Community-based mental health crisis assessment teams tend to transfer clinical and historical information about clients to in-patient psychiatric units, but frequently do not transfer information about the clients’ own wishes and preferences, according to a study in the Journal of Mental Health Nursing.
“No previous research has investigated the handover between crisis assessment and treatment teams and inpatient psychiatric units, despite the importance of handover to care planning,” noted the researchers. “The aim of the present study was to identify the nature and types of information transferred during these handovers, and to explore how these guides initial care planning.”
Led by Deakin University researchers, the study examined the transfer of verbal and document information about people from community-based mental health teams to a major tertiary referral hospital in Melbourne, Australia for five months in 2013.
“Clinical information, including psychiatric history and mental state, were handed over consistently,” the researchers found. “(H)owever, information about consumer preferences was reported less consistently. The present study identified a lack of attention to consumer preferences at handover, despite the current focus on recovery-oriented models for mental health care, and the centrality of respecting consumer preferences within the recovery paradigm.”
(Abstract) Handover of patient information from the crisis assessment and treatment team to the inpatient psychiatric unit (Waters, Amanda et al. Journal of Mental Health Nursing. Published online before print December 1, 2014. DOI: 10.1111/inm.12102)