South African Journal of Psychiatry最新文献

{"title":"Alcohol, Smoking and Substance Involvement Screening Test validity in bipolar and psychotic disorders","authors":"Rosalind J. Adlard, Tessa Roos, Henk Temmingh","doi":"10.4102/sajpsychiatry.v29i0.2109","DOIUrl":"https://doi.org/10.4102/sajpsychiatry.v29i0.2109","url":null,"abstract":"Background: Patients with multi-episode bipolar and psychotic disorders have a high prevalence of substance use disorders, with negative consequences. A brief, easily administered screening test such as the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) is needed to identify those at risk in order to intervene appropriately. However, the ASSIST has not yet been validated in this population.Aim: This article aims to determine the validity and reliability of the ASSIST in detecting substance use disorders in patients with multi-episode bipolar and psychotic disorders.Setting: Western Cape Province, South Africa.Methods: The Structured Clinical Interview for the Diagnostic and Statistical Manual of Mental Health Disorders, 4th Edition (DSM-IV) Axis I Disorders (SCID-I) was used as the gold standard for detecting substance abuse and dependence. Cronbach’s alpha was used to determine the internal consistency of the ASSIST, and receiver operating characteristic analysis was used to evaluate its screening properties. Optimal cut off scores were calculated to maximise sensitivity and specificity.Results: A total substance involvement lifetime score of ≥13 was found to have optimal sensitivity and specificity of just over 74%. The optimal cutoff score for alcohol was ≥4 and for cannabis, methamphetamine, and ‘other drugs’ was ≥3. The area under the curve was 0.7 or above for both the total and specific substance involvement scores.Conclusion: The ASSIST is a psychometrically sound screening test for substance use disorders in patients with multi-episode bipolar and psychotic disorders.Contribution: This is the first study to validate the ASSIST in this population.","PeriodicalId":51156,"journal":{"name":"South African Journal of Psychiatry","volume":"39 17","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138949053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The profile of adolescent patients presenting to a tertiary maternal mental health clinic","authors":"Luzaan M. Cooke, Sanushka Moodley, Laila Paruk","doi":"10.4102/sajpsychiatry.v29i0.2185","DOIUrl":"https://doi.org/10.4102/sajpsychiatry.v29i0.2185","url":null,"abstract":"Background: Between March 2021 and April 2022, there were 90 037 documented adolescent pregnancies in South Africa. Statistics SA reports that this number is growing. Pregnancy places adolescents at greater risk of psychiatry-related morbidity and may have far-reaching consequences for their children. To date, there is no published data describing the patient profile of adolescent pregnancies in Gauteng Province, South Africa.Aim: To describe the patient profile (demographics, schooling history and type of accommodation), pregnancy-related factors, substance use habits and contraceptive use in pregnant adolescents seen at a tertiary care maternal mental health clinic (MMHC).Setting: The MMHC at Chris Hani Baragwanath Academic Hospital, Soweto, Johannesburg, South Africa.Methods: A retrospective file review of all pregnant adolescents referred to the MMHC between January and June 2022.Results: The mean age of the patients was 15.2 years; 72% attended school and 97.4% planned to return. Most pregnancies were unplanned (97.9%), wanted (84%) and presented in the second (41.24%) and third (51.55%) trimesters. Most did not report using substances (76.7%). Fifty percent of the participants met the criteria for a major depressive disorder. Repeating a grade was an identifiable risk factor for an increased Edinburgh depression score. An unplanned pregnancy was associated with a higher risk factor assessment.Conclusion: Pregnant adolescents represent a vulnerable population group. A greater understanding of this patient profile may inform early psychiatric and psychosocial interventions, improved service delivery and help-seeking behaviour.Contribution: This study gives significant insights into the challenges faced, as well as the health and social needs of pregnant adolescents. This contributes to wholistic care and opportunities for early intervention, including awareness of contraceptive use and the risks of substance use and adolescent pregnancy on mental health, benefiting all South African adolescents.","PeriodicalId":51156,"journal":{"name":"South African Journal of Psychiatry","volume":"15 15","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138955305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between physical activity and behaviour challenges of adolescents in South Africa.","authors":"Kwabena Asare, Vuyokazi Ntlantsana, Karina Ranjit, Andrew Tomita, Saeeda Paruk","doi":"10.4102/sajpsychiatry.v29i0.2124","DOIUrl":"10.4102/sajpsychiatry.v29i0.2124","url":null,"abstract":"<p><strong>Background: </strong>Four out of five adolescents worldwide are physically inactive based on recommended standards.