. R., Tessier, L., & Struening, E. (1979). A comparative trial of home and hospital psychiatric care. Archives of General Psychiatry, 36, 1073–1079.PubMedCrossRef Fenton, F. R., Tessier, L., & Struening, E. (1979). A comparative trial of home and hospital psychiatric care. Archives of General Psychiatry, 36, 1073–1079.PubMedCrossRef
go back to reference Happy, K. -L. T., Wu, S. L., & Lu, M. I. (1999). Evaluation study on the effectiveness of alternative community care programs for schizophrenics. Public Health Quarterly, 26, 49–58. Happy, K. -L. T., Wu, S. L., & Lu, M. I. (1999). Evaluation study on the effectiveness of alternative community care programs for schizophrenics. Public Health Quarterly, 26, 49–58.
go back to reference Hoult, J., Rosen, A., & Reynolds, I. (1984). Community orientated treatment compared to psychiatric hospital orientated treatment. Social Science and Medicine, 18(11), 1005–1010.PubMedCrossRef Hoult, J., Rosen, A., & Reynolds, I. (1984). Community orientated treatment compared to psychiatric hospital orientated treatment. Social Science and Medicine, 18(11), 1005–1010.PubMedCrossRef
go back to reference Kaplan, H. I., & Sadock, B. (2007). Synopsis of psychiatry (10th ed., p. 489). Baltimore: Lippincott Williams & Wilkins. Kaplan, H. I., & Sadock, B. (2007). Synopsis of psychiatry (10th ed., p. 489). Baltimore: Lippincott Williams & Wilkins.
go back to reference Kiesler, C. A. (1982). Mental hospitals and alternative care: Noninstitutionization as potential public policy for mental patients. American Journal of Psychology, 37, 349–360.CrossRef Kiesler, C. A. (1982). Mental hospitals and alternative care: Noninstitutionization as potential public policy for mental patients. American Journal of Psychology, 37, 349–360.CrossRef
go back to reference Knapp, M., Beecham, J., Koutsogeorgopoulou, V., Hallam, A., Fenyo, A., Marks, I. M., et al. (1994). Service use and costs of home-based versus hospital-based care for people with serious mental illness. British Journal of Psychiatry, 165(2), 195–203.PubMedCrossRef Knapp, M., Beecham, J., Koutsogeorgopoulou, V., Hallam, A., Fenyo, A., Marks, I. M., et al. (1994). Service use and costs of home-based versus hospital-based care for people with serious mental illness. British Journal of Psychiatry, 165(2), 195–203.PubMedCrossRef
go back to reference Knapp, M., Marks, I., Wolstenholme, J., Beecham, J., Astin, J., Audini, B., et al. (1998). Home-based versus hospital-based care for people with serious mental illness. British Journal of Psychiatry, 172, 506–512.PubMedCrossRef Knapp, M., Marks, I., Wolstenholme, J., Beecham, J., Astin, J., Audini, B., et al. (1998). Home-based versus hospital-based care for people with serious mental illness. British Journal of Psychiatry, 172, 506–512.PubMedCrossRef
go back to reference Latimer, E. (2005). Economic considerations associated with assertive community treatment and supported employment for people with severe mental illness. Journal of Psychiatry and Neuroscience, 30(5), 355–359.PubMedCentralPubMed Latimer, E. (2005). Economic considerations associated with assertive community treatment and supported employment for people with severe mental illness. Journal of Psychiatry and Neuroscience, 30(5), 355–359.PubMedCentralPubMed
go back to reference Lin, C. L. (2000). Cost-effectiveness analysis of two care models for individuals with schizophrenia. The master’s thesis proposal of the Department of Nursing College of Medicine, National Taiwan University, 2000. Lin, C. L. (2000). Cost-effectiveness analysis of two care models for individuals with schizophrenia. The master’s thesis proposal of the Department of Nursing College of Medicine, National Taiwan University, 2000.
go back to reference Lin, Y., Shen, C. W., & Tsai, S. L. (1993). Hospital-based service of the psychiatric home care service—VGHTP mode. VGH Nursing, 10, 422–428. Lin, Y., Shen, C. W., & Tsai, S. L. (1993). Hospital-based service of the psychiatric home care service—VGHTP mode. VGH Nursing, 10, 422–428.
