Prowse Liz, Coombs Tim
Southern Mental Health, Southern Adelaide Health Service, The Flats, Flinders Medical Centre, Bedford Park, Adelaide, SA 5042, Australia.
Aust Health Rev. 2009 Feb;33(1):13-8. doi: 10.1071/ah090013.
Discharge from public community mental health services has proven difficult for mental health workers and managers. Mental illness can often be long term, with ongoing disability, requiring a need for corresponding long-term care. Community mental health services are now becoming recovery focused and are recognising the need for alternative management arrangements for individuals with long-term care needs. There are, however few tools to assist in the decision making about discharge or transfer of care between community mental health teams. This article describes a quality improvement project to develop a flag for mental health workers to prompt decisions regarding discharge and transfer using the Health of the Nation Outcome Scales (HoNOS). Relevant literature and HoNOS data collected as part of routine clinical practice were reviewed to develop the flag. The implementation process is described along with plans for future developments.
事实证明，对于心理健康工作者和管理人员而言，让患者从公共社区心理健康服务机构出院并非易事。精神疾病往往是长期的，会导致持续的残疾，需要相应的长期护理。社区心理健康服务如今正以康复为重点，并认识到需要为有长期护理需求的个人提供替代管理安排。然而，几乎没有工具可协助社区心理健康团队就出院或护理转移做出决策。本文描述了一个质量改进项目，旨在开发一种标识，供心理健康工作者使用《国家健康结果量表》（HoNOS）来促使他们做出关于出院和转移的决策。我们回顾了作为常规临床实践一部分收集的相关文献和HoNOS数据，以开发该标识。文中描述了实施过程以及未来的发展计划。
