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BMC Psychiatry
Published in: BMC Psychiatry 1/2016

Open Access 01-12-2016 | Research article

Homesick: residential and care patterns in patients with severe mental illness

Authors: Liselotte D. de Mooij, Martijn Kikkert, Nick M. Lommerse, Jan Theunissen, Mariken B. de Koning, Lieuwe de Haan, Aartjan T. F. Beekman, Pim W. R. A. Duurkoop, Jack J. M. Dekker

Published in: BMC Psychiatry | Issue 1/2016

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Abstract

Background

Changes in the residential and care settings of patients with severe mental illness (SMI) are a concern because of the large variety of possible negative consequences. This study describes patterns of changes in the residential and care settings of SMI patients and explores associations between these changes, sociodemographics, and clinical characteristics.

Methods

From January 2006 to January 2012, all data relating to changes in residential and/or care setting by SMI patients (N = 262) were collected from electronic case files. Data covering psychopathology, substance use, and medication adherence were assessed in 2006.

Results

There were more changes in the residential than in the care setting. In 6 years, only 22% of our sample did not move, 23% changed residence once, 19% twice, 10% three times, and 26% four or more times. Substance use predicted changes of care and/or residential setting and rehospitalisation. The severity of negative symptoms predicted rehospitalisation and duration of hospitalisation. Disorganisation symptoms predicted the duration of hospitalisation.

