In-patient service use before and after a mental health in-patient rehabilitation admission
Background In-patient mental health rehabilitation services provide specialist treatment to people with complex psychosis. On average, rehabilitation admissions last around a year and usually follow several years of recurrent and often lengthy psychiatric hospital admissions. Aims To compare in-...
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Cambridge University Press
2025-05-01
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| Series: | BJPsych Open |
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| Online Access: | https://www.cambridge.org/core/product/identifier/S2056472425000316/type/journal_article |
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| author | Christian Dalton-Locke Louise Marston Justin Yang David Osborn Helen Killaspy |
| author_facet | Christian Dalton-Locke Louise Marston Justin Yang David Osborn Helen Killaspy |
| author_sort | Christian Dalton-Locke |
| collection | DOAJ |
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Background
In-patient mental health rehabilitation services provide specialist treatment to people with complex psychosis. On average, rehabilitation admissions last around a year and usually follow several years of recurrent and often lengthy psychiatric hospital admissions.
Aims
To compare in-patient service use before and after an in-patient rehabilitation admission, using electronic patient healthcare records in one National Health Service Trust in London.
Method
We carried out a retrospective cohort study comprised of individuals with an in-patient rehabilitation admission lasting ≥84 days between 1 January 2010 and 30 April 2019, with at least ≥365 days of records available before and after their rehabilitation admission. We used negative binomial regression models to compare the number of in-patient days before and after the rehabilitation admission.
Results
A total of 172 individuals met our eligibility criteria. The median percentage of days spent as an in-patient before the rehabilitation admission was 29% (interquartile range 18–52%), and 8% (interquartile range 0–31%) after the admission. The regression model adjusted for potential confounder variables produced an incidence rate ratio of 0.520 (95% CI 0.367–0.737).
Conclusions
The rate of in-patient service use was halved in the period after an in-patient rehabilitation admission compared with the period before. This suggests that in-patient rehabilitation is a clinical and cost-effective intervention in the treatment and support of people with complex psychosis.
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| format | Article |
| id | doaj-art-ddb642c8e3de4641881c49d37b4b0019 |
| institution | OA Journals |
| issn | 2056-4724 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Open |
| spelling | doaj-art-ddb642c8e3de4641881c49d37b4b00192025-08-20T01:50:30ZengCambridge University PressBJPsych Open2056-47242025-05-011110.1192/bjo.2025.31In-patient service use before and after a mental health in-patient rehabilitation admissionChristian Dalton-Locke0https://orcid.org/0000-0002-1876-4741Louise Marston1https://orcid.org/0000-0002-9973-1131Justin Yang2https://orcid.org/0000-0003-2881-4906David Osborn3https://orcid.org/0000-0003-2519-1539Helen Killaspy4https://orcid.org/0000-0003-2481-4802Division of Psychiatry, University College London, London, UKResearch Department of Primary Care and Population Health, University College London, UCL Medical School, London, UKCamden and Islington NHS Foundation Trust, St Pancras Hospital, London, UKDivision of Psychiatry, University College London, London, UK Camden and Islington NHS Foundation Trust, St Pancras Hospital, London, UKDivision of Psychiatry, University College London, London, UK Camden and Islington NHS Foundation Trust, St Pancras Hospital, London, UK Background In-patient mental health rehabilitation services provide specialist treatment to people with complex psychosis. On average, rehabilitation admissions last around a year and usually follow several years of recurrent and often lengthy psychiatric hospital admissions. Aims To compare in-patient service use before and after an in-patient rehabilitation admission, using electronic patient healthcare records in one National Health Service Trust in London. Method We carried out a retrospective cohort study comprised of individuals with an in-patient rehabilitation admission lasting ≥84 days between 1 January 2010 and 30 April 2019, with at least ≥365 days of records available before and after their rehabilitation admission. We used negative binomial regression models to compare the number of in-patient days before and after the rehabilitation admission. Results A total of 172 individuals met our eligibility criteria. The median percentage of days spent as an in-patient before the rehabilitation admission was 29% (interquartile range 18–52%), and 8% (interquartile range 0–31%) after the admission. The regression model adjusted for potential confounder variables produced an incidence rate ratio of 0.520 (95% CI 0.367–0.737). Conclusions The rate of in-patient service use was halved in the period after an in-patient rehabilitation admission compared with the period before. This suggests that in-patient rehabilitation is a clinical and cost-effective intervention in the treatment and support of people with complex psychosis. https://www.cambridge.org/core/product/identifier/S2056472425000316/type/journal_articleMental health servicesrehabilitationin-patient treatmentelectronic healthcare recordspsychotic disorders/schizophrenia |
| spellingShingle | Christian Dalton-Locke Louise Marston Justin Yang David Osborn Helen Killaspy In-patient service use before and after a mental health in-patient rehabilitation admission BJPsych Open Mental health services rehabilitation in-patient treatment electronic healthcare records psychotic disorders/schizophrenia |
| title | In-patient service use before and after a mental health in-patient rehabilitation admission |
| title_full | In-patient service use before and after a mental health in-patient rehabilitation admission |
| title_fullStr | In-patient service use before and after a mental health in-patient rehabilitation admission |
| title_full_unstemmed | In-patient service use before and after a mental health in-patient rehabilitation admission |
| title_short | In-patient service use before and after a mental health in-patient rehabilitation admission |
| title_sort | in patient service use before and after a mental health in patient rehabilitation admission |
| topic | Mental health services rehabilitation in-patient treatment electronic healthcare records psychotic disorders/schizophrenia |
| url | https://www.cambridge.org/core/product/identifier/S2056472425000316/type/journal_article |
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