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Coordinating Mental Health Services for People with Serious Mental Illness: A Scoping Review of Transitions from Psychiatric Hospital to Community

Authors
  • Storm, Marianne1, 2
  • Husebø, Anne Marie Lunde1, 3
  • Thomas, Elizabeth C.4
  • Elwyn, Glyn5
  • Zisman-Ilani, Yaara4
  • 1 University of Stavanger, Department of Public Health, Faculty of Health Sciences, Stavanger, Norway , Stavanger (Norway)
  • 2 University of Stavanger, Faculty of Health Sciences, Center for Resilience in Healthcare, Stavanger, Norway , Stavanger (Norway)
  • 3 Stavanger University Hospital, Department of Gastroenterological Surgery, Stavanger, Norway , Stavanger (Norway)
  • 4 Temple University, Department of Rehabilitation Sciences, College of Public Health, Philadelphia, PA, 19122, USA , Philadelphia (United States)
  • 5 Institute of Health Policy and Clinical Practice, Dartmouth College, Lebanon, NH, 03766, USA , Lebanon (United States)
Type
Published Article
Journal
Administration and Policy in Mental Health and Mental Health Services Research
Publisher
Springer US
Publication Date
Jan 02, 2019
Volume
46
Issue
3
Pages
352–367
Identifiers
DOI: 10.1007/s10488-018-00918-7
Source
Springer Nature
Keywords
License
Yellow

Abstract

Effective coordination as people with serious mental illness (SMI) move between care settings is essential. We aimed to review challenges to care coordination for people with SMI and identify approaches for improving it. Sixteen articles were identified. Two main challenges emerged: people with SMI facing adjustment challenges during transitions and services struggling to provide continuity of care. Effective approaches addressed coordination challenges and resulted in better improvements in service utilization, social functioning and quality of life. Future interventions may benefit from shared decision-making, support for caregivers, and addressing the challenges associated with complicated medication regimes and accessing medications.

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