Life after leaving hospital: when does a duty of care end?

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Sally McManus writes her debut elf blog on a recent national cohort study of multiple adverse outcomes following first discharge from psychiatric care, which finds that mental health inpatients are more likely to experience all types of adversity after leaving hospital.

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Bridging the gap between mental and physical healthcare in general hospitals #TreatAsOne

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Kirsten Lawson presents the findings and recommendations of the recent National Confidential Enquiry into Patient Outcome and Death #TreatAsOne report.

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The weekend effect in mental health services: new evidence suggests no increased risk of suicide, inpatient mortality or seclusion

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Laura Hemming reviews two recent studies that investigate whether patients admitted to a psychiatric hospital at the weekend had worse clinical outcomes, as well as the specific weekend versus weekday incidences of suicide in very high-risk mental health patients.

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What happens to people after discharge from secure psychiatric hospital?

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Laura Hemming considers a recent systematic review of patient outcomes following discharge from secure psychiatric hospitals. The review finds that patients from secure units have a higher chance of mortality and suicide following discharge, than people from other settings.

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Continuity of relationships can help older adults cope with care transition

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Jill Manthorpe reports an updated NIHR-funded literature review of how we can improve older adults’ experiences of care transition.

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Sustained smoking cessation intervention for hospitalised smokers

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Sally Adams summarises a new randomised controlled trial in JAMA, which tests a sustained care intervention and post-discharge smoking cessation for hospitalised smokers.

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Does staying in hospital longer make you better?

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De-institutionalisation, the advent of community care and development of psychotropic medicines are implicated in the reduction in hospital bed numbers and mean length of stay. There remains a huge variance in length of stay and outcomes across the UK and beyond (NHS Confederation, 2011). Figures on length of stay and service configuration are difficult to [read the full story…]

People who died by suicide are more likely to have been last discharged from a general hospital

Restraint is used widely in inpatient mental health settings both in the UK and internationally, but is linked with multiple adverse outcomes.

Suicide is a significant public health concern in the UK and globally. Recently it was reported that the UK male suicide rate in 2012 was 3.5 times that of women (Siddique, 2014). In 1981, when the data series these reports were based on began, the male suicide rate was 1.9 times that for women. However, overall [read the full story…]

Mortality rates amongst drug users in relation to time after hospital discharge

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People with substance misuse problems often present to services with complex physical and mental health needs.  Studies in the UK have indicated that common mental health problems are the norm in people in treatment for substance misuse. Weaver et al (2003) found 70% of people in treatment for substance misuse in London also had a [read the full story…]