Clinical decision-making before discharge in hospitalized persons with schizophrenia: a Spanish Delphi expert consensus
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- dc.contributor.author Montes, José M.
- dc.contributor.author Agüera-Ortiz, Luis
- dc.contributor.author Mané Santacana, Anna
- dc.contributor.author Martínez Raga, Jose
- dc.contributor.author Gutiérrez-Rojas, Luis
- dc.date.accessioned 2025-05-28T06:01:30Z
- dc.date.available 2025-05-28T06:01:30Z
- dc.date.issued 2024
- dc.description.abstract Introduction: The care of people with schizophrenia (PWS) is usually provided in an outpatient setting by community mental health teams. However, PWS frequently require inpatient treatment because of a wide array of clinical, personal and/or social situations. Unfortunately, to our knowledge, there are no guidelines available to help psychiatrists in the decision-making process on hospital discharge for PWS. The aim of this project was to develop an expert consensus on discharge criteria for PWS after their stay in an acute inpatient psychiatric unit. Methods: Using a modified Delphi method a group of 42 psychiatrists throughout Spain evaluated four areas of interest regarding this issue: clinical symptomatology, treatment-related factors, follow-up health care units after discharge, and physical health and monitoring. Results: After two rounds, among the 64 statements, a consensus was reached for 59 (92.2%) statements. In three (17.7%) of the 17 statements on 'clinical symptomatology' and 2 (13.3%) of the 15 statements on 'follow-up health care units after discharge', a consensus was not reached; in contrast, a consensus was reached for all statements concerning 'treatment-related factors' and those concerning 'physical health and monitoring'. The consensus results highlight the importance for discharge of the control of symptoms rather than their suppression during admission and of tolerability in the selection of anantipsychotic. Discussion: Although there is a lack of relevant data for guiding the discharge of PWS after hospitalization in an acute inpatient psychiatric unit, we expect that this consensus based on expert opinion may help clinicians to take appropriate decisions.
- dc.format.mimetype application/pdf
- dc.identifier.citation Montes JM, Agüera-Ortiz L, Mané A, Martinez-Raga J, Gutiérrez-Rojas L. Clinical decision-making before discharge in hospitalized persons with schizophrenia: a Spanish Delphi expert consensus. Front Psychiatry. 2024 Jun 10;15:1412637. DOI: 10.3389/fpsyt.2024.1412637
- dc.identifier.doi http://dx.doi.org/10.3389/fpsyt.2024.1412637
- dc.identifier.issn 1664-0640
- dc.identifier.uri http://hdl.handle.net/10230/70533
- dc.language.iso eng
- dc.publisher Frontiers
- dc.relation.ispartof Front Psychiatry. 2024 Jun 10;15:1412637
- dc.rights © 2024 Montes, Agüera-Ortiz, Mané, Martinez-Raga and Gutiérrez-Rojas. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. http://creativecommons.org/licenses/by/4.0/
- dc.rights.accessRights info:eu-repo/semantics/openAccess
- dc.rights.uri http://creativecommons.org/licenses/by/4.0/
- dc.subject.keyword Delphi method
- dc.subject.keyword Discharge
- dc.subject.keyword Expert consensus
- dc.subject.keyword Hospitalization
- dc.subject.keyword Inpatient
- dc.subject.keyword Schizophrenia
- dc.title Clinical decision-making before discharge in hospitalized persons with schizophrenia: a Spanish Delphi expert consensus
- dc.type info:eu-repo/semantics/article
- dc.type.version info:eu-repo/semantics/publishedVersion