Evaluation of a Pathway team for homeless mental health in-patients
Aims and method The Pathway model is an enhanced care coordination model for homeless people in hospital. We aimed to evaluate the first attempt to apply it on psychiatric wards, which started in 2015 in South London. We developed a logic model which expressed how the Pathway approach might work. Tw...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Cambridge University Press
2023-10-01
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| Series: | BJPsych Bulletin |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2056469422000614/type/journal_article |
| _version_ | 1797672197295177728 |
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| author | Alex D. Tulloch Zana Khan Nigel Hewett Sophie Koehne Ranga Rao |
| author_facet | Alex D. Tulloch Zana Khan Nigel Hewett Sophie Koehne Ranga Rao |
| author_sort | Alex D. Tulloch |
| collection | DOAJ |
| description | Aims and method
The Pathway model is an enhanced care coordination model for homeless people in hospital. We aimed to evaluate the first attempt to apply it on psychiatric wards, which started in 2015 in South London. We developed a logic model which expressed how the Pathway approach might work. Two predictions from this model were tested, using propensity scores and regression to estimate the effect of the intervention among people who were eligible for it.
Results
The Pathway team theorised that their interventions would reduce length of stay, improve housing outcomes and optimise the use of primary care – and, more tentatively, reduce readmission and emergency presentations. We were able to estimate effects on length of stay (−20.3 days; 95% CI −32.5 to −8.1; P = 0.0012) and readmission (a non-significant reduction).
Clinical implications
The marked reduction in length of stay, explicable in terms of the logic model, constitutes preliminary support for the Pathway model in mental health services.
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| first_indexed | 2024-03-11T21:26:32Z |
| format | Article |
| id | doaj.art-100fa4ea8a3d4c6fb92016ed175eca71 |
| institution | Directory Open Access Journal |
| issn | 2056-4694 2056-4708 |
| language | English |
| last_indexed | 2024-03-11T21:26:32Z |
| publishDate | 2023-10-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | BJPsych Bulletin |
| spelling | doaj.art-100fa4ea8a3d4c6fb92016ed175eca712023-09-28T01:03:07ZengCambridge University PressBJPsych Bulletin2056-46942056-47082023-10-014725526210.1192/bjb.2022.61Evaluation of a Pathway team for homeless mental health in-patientsAlex D. Tulloch0https://orcid.org/0000-0002-4657-6238Zana Khan1Nigel Hewett2Sophie Koehne3Ranga Rao4https://orcid.org/0000-0001-6870-9620South London and Maudsley NHS Foundation Trust, London, UK King's College London, UKSouth London and Maudsley NHS Foundation Trust, London, UKPathway Charity, London, UKSouth London and Maudsley NHS Foundation Trust, London, UKSouth London and Maudsley NHS Foundation Trust, London, UKAims and method The Pathway model is an enhanced care coordination model for homeless people in hospital. We aimed to evaluate the first attempt to apply it on psychiatric wards, which started in 2015 in South London. We developed a logic model which expressed how the Pathway approach might work. Two predictions from this model were tested, using propensity scores and regression to estimate the effect of the intervention among people who were eligible for it. Results The Pathway team theorised that their interventions would reduce length of stay, improve housing outcomes and optimise the use of primary care – and, more tentatively, reduce readmission and emergency presentations. We were able to estimate effects on length of stay (−20.3 days; 95% CI −32.5 to −8.1; P = 0.0012) and readmission (a non-significant reduction). Clinical implications The marked reduction in length of stay, explicable in terms of the logic model, constitutes preliminary support for the Pathway model in mental health services. https://www.cambridge.org/core/product/identifier/S2056469422000614/type/journal_articleHomelessnesscommunity mental health teamsin-patient treatmentoutcome studiesprimary care |
| spellingShingle | Alex D. Tulloch Zana Khan Nigel Hewett Sophie Koehne Ranga Rao Evaluation of a Pathway team for homeless mental health in-patients BJPsych Bulletin Homelessness community mental health teams in-patient treatment outcome studies primary care |
| title | Evaluation of a Pathway team for homeless mental health in-patients |
| title_full | Evaluation of a Pathway team for homeless mental health in-patients |
| title_fullStr | Evaluation of a Pathway team for homeless mental health in-patients |
| title_full_unstemmed | Evaluation of a Pathway team for homeless mental health in-patients |
| title_short | Evaluation of a Pathway team for homeless mental health in-patients |
| title_sort | evaluation of a pathway team for homeless mental health in patients |
| topic | Homelessness community mental health teams in-patient treatment outcome studies primary care |
| url | https://www.cambridge.org/core/product/identifier/S2056469422000614/type/journal_article |
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