Oyetunji Aderonke, Zamani Ishrath, Kriz Carrie, Johnston Ethan, Oni Olurinde, Agha Sara, Necibi Saja, Saleem Shazia, Bruce Jared
School of Medicine, Department of Psychiatry, University of Missouri, Kansas City, MO, USA.
School of Medicine, Department of Biomedical and Health Informatics, University of Missouri, Kansas City, MO, USA.
Community Ment Health J. 2025 May 24. doi: 10.1007/s10597-025-01469-6.
Unmet social needs are a significant reason for increased psychiatric readmission rates. However, there is a paucity of literature to suggest patients contribute to this increased rate by reporting more severe symptoms. Our study assessed voluntarily hospitalized psychiatric patients' perceptions of underlying needs within a safety net hospital. In a cross-sectional anonymous survey, 58 of 100 voluntarily hospitalized English-speaking psychiatric patients reported they would not need hospitalization if they had stable housing. Forty-one reported similarly if they had disability income. Thirty-one percent of participants indicated that they had reported more severe symptoms in the past to gain psychiatric admission, and 26% indicated they reported more severe psychiatric symptoms at the time of the survey. Of those reporting more severe symptoms, 73% reported they needed help with housing, and 57% needed help with disability benefits. This preliminary work represents a starting point to better understand patient needs and provide appropriate levels of care.
未满足的社会需求是精神科再入院率上升的一个重要原因。然而，鲜有文献表明患者通过报告更严重的症状导致了这一再入院率的上升。我们的研究评估了安全网医院中自愿住院的精神科患者对潜在需求的看法。在一项横断面匿名调查中，100名自愿住院的讲英语的精神科患者中有58人表示，如果他们有稳定的住所，就不需要住院治疗。41人表示，如果他们有残疾收入，情况也是如此。31%的参与者表示，他们过去曾报告过更严重的症状以获得精神科入院治疗，26%的参与者表示他们在调查时报告了更严重的精神症状。在那些报告有更严重症状的人中，73%的人表示他们需要住房方面的帮助，57%的人需要残疾福利方面的帮助。这项初步工作是更好地了解患者需求并提供适当护理水平的一个起点。
