Abstract
Register
Abstract
Year 2021
September 2021

SHBC1434

Abstract Title
Comparison of Re-Admission and 1st TCU Attendance Rates in Patients with Psychiatric issues before and during Covid-19 restrictions utilizing ICM Teamlet Model of Care.
Authors

ARIFF BILLAH1, J.H.LIM1, M.NGOH1, M.M.HENDRICKS1

Institutions

Institute of Mental Health1

Background & Hypothesis

The Intensive Case Management (ICM) Teamlet model emphasises the importance of having a Single Point of Contact, a specific CM to remain as the single health-carer in patient’s journey towards recovery.  The ICM strategies include:

A)      Increased telephonic support

B)      Meeting patients more frequently in outpatient visits

C)      Linking up patients with appropriate community resources

D)      Follow up patient by dedicated CM during admission and post discharge.

 

During the Covid-19 Restrictions B), C) & D) interventions were restricted.  This paper explores the clinical outcomes before and during Covid restrictions

Methods

Datamining of patient’s cases managed from August 2018 to May 2021.  Results analysed using Microsoft Excel program.

 

Results

Before Covid-19 Restrictions (Patients discharged from Aug-2018 to Jan-2020)

During Covid-19 Restrictions (Patients discharged from Feb-2020 to May-2021)

                             Re-Admission Rate (within 28 days)

                                         Before Covid-19              During Covid-19

Schizophrenia & DD                   73/341                             63/254

                                               21.41%                            24.80%

Non-Schizophrenia & Non-DD     64/438                             42/292

                                               14.61%                            14.38%

                                       1st TCU Attendance

                                           Before Covid-19           During Covid-19

Schizophrenia & DD                       223/258                   145/170

                                                    86.43%                     85.29%

Non-Schizophrenia & Non-DD         234/318                   156/201

                                                     73.58%                    77.61%

Discussion & Conclusion

The ICM/Teamlet model emphasises the importance of having a Single Point of Contact allowing the specific CM to remain the single health-carer in patient’s journey towards recovery. The Covid-19 restrictions may have restricted the comprehensive range of ICM interventions, however more telephonic case management resulted in minimal increases in readmissions and defaults.

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