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Postdischarge impact of C-L psychiatry treatment in obstetrical inpatients. | LitMetric

Postdischarge impact of C-L psychiatry treatment in obstetrical inpatients.

ISRN Obstet Gynecol

Perinatal Mental Health Unit, Department of Psychiatry, Room 928, Mount Sinai Hospital, 600 University Avenue, Toronto, ON, Canada M5G 1X5.

Published: November 2011

AI Article Synopsis

  • * Results showed that the women had a strong recall of both the consultation process and treatment advice, with 64% expressing mood concerns after discharge, and 66% of those sought professional help.
  • * Suggestions for improvement included increased sensitivity from healthcare providers, consistent messaging, and follow-up care, while post-discharge contacts from C-L psychiatry may further support patients in managing their mental health.

Article Abstract

Purpose. Twenty-eight women, referred to C-L Psychiatry during their obstetrical inpatient stay were interviewed six months post-discharge to determine how they experienced the consultation process, whether they recollected and adhered to treatment recommendations, and whether they developed or had a recurrence of mental health problems post-discharge. Method. Semi-structured telephone interviews were conducted by a psychologist who had not been involved with patient care. Results. There was strong congruence between reason for referral as stated in psychiatric consult notes and participants' recollections and strong congruence and compliance regarding treatment recommendations. Sixty-four percent of women had concerns regarding mood post-discharge, of whom 66% sought professional help within six months. Participants' recommendations for improving the effectiveness of the C-L service to obstetrical inpatients pertained mainly to sensitivity to patients' feelings, consistency of message and personnel, and post-discharge follow-up. Conclusions. Obstetrical patients had good recollection of their experience of C-L psychiatry, and post-discharge compliance with treatment recommendations was high. A post-discharge telephone call might further enhance treatment compliance and encourage women who are struggling with mood difficulties to seek help. Contact between C-L psychiatry and patients' primary care physician may also enhance care post-discharge.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3143447PMC
http://dx.doi.org/10.5402/2011/456012DOI Listing

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