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School Re-Entry of Adolescent Patients Discharged from Psychiatric Hospital: One Step in Continuous Quality Improvement

Author(s):

Michèle Preyde*, Shrenik Parekh, Anna Markov, Hayley Carpenter and John Heintzman   Pages 1 - 16 ( 16 )

Abstract:


Objective: School re-entry following hospitalization for psychiatric care has been reported as difficult for many adolescent patients. Continuous quality improvement initiatives may improve programming to enhance school re-entry experiences. The purpose for this study was to explore the school re-entry perspectives of the youth discharged from a psychiatric inpatient unit after implementing programs that patients previously identified as needed.

Methods: A survey was administered to the youth about one month after discharge to gather their perspective of their school re-entry, along with self-rated resilience and stress.

Results: Twenty-six youth (23%) participated in the post-discharge survey who reported a mean age of 15.6 years (SD 1.0), 77% identified as female, 13 (50%) provided very positive re-entry comments, eight (31%) reported moderately positive experiences, and five (19%) reported a very poor school re-entry. Mean perceived resilience (4.01, SD 0.6) and stress (3.42, SD 0.8) scores suggest youth thought they had good resilience and moderate stress.

Conclusions: Most youth reported a good school re-entry. Considerable concerns remain for the 19% who reported a poor school re-entry who may benefit from specialized outpatient or day programming post-discharge before attempting a return to school. Future directions for research are provided.

Keywords:

School re-entry, continuous quality improvement, referral to outpatient, day programming for youth, severe illness before return to school, adolescent patients.

Affiliation:

College of Social and Applied Human Sciences, University of Guelph, Guelph, Ontario, Child and Adolescent Psychiatry, Grand River Hospital, Kitchener, Ontario, College of Social and Applied Human Sciences, University of Guelph, Guelph, Ontario, College of Social and Applied Human Sciences, University of Guelph, Guelph, Ontario, Child and Adolescent Psychiatry, Grand River Hospital, Kitchener, Ontario



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