</p><p><strong>Aim: </strong>We determined whether physical activity is associated with lower behavioural challenges in adolescents to promote buy-in from stakeholders.</p><p><strong>Setting: </strong>KwaZulu-Natal province, South Africa, from January 2020 to March 2020.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 187 adolescent learners (12-18 years) from three government schools in KwaZulu-Natal Province, South Africa, from January to March 2020. We fitted linear regression models between the Strengths and Difficulties Questionnaire scores (total, internalising, externalising, and prosocial) and hours of physical activity exposure, adjusting for demographic covariates, and depression history.</p><p><strong>Results: </strong>The median age was 14.4 years (interquartile range = 1.36) and 75.9% of the participants were females. Overall average and weekday physical activity were each associated with lower total and externalising but higher pro-social scores. Depression was associated with higher inactivity scores (total, internalising and externalising).</p><p><strong>Conclusions: </strong>The article shows that physical activity can reduce the behavioural and emotional problems in adolescents.</p><p><strong>Contribution: </strong>Physical activity is critical for a healthy adolescent hood and needs to be actively included in childhood development.</p>","PeriodicalId":51156,"journal":{"name":"South African Journal of Psychiatry","volume":"29 ","pages":"2124"},"PeriodicalIF":1.0,"publicationDate":"2023-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10784231/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139467227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Access and use of digital technology by patients with psychosis at a hospital in South Africa","authors":"Smitha Sharma-Misra, Mihoko Maru, Andrew Tomita, S. Paruk","doi":"10.4102/sajpsychiatry.v29i0.2151","DOIUrl":"https://doi.org/10.4102/sajpsychiatry.v29i0.2151","url":null,"abstract":"Background: There is growing interest in the use of digital information and communication technology (ICT) for mental health care purposes. Information and communication technology tools may enhance mental health literacy and help-seeking behaviour.Aim: To describe the access to, use and perception of ICT in people with schizophrenia and other psychotic disorders.Setting: The study was conducted at an urban psychiatric hospital in Durban, KwaZulu-Natal (KZN) province, South Africa.Methods: Participants completed questionnaires on their socio-demographic characteristics and access to, use and perception of ICT. Multiple ordinal logistic regressions were used to test the association between socio-demographic factors and ICT use and perception.Results: Of the 165 participants (mean age = 41 years ± 14.2), 54.5% were male, 37.6% were employed, and most (93.3%) lived in an urban area. Most participants (93%) had access to the internet in past 3 months and a smartphone (89.8%). Age (AOR 0.94, p = 0.06, CI = 0.88–1.00) and marital status (AOR = 0.26, p 0.02, CI = 1.62–253.74) were associated with internet use, while age (AOR = 0.95, p 0.03, CI = 0.9–1.00), marital status (AOR = 3.64, p = 0.05, CI = 1.03–12.90), income (AOR = 4.02, p  0.01, CI = 1.69–9.54), employment status (AOR = 0.16, p  0.01, CI = 0.06–0.44), and living with HIV (AOR = 5.41, p  0.01, CI = 1.39–21.07) were associated with frequency of internet use. Older participants had lower odds of using a mental health care app (AOR = 0.93, p = 0.02, CI= 0.88–0.99). Those with higher incomes had increased odds of seeking mental health information digitally (AOR = 4.33, p = 0.03, CI = 1.13–7.54).Conclusion: People living with psychosis do have access to digital technology although pattern of use maybe influenced by sociodemographic factors.Contribution: This study provides baseline data on digital technology use in Africa.","PeriodicalId":51156,"journal":{"name":"South African Journal of Psychiatry","volume":"30 3","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138594261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A review of recent treatments for adults living with attention-deficit/hyperactivity disorder","authors":"Candice Wakelin, Michele Willemse, E. Munnik","doi":"10.4102/sajpsychiatry.v29i0.2152","DOIUrl":"https://doi.org/10.4102/sajpsychiatry.v29i0.2152","url":null,"abstract":"Background: