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Social Psychiatry and Psychiatric Epidemiology
Published in: Social Psychiatry and Psychiatric Epidemiology 2/2017

01-02-2017 | Original Paper

Pilot study of enhanced social support with automated telephone monitoring after psychiatric hospitalization for depression

Authors: Paul N. Pfeiffer, Marcia Valenstein, Dara Ganoczy, Jennifer Henry, Steven K. Dobscha, John D. Piette

Published in: Social Psychiatry and Psychiatric Epidemiology | Issue 2/2017

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Abstract

Background

Following discharge, patients hospitalized for depression are at high risk for poor retention in outpatient care and adverse outcomes.

Aims

Pilot tests a post-hospital monitoring and enhanced support program for depression.

Method

48 patients at a Veterans Affairs Medical Center discharged following a depression-related inpatient stay received weekly visits or phone calls for 6 months from their choice of either a family member/friend (n = 19) or a certified peer support specialist (n = 29). Participants also completed weekly automated telephone monitoring calls assessing depressive symptoms and antidepressant medication adherence.

Results

Over 90% of participants were more satisfied with their care due to the service. The mean change from baseline to 6 months in depression symptoms was −7.9 (p < 0.05) according to the Patient Health Questionnaire and −11.2 (p < 0.05) according to the Beck Depression Inventory-II for those supported by a family member/friend, whereas those supported by a peer specialist had mean changes of −3.5 (p < 0.05) and −1.7 (p > 0.10), respectively.

