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document
Network coordination following discharge from psychiatric inpatient treatment : a study protocol . BACKGROUND Inadequate discharge planning following inpatient stays is a major issue in the provision of a high standard of care for patients who receive psychiatric treatment . Studies have shown that half of patients who had no pre-discharge contact with outpatient services do not keep their first outpatient appointment . Additionally , discharged patients who are not well linked to their outpatient care networks are at twice the risk of re-hospitalization . The aim of this study is to investigate if the Post-Discharge Network Coordination Program at ipw has a demonstrably significant impact on the frequency and duration of patient re-hospitalization . Subjects are randomly assigned to either the treatment group or to the control group . The treatment group participates in the Post-Discharge Network Coordination Program . The control group receives treatment as usual with no additional social support . Further outcome variables include : social support , change in psychiatric symptoms , quality of life , and independence in daily functioning . METHODS/DESIGN The study is conducted as a randomized controlled trial . Subjects are randomly assigned to either the control group or to the treatment group . Computer generated block randomization is used to assure both groups have the same number of subjects . Stratified block randomization is used for the psychiatric diagnosis of ICD-10 , F1 . Approximately 160 patients are recruited in two care units at Psychiatrie-Zentrum Hard Embrach and two care units at Klinik Schlosstal Winterthur . DISCUSSION The proposed post-discharge network coordination program intervenes during the critical post-discharge period . It focuses primarily on promoting the integration of the patients into their social networks , and additionally to coordinating outpatient care and addressing concerns of daily life . TRIAL REGISTRATION ISRCTN ISRCTN58280620 .
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Intervention_Educational
psychiatric inpatient treatment
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Intervention_Educational
psychiatric treatment
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Intervention_Other
Post-Discharge Network Coordination Program
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Intervention_Control
treatment as usual
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Intervention_Control
control
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Intervention_Control
treatment
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Intervention_Other
Computer generated block randomization
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Intervention_Educational
post-discharge network coordination program
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Outcome_Other
high standard of care
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Outcome_Other
Post-Discharge Network Coordination Program
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Outcome_Other
frequency and duration of patient re-hospitalization
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Outcome_Other
Post-Discharge Network Coordination Program
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Outcome_Mental
social support
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Outcome_Mental
change in psychiatric symptoms
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Outcome_Physical
quality of life
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Outcome_Mental
independence in daily functioning
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Outcome_Other
post-discharge network coordination program
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Outcome_Other
integration of the patients into their social networks
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Outcome_Other
coordinating outpatient care
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Outcome_Physical
addressing concerns of daily life
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Participant_Condition
psychiatric inpatient treatment :
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Participant_Condition
patients who receive psychiatric treatment .
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Participant_Condition
no pre-discharge contact with outpatient services
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Participant_Condition
not well linked to their outpatient care networks
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Participant_Sample-size
160