Dissertation/Thesis Abstract

Symptom severity upon admission and frequency of hospital readmission as predictors of medication adherence and length of stay for involuntary adults in an inpatient psychiatric facility
by Danzer, Graham, Psy.D., