Discharging Minors in a Psychiatric Facility While Parents Feel Unsafe

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Table of Contents

First Article
Second Article
Third Article
Fourth Article
Fifth Article
Conclusion
References

There is rising anxiety regarding the increasing level of mental illness in minors in the US and across the globe. Assisting such children who are experiencing psychiatric problems is vital to their present and future welfare. Unluckily, services in psychiatric facilities are facing serious threats from inadequate resources. The government should invest in minor’s mental well-being for the sake of the country’s continued development.

First Article

An effective connection of outpatient to inpatient care may extensively decrease the degree of hospital readmission. The application of bridging policies acts as a constant positive analyst of patients effectively switching from inpatient to outpatient settings (Akerele et al., 2017). The objective of this research was to enhance change from inpatient to outpatient care hence decreasing the level of readmission. One thousand seven hundred seven patients in the psychiatry unit took part in the intervention over a duration of one year, which decreased readmission by 27%. An individualized case management approach should begin during inpatient hospitalization and proceed after discharge.

It leads to a decrease in the degree of readmission within thirty days after being discharged. This signifies that even if post-discharge observance is not considerably facilitated by interventions, the level of readmission after discharge is notably reduced, perhaps because of enhanced support. Therefore, the application of evidence-based techniques such as Re-Engineered Discharge (RED) as a typical practice has a strong influence on the quality of care, as well as the cost-efficiency of psychiatric treatment.

Second Article

It has been constantly established that the time after being discharged is critical for psychiatric patients attributable to the high risk of self-harm and suicidal ideations (Hengartner et al., 2017). The most imperative concern after being discharged that results in increased levels of readmission are non-adherence to appointments in outpatient care. Anchored in the premises of aggressive society treatment and comprehensive case management, the researchers planned an approach conveyed by social workers to assess shift to community management and social support.

The methodology consisted of narrative examination and qualitative assessment of three patients who took part in the program. Case reports disclosed that the social set-ups of patients are minute, with their relationships being normally unsteady and conflictual. Accessibility to patients’ social systems is an intricate task. With respect to the preliminary familiarity with the program, more efforts ought to be employed to facilitate the interpersonal and social capabilities of patients.

Third Article

Repeated hospitalization for psychiatric care within a short period is perceived as preventable, harmful to the welfare of the patient, and a financial burden to the health sector. The aim of the research was to establish predictors of rehospitalization in a psychiatric facility. Under the methodology, the Minimum Data Set-Mental Health (MDS-MH), a consistent assessment tool employed in the collection of demographics and medical detail, was retrospectively evaluated from early 2006 to late 2008 (Moss et al., 2014). Seven hundred fifty-eight patients qualified to participate in the study. A group of medically pertinent predictors was produced anchored in the review of the literature.

Moreover, a Cox regression model was employed in the determination of the factors that predict readmission and the respective risk ratios. The findings established that the covariates that were considerably linked to rehospitalization encompass obtaining a pass and over three instances of hospitalization in a psychiatric facility within a period of two years. The research concluded that the aspects that were linked to a decreased period of hospitalization were an account of past admissions and reception of a pass before discharge. The article established that although health professionals might recognize patients at a high chance of readmission, the issuance of a pass might not completely alleviate the risk.

Fourth Article

Patients in psychiatric facilities are usually being discharged from health institutions causing many to return to emergency units or being attended to in group homes (US News, 2018). The New Jersey legislative bill A1684 directs a psychiatric unit to liaise with the Division of Child Protection and Permanency in case a minor is to be discharged when parents are incapable or reluctant to receive such a child from the facility (Legiscan, 2018).

Early discharges signify inadequate resources for tackling psychiatric problems, the requirement of more trained specialists, and insufficiency of hospital beds for mentally ill patients who usually cannot pay for medical care. As psychiatric patients are discharged from health institutions, they are usually taken to group homes, most of which are unlicensed or in filthy situations (US News, 2018). Law enforcement officers, doctors, and other health professionals can seek holds for psychiatric patients who cannot care for themselves or are likely to hurt others.

Fifth Article

Each year Illinois finds it challenging to acquire a place for minors with psychiatric problems. Rather than being taken to foster homes or treatment facilities, less restraining areas where they can obtain the needed care, such children are left to languish in mental-health establishments, which is attributable to the child welfare organization’s failure to secure them suitable placements. The needless hospitalizations mark a malfunction for state systems that have failed to adequately take care of the most susceptible children with psychiatric problems such as bipolar disorder (Eldeib & Illinois, 2018).

Although data to show the manner in which states tackle the issues of minors in psychiatric facilities are insufficient, and other nations are struggling with similar problems, mental-health specialists and psychiatrists are convinced that Illinois is the worst hit in the US. Unreasonably prolonged hospitalizations usually have harmful impacts on minors. Most child welfare agencies believe that the affected children lag behind their age mates in social and behavioral progress, often spectacularly.

Conclusion

There is mounting anxiety concerning the escalating level of psychiatric problems in minors in the United States and around the world. Services in psychiatric units are experiencing severe threats from insufficient resources. Rehospitalization shortly after discharge from a psychiatric facility is typically caused by non-adherence to outpatient services and recommendations.

References

Akerele, E., Lim, C., Olupona, T., Ojo, O., Co, N., & Lim, J. J. (2017). Reducing readmission rates in inpatient settings. International Journal of Mental Health, 46(3), 168-176.

Eldeib, D., & Illinois, P. (2018). The kids who are cleared to leave psychiatric hospitals- But can’t. The Atlantic. Web.

Hengartner, M. P., Klauser, M., Heim, G., Passalacqua, S., Andreae, A., Rössler, W., & von Wyl, A. (2017). Introduction of a psychosocial post‐discharge intervention program aimed at reducing psychiatric rehospitalization rates and at improving mental health and functioning. Perspectives in Psychiatric Care, 53(1), 10-15.

Legiscan. (2018). NJ A1684. Web.

Moss, J., Li, A., Tobin, J., Weinstein, I. S., Harimoto, T., & Lanctôt, K. L. (2014). Predictors of readmission to a psychiatry inpatient unit. Comprehensive Psychiatry, 55(3), 426-430.

US News. (2018). Newspaper: Las Vegas hospitals quick to discharge patients. Web.

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