Attention-deficit/hyperactivity disorder (ADHD) is a neuro-developmental disorder prevalent among children and adults. Adults living with ADHD can experience significant distress affecting their daily functioning on emotional, physical, interpersonal, familial and financial levels. Intervention programmes may be a way to mitigate these challenges.Aim: This review identified good evidence-based intervention studies for adults with ADHD and described the usefulness of these interventions.Method: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, articles were searched from 2009 to 2019 across four medical- and psychological-focused electronic databases using EBSCOhost. All articles selected for the review’s thematic meta-synthesis were appraised by attaining a threshold score of at least 61%, using the Smith-Franciscus-Swartbooi appraisal tool. Two autonomous reviewers engaged in the review process. The study adhered to all ethical principles pertaining to systematic review practice.Results: Forty studies were identified for summation, including pharmacological, non-pharmacological and neuro-stimulation approaches. Most interventions used a multimodal approach. Results indicated the most effective stimulant and non-stimulant as methylphenidate and atomoxetine, respectively. Effective non-pharmacological approaches to treatment were identified as cognitive-behavioural treatment, mindfulness-based approaches, psycho-education and dialectical-focused therapies. Bright light treatment and neurofeedback were reported as the most efficacious neuro-stimulatory methods.Conclusion: Pharmacological and non-pharmacological approaches, as well as neuro-stimulation or a blend of these approaches were acknowledged as the most effective recent modalities in the treatment of adult ADHD.Contribution: This review reported on the most current approaches to treat adult ADHD. This will facilitate a better understanding and informed decisions with regard to dealing with adult ADHD.","PeriodicalId":51156,"journal":{"name":"South African Journal of Psychiatry","volume":"78 16","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138600133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health education for physiotherapists: A scoping review","authors":"Marilyn Hooblaul, T. Nadasan, Olagbegi M. Oladapo","doi":"10.4102/sajpsychiatry.v29i0.2127","DOIUrl":"https://doi.org/10.4102/sajpsychiatry.v29i0.2127","url":null,"abstract":"Background: Physiotherapists play an integral role in the management of people living with a mental illness, yet little is known about their knowledge, attitudes and perceptions about mental health globally and particularly in South Africa.Aim: The purpose of the study is to map global evidence on mental health education for physiotherapists, including their knowledge, attitude and perceptions, with the goal of using this information to design an improved undergraduate curriculum for physiotherapy in South Africa.Setting: The search was focused on the South African and global context, with the participants as physiotherapists and physiotherapy students.Methods: The methodical framework proposed by Arksey and O’Malleys guided the scoping review. The online search used five electronic databases. An expert librarian assisted in the search strategy. English language, primary research articles that investigated physiotherapist or physiotherapy students’ knowledge, attitude and perceptions towards mental health were sought.Results: The search strategy extracted 226 published studies and 15 studies were included in the analysis. The results indicated that globally physiotherapists and physiotherapy students had limited knowledge about mental health. Improved attitudes were noted with a mental health training intervention. Negative perceptions were associated with limited knowledge.Conclusion: There was limited literature on the influence of education on mental health in physiotherapy on attitudes and perceptions. Physiotherapists desired more knowledge about mental health because of the prevalence of mental health disorders.Contribution: Because of the increasing prevalence of mental illness globally, the findings of this review suggest the necessity of integrating mental health content in the physiotherapists’ undergraduate programme to provide high-quality care physiotherapy management for people with mental illnesses.","PeriodicalId":51156,"journal":{"name":"South African Journal of Psychiatry","volume":"17 3‐4","pages":""},"PeriodicalIF":1.