Conclusions

A majority of patients with SMI changed residential and/or care settings several times in 6 years. Patients with substance use or severe negative and disorganisation symptoms may need more intensive and customised treatment. Further research is needed to investigate prevention programmes for highly-frequent movers.
Literature
1.
DeVerteuil G, Hinds A, Lix L, Walker J, Robinson R, Roos LL. Mental health and the city: intra-urban mobility among individuals with schizophrenia. Health Place. 2007;13:310–23.CrossRefPubMed
2.
Lix LM, Hinds A, DeVerteuil G, Robinson JR, Walker J, Roos LL. Residential mobility and severe mental illness: a population-based analysis. Adm Policy Ment Hlth. 2006;33:160–71.CrossRef
3.
Sara GE, Burgess PM, Malhi GS, Whiteford HA, Hall WC. Stimulant and other substance use disorders in schizophrenia: Prevalence, correlates and impacts in a population sample. Aust Nz J Psychiat. 2014;48:1036–47.CrossRef
4.
Browne G, Hemsley M, St John W. Consumer perspectives on recovery: A focus on housing following discharge from hospital. Int J Ment Health Nurs. 2008;17:402–9.CrossRefPubMed
5.
Kreindler SA, Coodin S. Housing histories of assertive community treatment clients: program impacts and factors associated with residential stability. Can J Psychiatry. 2010;55:150–6.CrossRefPubMed
6.
Moxham LJ, Pegg SA. Permanent and stable housing for individuals living with a mental illness in the community: A paradigm shift in attitude for mental health nurses. Austra Nz J Ment Health Nurs. 2009;9:82–8.CrossRef
7.
Abood Z, Sharkey A, Webb M, Kelly A, Gill M. Are patients with bipolar affective disorder socially disadvantaged? A comparison with a control group. Bipolar Disord. 2002;4:243–8.CrossRefPubMed
8.
Lamont A, Ukoumunne OC, Tyrer P, Thornicroft G, Patel R, Slaughter J. The geographical mobility of severely mentally ill residents in London. Soc Psychiatry Psychiatr Epidemiol. 2000;35:164–9.CrossRefPubMed
9.
Dekker JJM, Van den Langenberg SJAM. Trends in mental health care in Amsterdam. Psychiatr Serv. 1994;45:494–6.CrossRef
10.
Priebe S, Saidi M, Want A, Mangalore R, Knapp M. Housing services for people with mental disorders in England: patient characteristics, care provision and costs. Soc Psychiatry Psychiatr Epidemiol. 2009;44:805–14.CrossRefPubMed
11.
Rogers ES, Kash-MacDonald M, Olschewski A. Systematic review of supported housing literature 1993–2008. Boston: Boston University, Sargent College, Center for Psychiatric Rehabilitation; 2009.
12.
van Hoof F, van Vugt M, Knispel A, Kroon H. Bedden tellen: afbouw van de intramurale GGZ [Counting beds: reducing the intramural capacity in mental health care]. Het Maandblad Geestelijke volksgezondheid. 2012;67:298–309.
13.
Delespaul PH, En de Consensusgroep EPA. Consensus over de definitie van mensen met een ernstige psychische aandoening (epa) en hun aantal in Nederland. [Consensus about the definition of people with a severe mental illness (SMI) and their prevalence in the Netherlands]. Tijdschr Psych. 2013;55:427–38.
14.
van Dijk S, Knispel A, Nuijen J. GGZ in tabellen 2009. [Tables of mental health care in 2009]. Utrecht: Trimbos-instituut, Netherlands Institute of Mental Health and Addiction; 2010.
15.
de Ruiter KGC, van Greuningen M, van Gerwen L. Zorgthermometer Transparantie in de geestelijke gezondheidszorg [Care thermometer, Transparency in mental health care]. Zeist: Vektis; 2015.
16.
van Hoof F, Knispel A, Schneider J, Beeley C, Aagaard J, van Putten M, et al. Outpatient care and community support for persons with severe mental health problems. A comparison of national policies and systems in Denmark, England and the Netherlands. Utrecht: Trimbos instituut; Netherlands institute of Mental Health and Addiction; 2011.
17.
Janssen M, Klankbordgroep GGZ Amsterdam. Het Amsterdamse Model Halfweg. Een tussenstand van de GGZ-hervormingen in de hoofdstad [The Model of Amsterdam Halfweg. An intermediate position of the mental health reformations in the capital]. Utrecht: Nederlands centrum Geestelijke volksgezondheid; 1993.
18.
Sharfstein SS. Goals of inpatient treatment for psychiatric disorders. Annu Rev Med. 2009;60:393–403.CrossRefPubMed
19.
Haywood TW, Kravitz HM, Grossman LS, Cavanaugh Jr JL. Predicting the“ revolving door” phenomenon among patients with schizophrenic, schizoaffective, and affective disorders. Am J Psychiatry. 1995;152:856–61.CrossRefPubMed
20.
Mahendran R, Chong SA, Chan YH. Brief communication: factors affecting rehospitalisation in psychiatric patients in Singapore. Int J Soc Psychiatry. 2005;51:101–5.CrossRefPubMed
21.
