Is it possible to predict the discharge destination of patients are taken on to an early intervention in psychosis service?

Poster A74, Thursday, October 20, 11:30 am - 1:00 pm, Le Baron

Debasis Das1, Shiraz Ahmed1, Nandini Chakraborty1; 1Leicestershire Partnership NHS Trust

There is expectation is that at least 50% of service users from an early intervention service (EIP) will subsequently be discharged to primary care . This study aims to identify factors which have significant influence on the discharge destination of a patient. Notes of patients discharged from the Psychosis Intervention and Early Recovery (PIER) team in Leicestershire, eight years from 2005, were perused to identify clinical and demographic characteristics. Logistic regression was employed on collected data to calculate the effect of each factor on the possibility of a patient being discharged to primary care versus secondary care. A total of 508 patient records were identified and included in the study. Results: 241 patients (47.44%) had been discharged to primary care and 267(52.55%) to secondary psychiatric services. Any psychotic diagnosis other than enduring psychoses decreases the odds of a patient being discharged to secondary care. Patients referred from community psychiatric outpatients were 65% less likely to be discharged to secondary care compared to those referred from inpatient services. Conclusion: Patients with diagnoses of enduring psychotic illness, referred to the PIER team following an inpatient admission were more likely to be discharged to a secondary psychiatric service at the end of three years with the team irrespective of gender, ethnicity and geographical location. Hence, it may be possible to predict the discharge destination when patients are taken on to the caseload of an EIP team, which will have implications for psychoeducation, preparing the patient for future after EIP and distribution of resources.

Topic Area: First Episode Psychosis

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