Two-year experience of the implementation of a psychiatric home hospitalization care service for acute mental illness

• DOI: 10.1192/j.eurpsy.2023.408
• Publication Date: 2023-08-08T09:24:45Z
• Authors: A. Guàrdia; L. Marin; A. González-Rodrí...; V. Bañon; E. Izquierdo; L. Lafuente; X. Martinez-Bio; D. Llors; M. Natividad; L. Ros; J. A. Monreal
• Keywords: Partial hospitalization

Introduction Psychiatric home hospitalisation is a service aiming to support people with mental illnesses in their acute stage at own home. This care model has been recently implemented our territory the main objective of avoiding hospital admissions. Objectives Our goal describe cohort patients followed up over 2-years context pilot health program within community-based (Mutua Terrassa University Hospital). Methods We conducted prospective longitudinal study including 125 attended from 01/11/2020 09/11/2022 reference area 250,000 inhabitants. The team was formed by 1 psychiatrist and nurse. DSM-5 diagnoses, socio-demographic variables, mean stay trajectories were collected. Results One-hundred twenty-five (women: 70). Mean age consultation: 38.3 years - old. stay: 24 days. most frequent diagnoses: non-affective psychotic disorders (58%), affective (30%), anxiety personality disorders. Referrals Community Mental Health Outpatient Services (CMHS) (72%), Acute Inpatient Unit (25%), Emergency Service (3%). after discharge: CMHS (83%), Adult (13%), others (4%). Individualized plans carried out all cases, coordination community services. Follow-up adherence discharge about 95%. Patients first-episode psychosis showed highest degree satisfaction (N=46). Conclusions emerging profile users who benefit service. Women higher adherence, loss follow-up lower than we expected. Disclosure Interest None Declared