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138626238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep quality of adult psychiatric outpatients at Chris Hani Baragwanath Academic Hospital.","authors":"Celeste M Harlies, Wendy Friedlander","doi":"10.4102/sajpsychiatry.v29i0.2113","DOIUrl":"10.4102/sajpsychiatry.v29i0.2113","url":null,"abstract":"<p><strong>Background: </strong>Sleep disorders are increasingly prevalent among the general population and individuals with mental disorders. However, little research has focused on the sleep quality of psychiatric patients beyond depression, despite its relevance in diagnostic criteria.</p><p><strong>Aim: </strong>This study aimed to assess overall sleep quality in psychiatric outpatients and to assess for an association with socio-demographic variables.</p><p><strong>Setting: </strong>This study took place at the adult psychiatric outpatient department of Chris Hani Baragwanath Academic Hospital.</p><p><strong>Methods: </strong>A cross-sectional study design was employed to evaluate overall sleep quality using the self-administered Pittsburgh Sleep Quality Index (PSQI), a validated tool. The PSQI yields a global score ranging from 0 to 21, with scores of 5 or greater indicating poor sleep quality. Eligibility was determined through structured clinical interviews and data obtained from participant records.</p><p><strong>Results: </strong>Poor sleep quality was found in 50% of participants. Sleep quality did not differ significantly based on sex or age. Subscale analysis revealed reduced sleep duration and efficiency, nocturnal disturbances and daytime dysfunction. Additionally, 38% of participants required pharmacological intervention for sleep issues, despite lacking a diagnosis of primary or comorbid sleep disorders.</p><p><strong>Conclusion: </strong>Half of the psychiatric outpatients experienced poor sleep quality, irrespective of socio-demographic factors, psychiatric diagnosis, symptom remission or medication type.</p><p><strong>Contribution: </strong>This study highlights the importance of addressing sleep disturbances as comorbid conditions in psychiatric patients. Comprehensive evaluation and management of sleep quality can lead to improved patient outcomes and quality of life.</p>","PeriodicalId":51156,"journal":{"name":"South African Journal of Psychiatry","volume":"29 ","pages":"2113"},"PeriodicalIF":1.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696565/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychosis screening questionnaire: Exploring its factor structure among South African adults.","authors":"Yanga Thungana, Zukiswa Zingela, Stefan van Wyk, Hannah H Kim, Amantia Ametaj, Anne Stevenson, Rocky E Stroud, Dan J Stein, Bizu Gelaye","doi":"10.4102/sajpsychiatry.v29i0.2051","DOIUrl":"10.4102/sajpsychiatry.v29i0.2051","url":null,"abstract":"<p><strong>Background: </strong>Early detection of psychosis improves treatment outcomes, but there is limited research evaluating the validity of psychosis screening instruments, particularly in low-resourced countries.</p><p><strong>Aim: </strong>This study aims to assess the construct validity and psychometric properties of the psychosis screening questionnaire (PSQ) in South Africa.</p><p><strong>Setting: </strong>This study was conducted at several health centres in the Western and Eastern Cape provinces in South Africa.</p><p><strong>Methods: </strong>The sample consisted of 2591 South African adults participating as controls in a multi-country case-control study of psychiatric genetics. Using confirmatory factor analysis and item response theory, we evaluated the psychometric properties of the PSQ.</p><p><strong>Results: </strong>Approximately 11% of the participants endorsed at least one psychotic experience on the PSQ, and almost half of them (49%) occurred within the last 12 months. A unidimensional model demonstrated good fit (root mean square error of approximation [RMSEA] = 0.023, comparative fit index [CFI] = 0.977 and Tucker-Lewis Index [TLI] = 0.954). The mania item had the weakest association with a single latent factor (standardised factor loading = 0.14). Model fit improved after removing the mania item (RMSEA = 0.025, CFI = 0.991 and TLI = 0.972). With item response theory analysis, the PSQ provided more information at higher latent trait levels.</p><p><strong>Conclusion: </strong>Consistent with prior literature, the PSQ demonstrated a unidimensional factor structure among South Africans. In our study, the PSQ in screening for psychosis performed better without the mania item, but future criterion validity studies are warranted.</p><p><strong>Contribution: </strong>This study highlights that PSQ can be used to screen for early psychosis.