Assessment of Causes of Psychiatric Readmissions in Selected In-Patient Mental Health Setup

ABSTRACT

Introduction: In current psychiatric practices there are manyopportunities to reduce readmission rates by furtherdevelopment and optimal utilization of biological andpsychosocial intervention. Therefore the researcher hasplanned to take study which will reveal causes for psychiatricpatient’s readmission and plan the intervention.Materials and Methods: The study was conducted among 100patients in 2 selected inpatient mental health setups of Pune.There were 30 questions with multiple choices based oncauses of psychiatric readmissions. The overall questions weredivided into various factors like family factors, physical factor,psychological factor, hospitalized and personnel factors.Descriptive and inferential statistics were planned to analyzethe data obtained through interviews.Results: The commonest personal causes for readmissionsare stoppage of medicine 56% with various reasons like sideeffects (96%), drug non compliance (72%), unnecessary stress(28%) and irregular follow up (77%). The psychological factorsresponsible for readmissions are lack of interest in friends andrelatives (75%), aggressiveness (68%), abusive and assultive(53%), irritability (58%), hallucination and wandering tendency(65%) and loss of interest in day to day activities (63%).Conclusion: The commonest causes responsible forreadmission are drug non-compliance, irregular follow up,stress, lack of insight, expressed emotions of family, burden onfamily, and commonest physical and psychological symptomssuch as headache, insomnia, lack of personal hygiene,hallucination, aggressiveness, abusive, assaultive etc.