Conclusions

Increased contact with a chosen support person coupled with automated telephone monitoring after psychiatric hospitalization is an acceptable service for patients with depression. Those who received the service, and particularly those supported by a family member/friend, experienced reductions in symptoms of depression.
Literature
1.
Lieberman PB, Wiitala SA, Elliot B, McCormick S, Goyette SB (1998) Decreasing length of stay: are there effects on outcomes of psychiatric hospitalization? Am J Psychiat 155(7):905–909CrossRefPubMed
2.
Valenstein M, Kim HM, Ganoczy D, McCarthy JF, Zivin K, Austin KL et al (2009) Higher-risk periods for suicide among VA patients receiving depression treatment: prioritizing suicide prevention efforts. J Affect Disord 112(1–3):50–58CrossRefPubMed
3.
Desai RA, Dausey DJ, Rosenheck RA (2005) Mental health service delivery and suicide risk: the role of individual patient and facility factors. Am J Psychiat 162(2):311–318CrossRefPubMed
4.
Fullerton CA, Busch AB, Normand SL, McGuire TG, Epstein AM (2011) Ten-year trends in quality of care and spending for depression: 1996 through 2005. Arch Gen Psychiatry 68(12):1218–1226CrossRefPubMedPubMedCentral
5.
Troister T, Links PS, Cutcliffe J (2008) Review of predictors of suicide within 1 year of discharge from a psychiatric hospital. Curr Psychiatry Rep 10(1):60–65CrossRefPubMed
6.
Pfeiffer PN, Ganoczy D, Zivin K, McCarthy JF, Valenstein M, Blow FC (2012) Outpatient follow-up after psychiatric hospitalization for depression and later readmission and treatment adequacy. Psychiatr Serv 63(12):1239–1242CrossRefPubMed
7.
Pfeiffer PN, Bowersox N, Birgenheir D, Burgess J, Forman J, Valenstein M (2016) Preferences and barriers to care following psychiatric hospitalization at two veterans affairs medical centers: a mixed methods study. J Behav Health Serv Res 43(1):88–103CrossRefPubMed
8.
Piette JD, Aikens JE, Trivedi R, Parrish D, Standiford C, Marinec NS et al (2013) Depression self-management assistance using automated telephonic assessments and social support. Am J Manag Care 19(11):892–900PubMed
9.
Aikens JE, Trivedi R, Heapy A, Pfeiffer PN, Piette JD (2015) Potential impact of incorporating a patient-selected support person into mHealth for depression. J Gen Intern Med 30(6):797–803CrossRefPubMedPubMedCentral
10.
Chinman M, Shoai R, Cohen A (2010) Using organizational change strategies to guide peer support technician implementation in the veterans administration. Psychiatr Rehabil J 33(4):269–277CrossRefPubMed
11.
Klein AR, Cnaan RA, Whitecraft J (1998) Significance of peer social support with dually diagnosed clients: findings from a pilot study. Res Soc Work Practice 8(5):529–551CrossRef
12.
Landers GM, Zhou M (2011) An analysis of relationships among peer support, psychiatric hospitalization, and crisis stabilization. Community Ment Health J 47(1):106–112CrossRefPubMed
13.
Simpson A, Flood C, Rowe J, Quigley J, Henry S, Hall C et al (2014) Results of a pilot randomised controlled trial to measure the clinical and cost effectiveness of peer support in increasing hope and quality of life in mental health patients discharged from hospital in the UK. Bmc Psychiatry 14:30CrossRefPubMedPubMedCentral
14.
Sledge WH, Lawless M, Sells D, Wieland M, O’Connell MJ, Davidson L (2011) Effectiveness of peer support in reducing readmissions of persons with multiple psychiatric hospitalizations. Psychiatr Serv 62(5):541–544CrossRefPubMed
15.
Norbeck JS, Lindsey AM, Carrieri VL (1981) The development of an instrument to measure social support. Nurs Res 30(5):264–269CrossRefPubMed
16.
Beck AT, Steer RA, Garbin MG (1988) psychometric properties of the beck depression inventory—25 years of evaluation. Clin Psychol Rev 8(1):77–100CrossRef
17.
Kroenke K, Spitzer RL (2002) The PHQ-9: a new depression diagnostic and severity measure. Psychiatr Ann. 32(9):509–515CrossRef
18.
Spitzer RL, Kroenke K, Williams JBW, Lowe B (2006) A brief measure for assessing generalized anxiety disorder—The GAD-7. Arch Intern Med 166(10):1092–1097CrossRefPubMed
19.
Beck AT, Steer RA, Ranieri WF (1988) Scale for Suicide Ideation: psychometric properties of a self-report version. J Clin Psychol 44(4):499–505CrossRefPubMed
20.
Mundt JC, Marks IM, Shear MK, Greist JH (2002) The Work and Social Adjustment Scale: a simple measure of impairment in functioning. Br J Psychiatry 180:461–464CrossRefPubMed
21.
Beck AT, Steer RA (1988) Manual for the beck hopelessness scale. Psychological Corp, San Antonio
22.
Zimet GD, Dahlem NW, Zimet SG, Farley GK (1988) The multidimensional scale of perceived social support. J Pers Assess 52(1):30–41CrossRef
23.
Dalgin RS, Maline S, Driscoll P (2011) Sustaining recovery through the night: impact of a peer-run warm line. Psychiatr Rehabil J 35(1):65–68CrossRefPubMed
24.
Greenfield TK, Stoneking BC, Humphreys K, Sundby E, Bond J (2008) A randomized trial of a mental health consumer-managed alternative to civil commitment for acute psychiatric crisis. Am J Community Psychol 42(1–2):135–144CrossRefPubMedPubMedCentral
25.
Cohen AN, Drapalski AL, Glynn SM, Medoff D, Fang LJ, Dixon LB (2013) Preferences for family involvement in care among consumers with serious mental illness. Psychiatr Serv 64(3):257–263CrossRefPubMed
26.
Eisen SV, Schultz MR, Mueller LN, Degenhart C, Clark JA, Resnick SG et al (2012) Outcome of a randomized study of a mental health peer education and support group in the VA. Psychiatr Serv 63(12):1243–1246CrossRefPubMed
27.
Chinman M, Oberman RS, Hanusa BH, Cohen AN, Salyers MP, Twamley EW et al (2015) A cluster randomized trial of adding peer specialists to intensive case management teams in the veterans health administration. J Behav Health Serv Res 42(1):109–121CrossRefPubMed
28.
Valenstein M, Pfeiffer PN, Brandfon S, Walters H, Ganoczy D, Kim HM et al (2016) Augmenting ongoing depression care with a mutual peer support intervention versus self help materials alone: a randomized trial. Psychiatr Serv 67(2):236–239
29.
Dennis CL (2003) Peer support within a health care context: a concept analysis. Int J Nurs Stud 40(3):321–332CrossRefPubMed
30.
Heller K, Thompson MG, Trueba PE, Hogg JR, Vlachos-Weber I (1991) Peer support telephone dyads for elderly women: was this the wrong intervention? Am J Community Psychol 19(1):53–74CrossRefPubMed
Metadata
Title
Pilot study of enhanced social support with automated telephone monitoring after psychiatric hospitalization for depression
Authors
Paul N. Pfeiffer
Marcia Valenstein
Dara Ganoczy
Jennifer Henry
Steven K. Dobscha
John D. Piette
Publication date
01-02-2017
Publisher
Springer Berlin Heidelberg
Published in
Social Psychiatry and Psychiatric Epidemiology / Issue 2/2017
Print ISSN: 0933-7954
Electronic ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-016-1288-2

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