Interventions to promote transition and continuity of care in psychiatric settings: scoping review
DOI:
https://doi.org/10.29352/mill0216e.35345Keywords:
psychotic symptomatology, bridge interventions, discharge, transition, outpatient, nursingAbstract
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Introduction: The transition between inpatient and outpatient psychiatric care is a highly vulnerable period, particularly when psychotic symptoms are present. Interventions are recommended to ensure a safe transition and promote continuity of care, particularly bridging interventions.
Objective: To map the interventions carried out during the transition between inpatient and outpatient care for people with psychotic symptoms.
Methods: Scoping review according to JBI methodology. Performed in databases, since 2010, in English, Portuguese and Spanish. Study selection and data extraction carried out by two independent authors.
Results: 12 interventions were identified, classified in terms of characteristics (format, type of approach, setting and duration) and components (content, transition strategies and post-discharge consultation) that promote the transition of care after psychiatric hospitalization for people with psychotic symptoms.
Conclusion: There is a consensus that bridging interventions should include educational and relational interventions, mediated by a transition manager, a role mostly played by nurses. It is important to design guidelines to be implemented in services to facilitate the transition between inpatient and outpatient care.
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