</p>","PeriodicalId":51156,"journal":{"name":"South African Journal of Psychiatry","volume":"29 ","pages":"2051"},"PeriodicalIF":1.0,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500138","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors affecting readmission of adolescent mental healthcare users to a psychiatric hospital.","authors":"Stephanie A Eichstadt, Shren Chetty, Thulisile G Magagula, Xan Swart","doi":"10.4102/sajpsychiatry.v29i0.2110","DOIUrl":"10.4102/sajpsychiatry.v29i0.2110","url":null,"abstract":"<p><strong>Background: </strong>Adolescent mental illness is increasing worldwide, leading to more admissions to psychiatric institutions. Many adolescents may require multiple readmissions, which is disruptive to their holistic well-being and costly for the healthcare sector. Identifying especially modifiable risk factors for readmission remains an important step in providing potential areas for improving patient care.</p><p><strong>Aim: </strong>This study investigated the risk factors associated with the readmission of adolescent mental healthcare users to a specialist psychiatric unit.</p><p><strong>Setting: </strong>The specialist adolescent unit at Weskoppies Psychiatric Hospital.</p><p><strong>Methods: </strong>In this retrospective study, the clinical files of 345 adolescents admitted between 2015 and 2019 were reviewed. The primary outcome variable was readmission, that is, whether a patient was readmitted to Weskoppies Hospital (<i>n</i> = 98) compared to those with no recorded readmission (<i>n</i> = 247).</p><p><strong>Results: </strong>Readmitted adolescents were significantly younger on first admission compared to the non-readmitted group (13.46 vs 14.26, <i>p</i> = 0.016). Bivariate analysis showed that the readmitted group had a much higher rate of non-adherence to treatment (38.1% vs 10.5%, <i>p</i> = < 0.001). Patients with a family history of mental illness had a significantly higher risk of readmission (52.2% vs 37.5%, <i>p</i> = 0.015).</p><p><strong>Conclusions: </strong>Adolescents were more likely to be readmitted if they had first admission at a younger age, a family history of mental illness or non-adherence to treatment.</p><p><strong>Contribution: </strong>Identifying especially modifiable risk factors for readmission of adolescents to improve patient care, particularly in the South African context where there is a paucity of research on this topic.</p>","PeriodicalId":51156,"journal":{"name":"South African Journal of Psychiatry","volume":"29 ","pages":"2110"},"PeriodicalIF":1.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10696544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138500137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An initiative to reduce psychiatric boarding in a Cape Town emergency department","authors":"Clint A. Hendrikse, Peter Hodkinson, Daniël J. Van Hoving","doi":"10.4102/sajpsychiatry.v29i0.2075","DOIUrl":"https://doi.org/10.4102/sajpsychiatry.v29i0.2075","url":null,"abstract":"Background: Psychiatric boarding in Emergency Departments (ED) is a global challenge which results in long ED length of stays (LOS) with significant consequences on patient care and staff safety.Aim: This study investigated the impact of an initiative to reduce psychiatric boarding on LOS and readmission rate, as well as explored the relationship between boarding times and LOS.Setting: This study was conducted at Mitchells Plain Hospital, a large district-level hospital in Cape Town.Methods: This cross-sectional study collected data for 24 months, which included a 9-month period prior to the initiative and 16 months thereafter. Data were collected retrospectively from official electronic patient registries. The initiative comprised of inpatient hallway boarding as a full-capacity protocol with the accompanying capacitation of psychiatric wards to accommodate the additional burden.Results: The initiative was associated with a decrease of 95% (p 0.001) in boarding time, 13% (p 0.001) in ward LOS and 25% (p 0.001) in hospital LOS. Ward LOS were found to be independent of ED boarding times. The readmission rate increased from 12% to 18% post intervention.Conclusion: The initiative resulted in a sustainable improvement in boarding times and LOSs. The observational nature of this study precludes concrete conclusions and further investigations into psychiatric inpatient hallway boarding are recommended.Contribution: Inpatient hallway boarding could be a feasible option to reduce the risk. Psychiatric boarding times in the ED are independent of ward LOS, rendering it devoid from any value from a lean and economic perspective.","PeriodicalId":51156,"journal":{"name":"South African Journal of Psychiatry","volume":"79 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134956737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}