Pilot study of enhanced social support with automated telephone monitoring after psychiatric hospitalization for depression.
Soc Psychiatry Psychiatr Epidemiol
; 52(2): 183-191, 2017 02.
Article
en En
| MEDLINE
| ID: mdl-27783130
ABSTRACT
BACKGROUND:
Following discharge, patients hospitalized for depression are at high risk for poor retention in outpatient care and adverse outcomes.AIMS:
Pilot tests a post-hospital monitoring and enhanced support program for depression.METHOD:
48 patients at a Veterans Affairs Medical Center discharged following a depression-related inpatient stay received weekly visits or phone calls for 6 months from their choice of either a family member/friend (n = 19) or a certified peer support specialist (n = 29). Participants also completed weekly automated telephone monitoring calls assessing depressive symptoms and antidepressant medication adherence.RESULTS:
Over 90% of participants were more satisfied with their care due to the service. The mean change from baseline to 6 months in depression symptoms was -7.9 (p < 0.05) according to the Patient Health Questionnaire and -11.2 (p < 0.05) according to the Beck Depression Inventory-II for those supported by a family member/friend, whereas those supported by a peer specialist had mean changes of -3.5 (p < 0.05) and -1.7 (p > 0.10), respectively.CONCLUSIONS:
Increased contact with a chosen support person coupled with automated telephone monitoring after psychiatric hospitalization is an acceptable service for patients with depression. Those who received the service, and particularly those supported by a family member/friend, experienced reductions in symptoms of depression.Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Contexto en salud:
11_ODS3_cobertura_universal
Problema de salud:
11_delivery_arrangements
Asunto principal:
Alta del Paciente
/
Grupo Paritario
/
Apoyo Social
/
Teléfono
/
Familia
/
Aceptación de la Atención de Salud
/
Cuidados Posteriores
/
Trastorno Depresivo
Aspecto:
Determinantes_sociais_saude
Límite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Soc Psychiatry Psychiatr Epidemiol
Asunto de la revista:
CIENCIAS SOCIAIS
/
EPIDEMIOLOGIA
/
PSIQUIATRIA
Año:
2017
Tipo del documento:
Article
País de afiliación:
Estados Unidos