Citation

Alba Palé L, León Caballero J, Córcoles Martínez D, González Fresnedo AM, Bellsolà Gonzalez M, Martín López LM, Perez Sola V. Rev. Psiquiatr. Salud Ment. 2019; ePub(ePub): ePub.

Vernacular Title

Unidad de Hospitalización Domiciliaria del Hospital del Mar. Equipo de atención psiquiátrica domiciliaria en el área de Barcelona.

Affiliation

Institut de Neuropsiquiatria i Addiccions, Hospital del Mar, Barcelona, España; Medical Research Institute (IMIM), Hospital del Mar , Barcelona; Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), España.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.rpsm.2018.09.003

PMID

30670368

Abstract

INTRODUCTION: Although home hospitalization has begun to develop widely in recent years there is a notable lack of studies. The following study includes data from the Psychiatric Home Hospitalization Unit of the Hospital del Mar (HADMar). This program has been running for 2years and takes place in a socio-demographically depressed area in Barcelona. It receives patients from community and hospital services. Monitoring is limited in time and at discharge patient are referred to the ambulatory unit. MATERIAL AND METHODS: All patients visited from 2015 to the present time were selected. A total of 135 patients were included in the sample. A qualitative descriptive study was carried out in order to define the socio-demographic characteristics. The severity of symptoms, suicidal risk and changes in the functionality were considered as clinical outcomes.

RESULTS: The mean age of patients was 44.6 years and there were no gender differences. A total of 26 patients had a history of suicidal attempts and 11.1% lived alone; 51.1% were diagnosed with a psychotic disorder. The mean GEP score for the severity of the psychiatric symptoms was 2.39 and the mean risk of suicide was 0.49. There is an increase in the EEAG score from admission to discharge, which means an improvement in the functionality of patients.

CONCLUSIONS: The results obtained in our study are consistent with previous results. Home crisis intervention teams have proved to be an alternative to traditional hospitalization. However, more studies are needed to support these results.

Copyright © 2018 SEP y SEPB. Publicado por Elsevier España, S.L.U. All rights reserved.

Language: es

Keywords

Atención domiciliaria; Community mental health services; Crisis intervention; Home care services; Intervención en crisis; Mental health services; Salud mental; Salud mental comunitaria