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Monitoring Psychiatric Patients’ Preparedness for Hospital Discharge

Hennessy, Carrie Olsen
http://rave.ohiolink.edu/etdc/view?acc_num=antioch1521494115246141

Abstract Details

2018, Psy. D., Antioch University, Antioch New England: Clinical Psychology.
This mixed method study piloted a newly developed tool for monitoring preparedness among youth discharged from New Hampshire Hospital (NHH) and explored its influence on hospital discharge planning and follow-up care. This study spotlighted psychosocial variables in readmission risk for a psychiatric population and introduced a conceptualization of preparedness that included patient understanding of their discharge plan, as well as hope for change and supportive relationships. Quantitative methods were used to examine the relationship between aftercare and hospital readmission and further to explore the relationship between patient preparedness and readmission, as well as adverse events experienced post-discharge. Qualitative methods were used to explore the feasibility and utility of the preparedness tool. Chi-square results indicated that aftercare was associated with reduced readmission risk at 90-days. Regression analyses indicated preparedness scores did not contribute to the prediction of adverse events and hospital readmission. The Preparedness Assessment Tool’s (PAT) three-point rating scale made it difficult to detect a statistically meaningful relationship between preparedness and these outcomes and to effectively track changes in preparedness over time. Overall, the Aftercare Coordinator (AC) considered the PAT to be an invaluable asset to her work with patients. The PAT was found to be user-friendly, modifiable, effective, and efficient. Further, it helped personalize care, guide interventions, increase patient and family collaboration and understanding, and help monitor progress and patient need.
James Fauth, PhD (Committee Member)
Vince Pignatiello, PsyD (Committee Member)
Michelle Mattison, PsyD (Committee Member)
47 p.
Clinical Psychology
patient preparedness; preparedness tool; hospital discharge; post-discharge care; post-discharge follow-up; hospital readmission; readmission risk, psychiatric hospitalization

Recommended Citations

Citations

  • Hennessy, C. O. (2018). Monitoring Psychiatric Patients’ Preparedness for Hospital Discharge [Doctoral dissertation, Antioch University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1521494115246141

    APA Style (7th edition)

  • Hennessy, Carrie . Monitoring Psychiatric Patients’ Preparedness for Hospital Discharge . 2018. Antioch University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=antioch1521494115246141.

    MLA Style (8th edition)

  • Hennessy, Carrie . "Monitoring Psychiatric Patients’ Preparedness for Hospital Discharge ." Doctoral dissertation, Antioch University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1521494115246141

    Chicago Manual of Style (17th edition)

antioch1521494115246141
299
© 2018, all rights reserved.
This open access ETD is published by Antioch University and OhioLINK.