Hostname: page-component-77c89778f8-vsgnj Total loading time: 0 Render date: 2024-07-25T03:14:03.719Z Has data issue: false hasContentIssue false
  • English
  • Français

The impact of a specialized inpatient and day patient group programme on clinical outcome in older adolescents and young adults with mental illness

Published online by Cambridge University Press:  02 March 2016

P. McCrossan ,
A. Ryan ,
M. Connellan  and
P. Power
P. McCrossan*
Affiliation:
St.Patrick's Univeristy Hospital, Dublin, Ireland
A. Ryan
Affiliation:
St.Patrick's Univeristy Hospital, Dublin, Ireland
M. Connellan
Affiliation:
St.Patrick's Univeristy Hospital, Dublin, Ireland
P. Power
Affiliation:
St.Patrick's Univeristy Hospital, Dublin, Ireland
*
*Address for correspondence: P. McCrossan, RCSI Paediatrics, RCSI, St Stephen’s Green, Dublin 2, Ireland. (Email: mccrossp@tcd.ie)
Get access Rights & Permissions [Opens in a new window]

Abstract

Introduction

Effective transition from child and adolescent mental health services (CAMHS) to adult services is one of the main challenges currently facing child psychiatry today

The Young Adult 1Programme (YAP) based at St. Patrick’s University Hospital Dublin, is a group based day programme especially designed to meet the needs of younger people aged 18–25 and support them through this difficult period.

Aims

To examine the effectiveness of participation in YAP for young adults with mental illness. To determine whether participation in particular aspects of the programme prove more beneficial and what factors might be associated with outcome.

Method

All patients enrolled in YAP between 1 September 2011 and 31 August 2012 were included in the study. Each patient was assessed using the Health of the Nation Outcome Scales (HONOS) and Global Assessment of Functioning (GAF) rating scale before beginning the programme and after discharge in order to evaluate improvement. The frequency of attendance at individual group sessions was recorded. Patient and illness variables were also recorded, for example demographics, diagnosis.

Results

A total of 101 service users were in enrolled in YAP during this 12-month period. Eight service users could not be used for analysis, as they did not have a complete data set, mostly due to failure to attend for discharge HONOS/GAF ratings

Using a paired sample t-test, there is a significant reduction in HONOS: Mean df=1.3, s.d.=1.09 (95% CI=1.08–1.53), p<0.001

Using a paired sample t-test, there is a significant increase in GAF: Mean df=9.25, s.d.=7.69 (95% CI=7.66–10.83), p<0.001

Improvements in HONOS and GAF scores are significantly correlated with better attendance at the programme (p<0.04, <0.00 respectively).

Conclusion

More attendance at YAP sessions correlates with better improvement in both HONOS and GAF rating scores.

Keywords

Adolescentgroup programmemental healthout-patient
Type
Original Research
Information
Irish Journal of Psychological Medicine , Volume 34 , Issue 1 , March 2017 , pp. 39 - 44
Copyright
© College of Psychiatrists of Ireland 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Castle, D, White, C, Chamberlain, J, Berk, M, Berk, L, Lauder, S, Murray, G, Schweitzer, I, Piterman, L, Gilbert, M (2010). Group-based psychosocial intervention for bipolar disorder: randomised controlled trial. British Journal of Psychiatry 196, 383–388.Google Scholar
Esker, F, Harkin, S (2012). Effectiveness of a six-week psychoeducation program on adherence of patients with bipolar affective disorder. Journal of Affective Disorders 138, 409–416.Google Scholar
Grant, BF, Stinson, FS, Dawson, DA, Chou, SP, Ruan, WJ, Pickering, RP (2004). Co-currence of 12-month alcohol and drug disorders and personality disorders in the United States; results from the national epidemiological survey on alcohol and related conditions. Archives of General Psychiatry 61, 361–368.Google Scholar
The HONOS Working Party (2010). Key performance indicator framework for New Zealand mental health and addiction services. Phase II: Live test of the framework. Developing an indicator of effectiveness. Version 3.0.Google Scholar
Ingenhoven, T (2015). Pharmacotherpay for borderline patients; business as usual or by default? The Journal of Clinical Psychiatry 76, 522–523.Google Scholar
Kennair, N, Mellor, D, Brann, P (2011). Evaluation the outcomes of adolescent day programs in an Australian child and adolescent mental health service. Clinical Child Psychology Psychiatry 16, 21–31.Google Scholar
McGorry, P, Purcell, R, Hickie, I, Jorm, A (2007). Investing in youth mental health is a best buy. The Medical Journal of Australia 187, 5–6, editorial.Google Scholar
Ritschel, L, Cheavens, J, Nelson, J (2012). Dialectical behaviour therapy in an intensive outpatient programme with a mixed diagnostic sample. Journal of Clinical Psychology 68, 221–235.Google Scholar
Sonnesson, O, Arvidsson, H, Tjus, T (2006). Effectiveness of pyshciatric inpatient care. Scandinavian Journal of Caring Sciences 27, 319–326.Google Scholar
Theodoridou, A, Jaeger, M, Ketteler, D, Kawohl, W, Lauber, C, Hoff, P, Rossler, W (2011). The concurrent validity and sensitivity of change of the German version of the health of the nation outcome scales in a psychiatric inpatient setting. Psychopathology 44, 391–397.Google Scholar
Weir, R, Bidwell, S (2000). Therapeutic day programs in the treatment of adolsecents with mental illness. Australian & New Zealand Journal of Psychiatry 34, 264–270.Google Scholar