Improving Efficacy in Aftercare: Targeted Intervention for People Living with Serious Mental Illness-Presentation Slides

Presentation Slides

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This document is a summary of a presentation on targeted interventions for people living with serious mental illness (SMI) during the aftercare phase. The presentation is part of the Clinical Support System for Serious Mental Illness (CSS-SMI) initiative implemented by the American Psychiatric Association (APA) and funded by the Substance Abuse and Mental Health Services Administration (SAMHSA).<br /><br />The presentation highlights the challenges faced by individuals with SMI during the transition from a psychiatric hospitalization to aftercare. These challenges include non-adherence to treatment, service disengagement, poor interpersonal communication skills, and difficulties in accessing information and navigating the mental health care system.<br /><br />Contributing factors to engagement in aftercare include patients with persistent mental health conditions, no prior public psychiatric hospitalization or experience of long-term care, patients admitted involuntarily, and longer lengths of stay in inpatient care. Other factors include co-occurring substance use disorders, rural or under-resourced communities, and racial and ethnic disparities in behavioral health care.<br /><br />The importance of effective aftercare is emphasized, as it helps avoid gaps in psychiatric services, improves routine care, and enhances coordination and collaboration between providers, leading to a better quality of life for patients.<br /><br />The presentation discusses the components of the transition from inpatient to outpatient care, including patient-level, provider-level, and systems-level factors that need to be addressed.<br /><br />The "Revolving Door" phenomenon, where patients are readmitted to the hospital shortly after discharge, is discussed, and the importance of reducing reliance on inpatient care is emphasized.<br /><br />Interventions for effective aftercare include shared decision making, support for caregivers, addressing barriers to accessing medication and complicated medication regimes, and providing practical needs assistance.<br /><br />The presentation also discusses a specific intervention called Brief Critical Time Intervention (B-CTI), which focuses on enhancing continuity of psychiatric outpatient care. The B-CTI involves assessing individual needs and barriers to outpatient care, establishing a case management plan, and maintaining high levels of patient contact post-discharge.<br /><br />The importance of effective transitions of care is highlighted, as it helps bridge the gap between inpatient care and outpatient settings, and prevent relapses and adverse complications.<br /><br />The presentation concludes with reflections and a Q&A session for the attendees.<br /><br />Note: The document contains additional pages that provide a bibliography of sources used in the presentation and information on submitting questions. These pages are not summarized in the above summary.

Keywords

targeted interventions

serious mental illness

aftercare phase

transition

challenges

engagement in aftercare

effective aftercare

psychiatric services

continuity of care

Brief Critical Time Intervention