Identifying factors associated with the discharge of male State patients from Weskoppies Hospital

Show simple item record Prinsloo, Riaan G. Swanepoel, Andre Lippi, Gian 2018-04-13T07:43:50Z 2018-04-13T07:43:50Z 2017-12-04
dc.description.abstract Background: Designated psychiatric facilities are responsible for the care, treatment and reintegration of State patients. The necessary long-term care places a considerable strain on health-care resources. Resource use should be optimised while managing the risks that patients pose to themselves and the community. Identifying unique factors associated with earlier discharge may decrease the length of stay. Factors associated with protracted inpatient care without discharge could identify patients who require early and urgent intervention. Aim: We identify socio-economic, demographic, psychiatric and charge-related factors associated with the discharge of male State patients. Methods: We reviewed the files of discharged and admitted forensic State patients at Weskoppies Psychiatric Hospital. Data were captured in an electronic recording sheet. The association between factors and the outcome measure (discharged vs. admitted) was determined using chi-squared tests and Fischer’s exact tests. Results: Discharged State patients were associated with being a primary caregiver (p = 0.031) having good insight into illness (p = 0.025) or offence (p = 0.005) and having had multiple successful leaves of absences. A lack of substance abuse during admission (p = 0.027), an absence of a diagnosis of substance use disorder (p = 0.013) and the absence of verbal and physical aggression (p = 0.002 and p = 0.016) were associated with being discharged. Prolonged total length of stay (9–12 years, p = 0.031) and prolonged length of stay in open wards (6–9 years, p = 0.000) were associated with being discharged. A history of previous offences (p = 0.022), a diagnosis of substance use disorder (p = 0.023), recent substance abuse (p = 0.018) and a history of physical aggression since admission (p = 0.017) were associated with continued admission. Conclusion: Discharge of State patients is associated with an absence of substance abuse, lack of aggression, multiple successful leave of absences and length of stay in hospital. en_ZA
dc.description.department Psychiatry en_ZA
dc.description.department Statistics en_ZA
dc.description.librarian am2018 en_ZA
dc.description.uri en_ZA
dc.identifier.citation Prinsloo RG, Swanepoel A, Lippi G. Identifying factors associated with the discharge of male State patients from Weskoppies Hospital. S Afr J Psychiat. 2017;23(0), a1083. 10.4102/sajpsychiatry.v23i0.1083. en_ZA
dc.identifier.issn 1608-9685 (print)
dc.identifier.issn 2078-6786 (online)
dc.identifier.other 10.4102/sajpsychiatry.v23i0.1083
dc.language.iso en en_ZA
dc.publisher AOSIS en_ZA
dc.rights © 2017. The Authors. Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License. en_ZA
dc.subject State patients en_ZA
dc.subject Discharge en_ZA
dc.subject Treatment en_ZA
dc.subject Weskoppies Hospital, Tshwane, South Africa en_ZA
dc.subject Violence en_ZA
dc.subject Substance use en_ZA
dc.subject Psychiatric inpatients en_ZA
dc.title Identifying factors associated with the discharge of male State patients from Weskoppies Hospital en_ZA
dc.type Article en_ZA

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