Tulloch AD, Fearon P, Fahy T, David A. Residential mobility among individuals with severe mental illness: cohort study of UK700 participants. Soc Psychiatry Psychiatr Epidemiol. 2010;45:767–77.CrossRefPubMed
22.
Csernansky JG, Schuchart EK. Relapse and rehospitalisation rates in patients with schizophrenia. CNS drugs. 2002;16:473–84.CrossRefPubMed
23.
Larson A, Bell M, Young AF. Clarifying the relationships between health and residential mobility. Soc Sci Med. 2004;59:2149–60.CrossRefPubMed
24.
Dekker JJ, Theunissen J, Van R, Peen J, Duurkoop P, Kikkert M. Victimization of patients with severe psychiatric disorders: prevalence, risk factors, protective factors and consequences for mental health.A longitudinal study. BMC publ Hlth. 2010;10:687.CrossRef
25.
Dubbele Diagnose, Dubbele Hulp-Richtlijnen voor Diagnostiek en Behandeling, Dubbele Hulp-Richtlijnen voor Diagnostiek en Behandeling. Rapport project Dubbele Diagnose door Verslavingszorg Parnassia [Dual Diagnosis, Dual Guidelines for diagnostics and treatment. Report project Dual Diagnosis by addiction care Parnassia]. Psycho-medisch centrum Den Haag [Psycho medical centre Den Hague]. 2003.
26.
Andersen J, Larsen JK, Schultz V, Nielsen BM, Korner A, Behnke K, et al. The brief psychiatric rating scale. Psychopathology. 1989;22:168–76.CrossRefPubMed
27.
Ruggeri M, Koeter M, Schene A, Bonetto C, Vázquez-Barquero JL, Becker T, et al. Factor solution of the BPRS-expanded version in schizophrenic outpatients living in five European countries. Schizophr Res. 2005;75:107–17.CrossRefPubMed
28.
Kopelowicz A, Ventura J, Liberman RP, Mintz J. Consistency of Brief Psychiatric Rating Scale factor structure across a broad spectrum of schizophrenia patients. Psychopathology. 2008;41:77–84.CrossRefPubMed
29.
Overall JE, Rhoades M. Refinement of phenomenological classification in clinical psychopharmacology research. Psychopharmacology. 1982;77:24–30.CrossRefPubMed
30.
Schippers GM, Broekman TG, Buchholz A, Koeter MW, Van Den Brink W. Measurements in the Addictions for Triage and Evaluation (MATE): an instrument based on the World Health Organization family of international classifications. Addiction. 2010;105:862–71.CrossRefPubMed
31.
Schippers GM, Broekman TG, Buchholz A. Manual and protocol for assessment, scoring and use of the MATE 2.1. Nijmegen: Bureau Beta; 2011.
32.
Morisky DE, Green LW, Levine DM. Concurrent and predictive validity of a self-reported measure of medication adherence. Med Care. 1986;24:67–74.CrossRefPubMed
33.
George CF, Peveler RC, Heiliger S, Thompson C. Compliance with tricyclic antidepressants: the value of four different methods of assessment. Br J Clin Pharmacol. 2000;50:166–71.CrossRefPubMedPubMedCentral
34.
Roth MT, Ivey JL. Self-reported medication use in community-residing older adults: a pilot study. Am J Geriatr Pharmac. 2005;3:196–204.CrossRef
35.
Shalansky SJ, Levy AR, Ignaszewski AP. Self-reported Morisky score for identifying nonadherence with cardiovascular medications. Ann Pharmacother. 2004;38:1363–8.CrossRefPubMed
36.
37.
Dekker J, Theunissen J, Van R, Kikkert M, van der Post L, Zoeteman J, Peen J. Are long-term psychiatric patients causing more crisis consultations outside office hours in mental health care? Int J Soc Psychiatry. 2013;59:555–60.CrossRefPubMed
38.
Crossing the bridge. A national action plan to improve care of severe mental illness. Utrecht: Couwenbergh C, van Weeghel J. Kenniscentrum Phrenos; 2014.
39.
Herbener ES, Harrow M. Are negative symptoms associated with functioning deficits in both schizophrenia and nonschizophrenia patients? A 10-year longitudinal analysis. Schizophr Bull. 2004;30:813–25.CrossRefPubMed
40.
Kelly A, Watson D, Raboud J, Bilsker D. Factors in delays in discharge from acute-care psychiatry. Can J Psychiatry. 1998;43:496–501.CrossRefPubMed
41.
Langdon E. Who walks through the ‘revolving-door’ of a British psychiatric hospital? J Mint Health. 2001;10:525–33.CrossRef
42.
Wiersma D, Nienhuis FJ, Slooff CJ, Giel R. Natural course of schizophrenic disorders: a 15-year followup of a Dutch incidence cohort. Schizophr Bull. 1998;24(1):75–85.CrossRefPubMed
43.
Murphy SM, Irving CB, Adams CE, Waqar M. Crisis intervention for people with severe mental illnesses. Cochrane Database Syst Rev. 2015;12:CD001087. doi:10.​1002/​14651858.
Metadata
Title
Homesick: residential and care patterns in patients with severe mental illness
Authors
Liselotte D. de Mooij
Martijn Kikkert
Nick M. Lommerse
Jan Theunissen
Mariken B. de Koning
Lieuwe de Haan
Aartjan T. F. Beekman
Pim W. R. A. Duurkoop
Jack J. M. Dekker
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2016
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-016-1137-6

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