Clibbens, N orcid.org/0000-0002-9047-6496, Harrop, D and Blackett, S (2018) Early discharge in acute mental health: A rapid literature review. International Journal of Mental Health Nursing, 27 (5). pp. 1305-1325. ISSN 1445-8330
Abstract
Long psychiatric hospital stays are unpopular with services users, harmful, and costly. Economic pressures alongside a drive for recovery‐orientated care in the least restrictive contexts have led to increasing pressure to discharge people from hospital early. Hospital discharge is, however, complex, stressful, and risky for service users and families. This rapid literature review aimed to assess what is known about early discharge in acute mental health. Searches were conducted in nine bibliographic databases, reference lists, and targeted grey literature sources. Fourteen included papers focused on early discharge in mental health, a population over 18 years with a mental health condition, and reported outcomes on therapeutic care or service delivery. Quality appraisal was undertaken using The Mixed Method Appraisal Tool. The meta‐summary of the literature found that early discharge was neither provided to all inpatients nor limited to the Crisis Resolution and Home Treatment (CRHT) service model internationally. Early discharge interventions required collaborative working and discharge planning. It was not associated with unplanned readmissions and had a small effect on length of stay. Most studies reported service outcomes, whereas health outcomes were underreported. Professionals and service users were positive about early discharge and service users asked for peer support. Carers preferred hospital or day hospital care suggesting their need for respite. Limitations in the scope, detail, and quality of the evidence about early discharge leave an unclear picture of the components of early discharge as an intervention, its effectiveness, cost‐effectiveness, or outcomes.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2018 Australian College of Mental Health Nurses Inc. This is the peer reviewed version of the following article: Clibbens, N. , Harrop, D. and Blackett, S. (2018), Early discharge in acute mental health: A rapid literature review. Int J Mental Health Nurs, 27: 1305-1325, which has been published in final form at https://doi.org/10.1111/inm.12515. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. Uploaded in accordance with the publisher's self-archiving policy. |
Keywords: | adult mental health; literature review; patient discharge; psychiatric nursing |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Healthcare (Leeds) > Nursing Mental Health (Leeds) |
Funding Information: | Funder Grant number Burdett Trust For Nursing No Ext Ref |
Depositing User: | Symplectic Publications |
Date Deposited: | 15 Jun 2018 10:45 |
Last Modified: | 27 Jun 2019 00:39 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1111/inm.12515 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:132099 |