alexa Intensive Transitional Post-discharge Service for Patients with Depression
ISSN: 2167-1044

Journal of Depression and Anxiety
Open Access

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Research Article

Intensive Transitional Post-discharge Service for Patients with Depression

Sidse Marie Arnfred*, Esther Maria Touw and Maria Nilsson
Research Unit, Mental Health Centre Ballerup, Denmark
*Corresponding Author : Sidse Arnfred
Mental Health Centre Ballerup
Research Unit
building 22 Maglevænget 2 2750 Ballerup, Denmark
Tel: +45 24227045
E-mail: [email protected]
Received April 19, 2014; Accepted July 7, 2014; Published July 12, 2014
Citation: Arnfred Sm, Maria Touw E, Nilsson M (2014) Intensive Transitional Post-discharge Service for Patients with Depression. J Depress Anxiety S2:005. doi:10.4172/2167-1044.S2-005
Copyright: © 2014 Arnfred SM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Introduction: Psychiatric treatment for depression initiated during admission is often planned to be continued after discharge, yet outpatient follow-up service frequently fails to meet even modest standards for service regarding timeliness and frequency of contact. Here we present data from a newly designed transitional, day-to-day, CBTbased psychiatric aftercare service. Methods: The program consisted of at least one psychiatric consultation, week-day telephone outreach and CBT-based individual therapy twice a week (in total five times), followed by group therapy twice a week for four weeks. In individual therapy, focus was on collaborative goal setting and next-of-kin participation. The group format was open, trans-diagnostic and highly structured. Self-ratings (WHO-5 Well-Being Scale (WHO-5); Becks Depression Inventory - II (BDI)) were obtained at the first day, at the end of individual therapy (after 3 weeks) and at end of group therapy (after 6-10 weeks). User evaluations were obtained at the latter two time points. Descriptive data is presented and ratings are analysed in an intention-to-treat design. Results: In 23 months 189 patients with unipolar depression were referred to the aftercare program. 165 patients completed the initial questionnaires, which showed a high level of depression symptoms (BDI 30.9 (STD 11.4 N=166) the first day of the program (right after discharge). 114 patients continued in group therapy. 11 (5.8 %) patients were re-admitted, 74 (39.2%) patients continued treatment in regional mental health clinics and 89 (47.1%) patients were discharged to primary sector service. BDI scores improved at each time point. Overall user satisfaction, measured with Client Satisfaction Questionnaire (CSQ), was high. Conclusion: Symptom reduction was evident during the aftercare program, and patients were satisfied with the service content. However, the results have to be interpreted with caution as we lack data from a comparable patient group receiving no service or a different type of post-discharge aftercare.

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