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J Ment Health ; 20(1): 5-14, 2011 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-20874513

RESUMEN

BACKGROUND: There is a paucity of service research on the effectiveness of short-term mental health clinics. AIMS: To outline the development of the Urgent Consultation Clinic (UCC), an inter-professional, short-term, mental health program in a general hospital, and to evaluate the effectiveness of the UCC from a quality improvement perspective. METHOD: Participants (n = 143) completed a battery of validated measures assessing psychological and physical symptoms, quality of life, life satisfaction, and satisfaction with services at three time-points. Inter-professional team members rated participants' overall functioning and severity of mental health problems at intake and termination. RESULTS: The median time from referral to initial UCC visit was 12 days. A significant decline in the severity of mental health symptoms was observed, with 87% of participants reporting clinically elevated symptoms at intake compared to 71% at termination. Significant improvements were observed in life satisfaction, overall functioning, and mental quality of life. Sixty-nine percent of participants rated the quality of services as good or excellent. CONCLUSIONS: The UCC model of care contributed to improved access to psychiatric evaluation and short-term treatment. This inter-professional model could be applied to other health care settings to meet the needs of patients requiring acute psychiatric services.


Asunto(s)
Accesibilidad a los Servicios de Salud , Hospitales Generales , Servicios de Salud Mental , Adolescente , Adulto , Femenino , Accesibilidad a los Servicios de Salud/organización & administración , Accesibilidad a los Servicios de Salud/normas , Hospitales Generales/organización & administración , Hospitales Generales/normas , Humanos , Masculino , Trastornos Mentales/terapia , Servicios de Salud Mental/organización & administración , Servicios de Salud Mental/normas , Persona de Mediana Edad , Ontario , Satisfacción del Paciente , Servicio de Psiquiatría en Hospital/organización & administración , Servicio de Psiquiatría en Hospital/normas , Mejoramiento de la Calidad/organización & administración , Mejoramiento de la Calidad/normas , Derivación y Consulta , Encuestas y Cuestionarios , Resultado del Tratamiento , Listas de Espera , Adulto Joven
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