Naturalistic outcomes of patients discharged from a community treatment order: QA project.

IF 1.2 4区医学 Q4 PSYCHIATRY

Australasian Psychiatry Pub Date : 2024-09-27 DOI:10.1177/10398562241286669

Manpreet Kaur Dhawan, Ramanathan Ganapathy, Anoop Sankaranarayanan, Ricardo Maldonado

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引用次数: 0

Abstract

Objective: To study outcomes for patients after they are discharged from Community treatment orders (CTO) including rate of relapse, median time to relapse and to identify the risk factors associated with relapse.

Method: The study population included patients discharged from CTO from July 2017 to December 2021, managed by a major metropolitan* case management team (CMT). The data were collected from electronic medical records (EMR). Descriptive analysis was conducted to study the sample characteristics. Logistic regression using univariate and multivariate analysis was performed to examine the associations between factors related to relapse.

Results: A total of 128 patients were studied. The relapse rate was 27.4% with median time to relapse of 72 days. Poor insight, poor treatment compliance, duration of CTO and number of CMT contacts were significantly associated with relapse while substance use, psychiatric comorbidities and psychosocial factors were not.

Conclusions: The findings suggest that people who relapsed had poor insight and poor medication adherence, had CTO for a longer period and had frequent contact from CMT even after discharge from CTO.

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社区治疗令出院病人的自然结果：质量保证项目。

目的研究患者从社区治疗令（CTO）出院后的结果，包括复发率、复发的中位时间，并确定与复发相关的风险因素：研究对象包括2017年7月至2021年12月期间从CTO出院的患者，由大都会*病例管理团队（CMT）管理。数据收集自电子病历（EMR）。对样本特征进行了描述性分析。使用单变量和多变量分析进行逻辑回归，以研究与复发相关的因素之间的关联：共有 128 名患者接受了研究。复发率为 27.4%，中位复发时间为 72 天。洞察力差、治疗依从性差、CTO持续时间和CMT接触次数与复发显著相关，而药物使用、精神病合并症和社会心理因素与复发无关：研究结果表明，复发者的洞察力差、服药依从性差、接受 CTO 的时间较长，即使从 CTO 出院后也经常与 CMT 联系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australasian Psychiatry 医学-精神病学

CiteScore

2.80

自引率

5.60%

发文量

159

审稿时长

6-12 weeks

期刊介绍： Australasian Psychiatry is the bi-monthly journal of The Royal Australian and New Zealand College of Psychiatrists (RANZCP) that aims to promote the art of psychiatry and its maintenance of excellence in practice. The journal is peer-reviewed and accepts submissions, presented as original research; reviews; descriptions of innovative services; comments on policy, history, politics, economics, training, ethics and the Arts as they relate to mental health and mental health services; statements of opinion and letters. Book reviews are commissioned by the editor. A section of the journal provides information on RANZCP business and related matters.