PMID- 25017558
OWN - NLM
STAT- MEDLINE
DCOM- 20160211
LR  - 20140714
IS  - 1532-8228 (Electronic)
IS  - 0883-9417 (Linking)
VI  - 28
IP  - 4
DP  - 2014 Aug
TI  - Lessons learned from implementing a pilot RCT of transitional care model for 
      individuals with serious mental illness.
PG  - 250-5
LID - S0883-9417(14)00040-5 [pii]
LID - 10.1016/j.apnu.2014.03.005 [doi]
AB  - We adapted an evidence-based transitional care model for older adults being 
      released from acute care hospitals for patients with serious mental illness and 
      medical co-morbidities being discharged from two psychiatric units of an acute 
      care hospital (TCare) and evaluated implementation issues. An advisory group (AG) 
      of community stakeholders assessed barriers and facilitators of a 90-day T-Care 
      intervention delivered by a psychiatric nurse practitioner (NP) in the context of 
      conducting a pilot randomized controlled trial. Minutes of AG and case narratives 
      by NP of 20 intervention participants were content analyzed. Patients with 
      immediate and pressing physical health problems were most receptive and actively 
      utilized the service. Provider barriers consisted of communication and privacy 
      issues making it difficult to contact patients in mental health facilities. In 
      contrast, the NP was accepted and valued in the physical health arena. 
      Psychosocial needs and relationship issues were demanding, and we recommend a 
      team approach for TCare with the addition of a social worker, peer provider, and 
      consulting psychiatrist for severely mentally ill patients being released from an 
      acute physical health hospitalization.
CI  - Copyright (c) 2014 Elsevier Inc. All rights reserved.
FAU - Solomon, Phyllis
AU  - Solomon P
AD  - University of Pennsylvania School of Social Policy Practice, Center for Mental 
      Health Policy and Services Research. Electronic address: solomonp@sp2.upenn.edu.
FAU - Hanrahan, Nancy P
AU  - Hanrahan NP
AD  - University of Pennsylvania School of Nursing, Center for Health Outcomes and 
      Policy Research. Electronic address: nancyp@nursing.upenn.edu.
FAU - Hurford, Matthew
AU  - Hurford M
AD  - Philadelphia Department of Behavioral Health and Intellectual Disability Service; 
      University of Pennsylvania School of Medicine, Center for Mental Health Policy 
      and Services Research. Electronic address: Matthew.hurford@phil.gov.
FAU - DeCesaris, Marissa
AU  - DeCesaris M
AD  - University of Pennsylvania School of Nursing, Center for Health Outcomes and 
      Policy Research. Electronic address: mdecs@nursing.upenn.edu.
FAU - Josey, LaKeetra
AU  - Josey L
AD  - University of Pennsylvania School of Nursing, Center for Health Outcomes and 
      Policy Research. Electronic address: lakeetra@nursing.upenn.edu.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20140327
PL  - United States
TA  - Arch Psychiatr Nurs
JT  - Archives of psychiatric nursing
JID - 8708534
RN  - 0 (Psychotropic Drugs)
SB  - IM
MH  - Adult
MH  - Aftercare
MH  - Combined Modality Therapy
MH  - Comorbidity
MH  - Cooperative Behavior
MH  - Evidence-Based Nursing
MH  - Female
MH  - *Health Plan Implementation
MH  - Humans
MH  - Interdisciplinary Communication
MH  - Male
MH  - Mental Disorders/diagnosis/*nursing/psychology
MH  - Middle Aged
MH  - *Models, Nursing
MH  - Needs Assessment
MH  - Nurse Practitioners
MH  - Patient Discharge
MH  - Pilot Projects
MH  - Psychotropic Drugs/therapeutic use
MH  - *Transitional Care
EDAT- 2014/07/16 06:00
MHDA- 2016/02/13 06:00
CRDT- 2014/07/15 06:00
PHST- 2013/10/18 00:00 [received]
PHST- 2014/02/17 00:00 [revised]
PHST- 2014/03/08 00:00 [accepted]
PHST- 2014/07/15 06:00 [entrez]
PHST- 2014/07/16 06:00 [pubmed]
PHST- 2016/02/13 06:00 [medline]
AID - S0883-9417(14)00040-5 [pii]
AID - 10.1016/j.apnu.2014.03.005 [doi]
PST - ppublish
SO  - Arch Psychiatr Nurs. 2014 Aug;28(4):250-5. doi: 10.1016/j.apnu.2014.03.005. Epub 
      2014 Mar 27.