Early discharge in acute mental health

Added August 8, 2020

Citation: Clibbens N, Harrop D, Blackett S. Early discharge in acute mental health: A rapid literature review. International journal of mental health nursing. 2018 Oct;27(5):1305-25.

What is this? The COVID-19 pandemic is placing a strain on health services, including those for people with psychiatric problems. Existing research on early discharge of patients from acute mental health facilities might provide useful information for policy makers.

In this rapid review, the authors searched for studies on early hospital discharge for adults with acute mental health conditions. They restricted their search to articles published in English between January 2006 and 2016 and did their most recent search in December 2016. They included 7 quantitative studies, 3 qualitative studies, and 4 mixed-methods studies, which were from Australia (1 study), Belgium(1), France (1), Japan (1), South Africa (1), the UK (7) and the USA (2).

What was found: Early discharge interventions required collaborative working and discharge planning, not associated with unplanned readmissions, and had a small effect on length of stay.

Transitional interventions that ‘bridge’ hospital and home were important for the success of early discharge achieved through the Crisis Resolution and Home Treatment model, and through peer-support interventions.


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