Utility Of Outpatient Services

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Presentation transcript:

Utility Of Outpatient Services At Psychiatric Rehabilitation Services, NIMHANS, Bengaluru Expectations Unit Family PRS Yes 31 (83.8%) 12 (38.7%) 26 (70.3%) No 2 (5.4%) 2 (6.5%) 1 (2.7%) Not sure 3 (9.7%) Trying 14 (45.2%) 8 (21.6%) χ2 68.19* 14.55* 43.54* Dr Chethan B, Dr Jagadisha T, Dr Abhishek Pathak, Mr Ashfak Ahamed PC, Dr C Naveen Kumar, Dr Devvarta Kumar, Dr Geetha Desai, Mr James JW, Dr Nirmala BP, Dr Poornima Bhola, Dr Rajakumari Pampa Reddy, Dr Sailaxmi Gandhi, Dr Sivakumar Thanapal, Dr Sujai R, Mr TV Vijayan, Dr SK Chaturvedi Background: Psychiatric Rehabilitation Services (PRS), NIMHANS runs an unique OPD service for rehabilitation on Wednesdays It caters to the needs of persons with mental illnesses who require rehabilitation inputs Patients are referred from other units within NIMHANS and other hospitals This is one of its kinds in India Increased involvement of patient and family members in decision making and recovery, increased time spent with each patient, decreased waiting time, individualized approach, liaison with NGOs makes this different than normal OPD We conducted a study to know whether the services we offer to our clients has been beneficial to them n=40 Mean (SD) Range Age 30.82 (9.072) 18-61 * p<0.05 Service utilization Mean (SD) Range Months taken to refer 41.46 (64.11) 0-294 Days for rehab work up 67.43 (142.1) 0-734 Socio-demographics n (%) Sex-Male 30 (75%) Sex-Female 10 (25%) LSES 14 (35%) MSES 21 (52.5%) HSES 5 (12.5%) D-Organic 2 (5%) D-Psychosis 26 (65%) D-Affective 7 (17.5%) D-ID D-Child 3 (7.5%) Rates Mean (SD) Diff Mean (SD) t No. of visits/year –before 3.40 (2.98) -6.075 (9.32) -4.122* No. of visits/year –after 9.48 (9.73) Admissions before 0.28 (0.45) -0.050 (0.82) -0.388 Admissions after 0.32 (0.66) * p<0.05 Objective: To study utility of services to clients attending the rehabilitation OPD Conclusion: With Rehabilitation OPD services, the follow up rates of the patients significantly increased (thrice) IP admissions did not vary We could meet the expectations of the referring consultant, clients and their family, and consultants from PRS Expectations n (%) χ2 Yes 16 (40%) 23.0* No 3 (7.5%) Not sure 2 (5%) Trying 19 (47.5%) Methodology: The files of clients who attended PRS OPD in January 2014 were retrieved from Medical Records Department We checked if we met the expectations of the referring consultant, clients and their family, and consultants from PRS * p<0.05