3. Electronic Theses and Dissertations (ETDs) - All submissions
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Item Perceptions of mental health care users diagnosed with major depressive disorder of factors that lead to readmission(2018) Roestorff-Hambrock, NadiaMajor Depressive Disorder tends to have a chronic course and Mental Health Care Users with this diagnosis experience challenges after discharge that impact recovery. A qualitative approach and descriptive design were used to explore these challenges and the perceived value that mental health care users attach to support group attendance after discharge. Data were gathered through semi-structured interviews with eleven participants. The transcribed interviews were analysed thematically. Data analysis generated four themes: “Inability to fully benefit from hospitalisation”, “Life was not what I expected it to be after discharge”, “I did not feel supported after discharge” and “Support groups could be valuable”. This study showed that learning is compromised during the acute phase of the disorder affecting the implementation of coping skills after discharge, that recovery is a journey that extends beyond hospitalisation, that the experience of isolation after discharge is detrimental to recovery and that support groups could compensate for some unmet treatment needs at discharge. Keywords: Major Depressive Disorder, challenges, readmission, occupational therapyItem The influence of an inpatient dual diagnosis program on readmission rates(2013) Mahomed, TasneemThe aim of this study was to establish whether the management of dual diagnosis patients in an integrated psychiatric unit influenced relapse and readmission rates. A retrospective record review was conducted to illustrate the influence of an admission to the Dual Diagnosis Unit (DDU) at Sterkfontein Hospital (SFH) on readmission rates of patients. These results were compared to readmission rates of a matched standard care (SC) group. Statistical data analysis revealed a larger presence of schizophrenia in the SC group, likely explained by the DDU’s patient selection procedure. Though not significant, readmission rates in the DDU group were lower than in the SC group, even though substance use levels in the DDU group was higher. This demonstrates the potential positive impact of the DDU program. The findings presented in this paper warrant further investigation in assessing the effectiveness of a DDU, using a larger sample size.