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Background The first steps to increase person-centeredness in hospital care for patients with psychotic disorders are required. However, shifting care delivery is still a difficult proposition, requiring employees to rethink their attitudes and ways of working. To increase person-centeredness in the care of patients with schizophrenia and related psychoses, a multidisciplinary educational intervention for hospital workers at four wards was launched. Methods Four employees from all participating wards were selected for six focus group interviews. Person-centered care was seen as an approach rather than a process by the staff. In both research and action, participants demonstrated a clear understanding of the basic principles of person-centered care following implementation. According to reports, person-centered care is feasible in the psychosis inpatient setting and could also improve quality of care. Registration of trial The study is part of a larger research investigating the intervention Person-Centered Psychosis Care intervention.
Source link: https://doi.org/10.1186/s12913-022-08008-z
Purpose It's unclear how hospitals are responding to the population's mental health needs, despite diminishing funds. We wanted to find patterns in hospital activity due to psychiatric disorder, and how these have changed over the past 22 years. Trends in hospital admissions and bed days for psychiatric disorders were smoothed using negative binomial regression models with year as the cause and exposure were different. We created segmented negative binomial regression models with one change-point when linear trends were not appropriate, so we segmented negative binomial regression models with one change-point. Hospital admission rates and bed days for all psychiatric disorders dropped by 28. 4 percent and 38. 3%, respectively. Despite a 63 percent drop in adults with depression during the same time, child-related hospital services showed more vibrant and pronounced trends than adults, with an increase of 212. 9% for depression and 212. 9% for anxiety.
Source link: https://doi.org/10.1007/s00127-021-02215-5
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