ArticleFrontiers in psychiatry2020
Codesigning a Mental Health Discharge and Transitions of Care Intervention: A Modified Nominal Group Technique.
Article in Frontiers in psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 9 citations in OpenAlex.
- Co-Designing Medication Safety Interventions for Community Pharmacy: Bringing Together People Living With Visual Impairments and Community Pharmacists Using a Modified Nominal Group Technique Approach.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- AI in Psychiatry for Improving Continuity of Patient Care: Protocol for a Mixed Methods Systematic Review.JMIR research protocols · 2026Article
- Culturally adapting family interventions for people with schizophrenia in Indonesia: An intervention development study using programme theory.International journal of nursing studies advances · 2025Article
- Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: A prioritisation nominal group technique.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Article
- Culturally adapted family intervention for people with schizophrenia in Indonesia (FUSION): a development and feasibility study protocol.Pilot and feasibility studies · 2023Article
- Defining avoidable healthcare-associated harm in prisons: A mixed-method development study.PloS one · 2023Article
- Reducing delayed transfer of care in older people: A qualitative study of barriers and facilitators to shorter hospital stays.Health expectations : an international journal of public participation in health care and health policy · 2022Review
- Effects of the first COVID-19 lockdown on quality and safety in mental healthcare transitions in England.BJPsych open · 2021Article
- What does safety in mental healthcare transitions mean for service users and other stakeholder groups: An open-ended questionnaire study.Health expectations : an international journal of public participation in health care and health policy · 2021Article
- Developing Best Practice Guidance for Discharge Planning Using the RAND/UCLA Appropriateness Method.Frontiers in psychiatry · 2021Article
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Authors and funding
6 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDischarge from acute mental health services has long been associated with mortality, risk, and related adverse outcomes for patients. Many of the interventions that currently aim to reduce adverse outcomes focus on a single group of healthcare professionals within a single healthcare setting. A recent systematic review highlights very few robust interventions that specifically aim to improve communication across services. However the importance of promoting interagency working and improving information flow between services is continually highlighted as a key priority.
methodsUsing a novel codesign and experience based approach we worked with a multistakeholder group to develop possible solutions to reduce the adverse outcomes commonly associated with discharge from acute mental health services. This utilized a modified Nominal Group Technique and creative problem solving method to follow a four-stage process: Problem Identification, Solution Generation, Decision-Making, Prioritization and Implementation. Thirty-two healthcare professionals and an expert by lived experienced engaged with the process that took place over two stakeholder events.
resultsStakeholders at the first event identified and agreed upon 24 potential ideas to improve discharge from acute mental health services. These were refined at the second event to four elements of an interagency intervention: a multiagency 'Discharge Team' (with designated discharge coordinator), inclusive technology enabled team meetings, universal documentation and a patient generated discharge plan.
conclusionThis is the first study to codesign an interagency mental health discharge intervention based around a discharge team. We developed a model for working that places a greater focus on a patient generated discharge plan, interagency working, and information flow. A pilot of the proposed intervention is now needed to test the feasibility and effectiveness in reducing adverse outcomes.
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