Challenges following discharge from acute psychiatric inpatient care in Japan: patients’ perspectives

• DOI: 10.1111/jpm.12341
• Publication Date: 2016-09-14T08:52:38Z
• Authors: J. Niimura; M. Tanoue; M. Nakanishi
• Keywords: Inpatient care; Transitional care; Acute care; Discharge planning

Accessible summary What is known on the subject? A lack of transitional care covering period from psychiatric hospital discharge to community mental health can increase likelihood illness recurrence or readmission discharged patients. this paper adds existing knowledge? The participants expressed view that discontinuity between inpatient and life was a post‐discharge challenge after being involuntarily admitted emergency ward. These challenges arose dissatisfaction with treatment, inability coordinate are implications for practice? Patients should be able disclose their feelings about own experiences in settings current an open manner. An advocate appointed acute reflect patients’ individual needs without bias providers. Abstract Introduction Psychiatric Japan usually comprises provided during lengthy stays. Recently, policies shortening stays have been aggressively pursued. However, appropriate not always care. Aim We elucidated immediately following clarify how improve follow‐ups. Method This study utilized qualitative descriptive design incorporated patient interviews. Participants comprised 18 patients who experienced involuntary admission diagnosis schizophrenia spectrum disorder. Inductive content analysis used create codes categories interview transcripts. Findings core category emerged ‘separating as life’. two subcategories: ‘dissatisfaction received’ ‘lack abilities lifestyle discharge’. Discussion openly. Implications practice Advocate (e.g. peer staff)