Dataset Information

Short time effect of a self-referral to inpatient treatment for patients with severe mental disorders: a randomized controlled trial.

ABSTRACT:

Background

Service user participation is a central principle in mental healthcare, and the opportunity to self-refer to inpatient treatment is used to increase service user involvement and activation. The aim of this study was to investigate the short-term effect of a self-referral system in an inpatient rehabilitation unit at a community mental health center on patient activation and recovery in individuals with severe mental disorders.

Methods

A randomized controlled study including 53 patients (41 % females, mean age 40 years). Twenty-six patients in the intervention group were given a contract for self-referral to inpatient treatment, limited to maximum 5 days and a quarantine time of 14 days between each stay. The control group (27 participants) received treatment as usual, and was offered the intervention after 1 year. The Patient Activation Measure was the primary outcome and secondary outcome was the Recovery Assessment Scale. Mixed models were used to assess group differences.

Results

During the 4 months period, 15 (58 %) of 26 participants in the intervention group used the contract of self-referral to inpatient treatment. The intervention group had more admissions than the control group but both groups had a similar total use of inpatient days and out-patient consultations. The self-referral to inpatient treatment counted for 11 % of all inpatient days for the intervention group. There were no significant differences in the outcome between the groups on patient activation (estimated mean difference 2.7, 95 % confidence interval = -5.5 to 10.8, p = 0.52) or recovery (estimated mean difference 0.01, 95 % confidence interval = -0.3 to 0.3, p = 0.92).

Conclusions

Giving persons with severe mental disorders the possibility to self-refer to inpatient treatment did not change their level of patient activation and recovery after 4 months and did not lead to increased use of health services. The cost-effectiveness and long-term effect of self-referral to inpatient treatment should be investigated further.

Trial registration

NCT01133587 , clinicaltrials.gov.

SUBMITTER: Moljord IE

PROVIDER: S-EPMC5034559 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Short time effect of a self-referral to inpatient treatment for patients with severe mental disorders: a randomized controlled trial.

Moljord Inger Elise Opheim IE Helland-Hansen Kristel Antine KA Salvesen Øyvind Ø Olsø Turid Møller TM Gudde Camilla Buch CB Rise Marit By MB Steinsbekk Aslak A Eriksen Lasse L

BMC health services research 20160922 1

<h4>Background</h4>Service user participation is a central principle in mental healthcare, and the opportunity to self-refer to inpatient treatment is used to increase service user involvement and activation. The aim of this study was to investigate the short-term effect of a self-referral system in an inpatient rehabilitation unit at a community mental health center on patient activation and recovery in individuals with severe mental disorders.<h4>Methods</h4>A randomized controlled study inclu ...[more]

PMID: 27659102

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Dataset Information

Short time effect of a self-referral to inpatient treatment for patients with severe mental disorders: a randomized controlled trial.

Background

Methods

Results

Conclusions

Trial registration

Publications

Short time effect of a self-referral to inpatient treatment for patients with severe mental disorders: a randomized controlled trial.

Similar Datasets

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