Supporting Care Transitions for Patients with Serious Mental Illness
Author Information
Author(s): Brooks Carthon J. Margo, Tibbitt Celsea, Amenyedor Kelvin Eyram, Bettencourt Amanda P., Babe Erin, Cacchione Pamela Z., Brom Heather, Shepherd Ashley
Primary Institution: University of Pennsylvania School of Nursing
Hypothesis
How can pre-implementation strategies be used to adapt a transitional care model for economically disadvantaged patients with serious mental illness?
Conclusion
Participatory strategies help to adapt interventions that are person-centered and tailored to the organizational context.
Supporting Evidence
- Thrive has been recognized by the American Academy of Nursing as an Edge Runner for nurse-led innovations.
- Thrive provides intensive wrap-around services including connections to medical and community-based social services.
- Findings from the quantitative arm of the pilot study found no significant differences in 30-day ED and readmission rates between Thrive participants with or without SMI.
Takeaway
This study shows that helping patients with serious mental illness after they leave the hospital can be improved by making sure their specific needs are met.
Methodology
The study used Evidence Based Quality Improvement meetings and Formative Evaluation research to adapt intervention components.
Potential Biases
Potential bias due to the limited perspectives from a single clinical setting.
Limitations
The study was limited to a single hospital and homecare setting, which may affect the generalizability of the findings.
Participant Demographics
The EBQI workgroup included 13 participants with diverse backgrounds, while the FE interviews involved 8 female participants with an average of 2 years of experience.
Digital Object Identifier (DOI)
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