go back to reference Main, T. (1946). The Hospital as a Therapeutic Institution. Bulletin of the Menninger Clinic, 10, 66–70.PubMed Main, T. (1946). The Hospital as a Therapeutic Institution. Bulletin of the Menninger Clinic, 10, 66–70.PubMed
go back to reference Mayo, T. L. (1997). Mental health services in the home. Home Health Nurse, 4, 271–274.CrossRef Mayo, T. L. (1997). Mental health services in the home. Home Health Nurse, 4, 271–274.CrossRef
go back to reference Merson, S., Tyrer, P., Carlen, D., & Johnson, T. (1996). The cost of treatment of psychiatric emergencies, a comparison of hospital and community services. Psychological Medicine, 4, 727–734.CrossRef Merson, S., Tyrer, P., Carlen, D., & Johnson, T. (1996). The cost of treatment of psychiatric emergencies, a comparison of hospital and community services. Psychological Medicine, 4, 727–734.CrossRef
go back to reference Mohit, D. L. (1996). Management and care of mentally ill mothers of young children. Archives of Psychiatric Nursing, 1, 49–54.CrossRef Mohit, D. L. (1996). Management and care of mentally ill mothers of young children. Archives of Psychiatric Nursing, 1, 49–54.CrossRef
go back to reference Morris, M. (1996). Patients’ perceptions of psychiatric home care. Archives of Psychiatric Nursing, 3, 176–183.CrossRef Morris, M. (1996). Patients’ perceptions of psychiatric home care. Archives of Psychiatric Nursing, 3, 176–183.CrossRef
go back to reference Muijen, M., Marks, I., Connolly, J., & Audini, B. (1992). Home base care and hospital care for patients with severe mental illness: A randomized controlled trial. British Medical Journal, 303, 749–754.CrossRef Muijen, M., Marks, I., Connolly, J., & Audini, B. (1992). Home base care and hospital care for patients with severe mental illness: A randomized controlled trial. British Medical Journal, 303, 749–754.CrossRef
go back to reference Pai, S., & Roberts, E. J. (1983). Follow-up study of schizophrenic patients initially treated with home care. British Journal of Psychiatry, 143, 447–450.PubMedCrossRef Pai, S., & Roberts, E. J. (1983). Follow-up study of schizophrenic patients initially treated with home care. British Journal of Psychiatry, 143, 447–450.PubMedCrossRef
go back to reference Patterson, D. G., Macpherson, J., & Brady, N. M. (1997). Community aftercare for alcoholics. Addiction, 4, 458–468. Patterson, D. G., Macpherson, J., & Brady, N. M. (1997). Community aftercare for alcoholics. Addiction, 4, 458–468.
go back to reference Pelosi, A. J., & Jackson, G. A. (2000). Home treatment–enigmas and fantasies. BMJ, 320, 308–309.PubMedCrossRef Pelosi, A. J., & Jackson, G. A. (2000). Home treatment–enigmas and fantasies. BMJ, 320, 308–309.PubMedCrossRef
go back to reference Robinson, D. G. (2011). Medication adherence and relapse in recent-onset psychosis. American Journal of Psychiatry, 168, 240–242.PubMedCrossRef Robinson, D. G. (2011). Medication adherence and relapse in recent-onset psychosis. American Journal of Psychiatry, 168, 240–242.PubMedCrossRef
go back to reference Simpson, C. J., Seager, C. P., & Robertson, J. A. (1993). Home-based care and standard hospital care for patients with severe mental illness: A randomised controlled trial. British Journal of Psychiatry, 162, 239–243.PubMedCrossRef Simpson, C. J., Seager, C. P., & Robertson, J. A. (1993). Home-based care and standard hospital care for patients with severe mental illness: A randomised controlled trial. British Journal of Psychiatry, 162, 239–243.PubMedCrossRef
go back to reference Singh, R., Rowan, J., Burton, C., & Galletly, C. (2010). How effective is a hospital at home service for people with acute mental illness? Australas Psychiatry., 18(6), 512–516.PubMedCrossRef Singh, R., Rowan, J., Burton, C., & Galletly, C. (2010). How effective is a hospital at home service for people with acute mental illness? Australas Psychiatry., 18(6), 512–516.PubMedCrossRef
go back to reference Song, L. Y., Chang, L. Y., Shih, C. Y., Lin, C. Y., & Yang, M. J. (2005). Community attitudes towards the mentally ill: The results of a national survey of the taiwanese population. International Journal of Social Psychiatry, 51(2), 162–176.PubMedCrossRef Song, L. Y., Chang, L. Y., Shih, C. Y., Lin, C. Y., & Yang, M. J. (2005). Community attitudes towards the mentally ill: The results of a national survey of the taiwanese population. International Journal of Social Psychiatry, 51(2), 162–176.PubMedCrossRef
Metadata
Title
Effects of Home Visit Intervention on Re-hospitalization Rates in Psychiatric Patients
Authors
Yun-Chang Chang
Frank Huang-Chih Chou
Publication date
01-07-2015
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 5/2015
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-014-9807-7

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