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'Don't They Call it Seamless Care?': A Study of Acute Psychiatric Discharge

DescriptionA study of policy and practice in relation to discharge from psychiatric care. focuses on the experience of individuals who had spent between a week and six months as a psychiatric in-patients
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Official Print Publication Date
Website Publication DateDecember 17, 2002

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2002

'DON'T THEY CALL IT SEAMLESS CARE?': A STUDY OF ACUTE PSYCHIATRIC DISCHARGE

Lucy Simons, Alison Petch and Richard Caplan
Nuffield Centre for Community Care Studies
University of Glasgow

This document is also available in pdf format (597k)

CONTENTS

ACKNOWLEDGEMENTS
SUMMARY
CHAPTER ONE: INTRODUCTION
POLICY CONTEXT
STUDY DESIGN
THE EVIDENCE BASE
SUMMARY
CHAPTER TWO: METHODS AND SAMPLES
PHASE ONE MAPPING POLICY AND PRACTICE ACROSS SCOTLAND
PHASE TWO OUTCOMES OF INDIVIDUAL DISCHARGE ARRANGEMENTS
METHODOLOGICAL ISSUES
SAMPLE CHARACTERISTICS
SUMMARY
CHAPTER THREE: DISCHARGE POLICIES AND PROTOCOLS
LOCAL POLICY DEVELOPMENT
DISCHARGE POLICIES AND PROTOCOLS AT TRUST AND WARD LEVEL
GOOD PRACTICE DISCHARGE POLICIES AND PROTOCOLS
SUMMARY
CHAPTER FOUR: THE EXPERIENCE OF DISCHARGE
ADMISSION PROCESS
CONSULTANT PERSPECTIVE ON COMMUNITY SERVICES
THE CARE PROGRAMME APPROACH
SUMMARY
CHAPTER FIVE: THE DISCHARGE EVENT
TRANSPORT
MEDICATION
EMERGENCY CONTACT
SUMMARY
CHAPTER SIX: COMMUNITY SUPPORT POST DISCHARGE
CAN DATA - NEEDS OF SERVICE USERS
INFORMAL SUPPORT
SUPPORT FROM COMMUNITY SERVICES
PROBLEMS WITH COMMUNITY SUPPORT SERVICES
OVERALL SATISFACTION
SUMMARY
CHAPTER SEVEN: CONCLUSIONS AND IMPLICATIONS
SCREENING AND ADMISSION PROCEDURES
ASSESSMENT AND DISCHARGE PLANNING
DECISION-MAKING AND PARTICIPATION
INTER-AGENCY WORKING
SUPPORT POST-DISCHARGE
GOOD PRACTICE STRATEGY
IMPLICATIONS FOR POLICY AND PRACTICE
REFERENCES
ANNEX ONE: RESPONSE RATES FOR USER SAMPLE
ANNEX TWO: SAMPLE CHARACTERISTICS
ANNEX THREE: RESEARCH INSTRUMENTS
INTERVIEW SCHEDULE FOR HEALTH BOARD KEY INFORMANTS
INTERVIEW SCHEDULE FOR LOCAL AUTHORITY KEY INFORMANTS
INTERVIEW SCHEDULE FOR NHS TRUST AND WARD KEY INFORMANTS
INFORMATION LEAFLET FOR POTENTIAL STUDY PARTICIPANTS
PARTICIPANT INFORMATION SHEET
INTERVIEW SCHEDULE WITH USERS DISCHARGED FROM HOSPITAL, TIME 1
INTERVIEW SCHEDULE WITH USERS DISCHARGED FROM HOSPITAL, TIME 2
INTERVIEW SCHEDULE WITH CARERS OF USERS DISCHARGED FROM HOSPITAL, TIME 2
INTERVIEW SCHEDULE WITH COMMUNITY KEYWORKERS
POSTAL SURVEY WITH CONSULTANT PSYCHIATRISTS

The views expressed in this report are those of the researcher and
do not necessarily represent those of the Department or Scottish Ministers.

Further copies of this report are available priced 5.00. Cheques should be made payable to The Stationery Office Ltd and addressed to:

The Stationery Office
71 Lothian Road
Edinburgh
EH3 9AZ
Tel: 0870 606 5566
Fax: 0870 606 5588

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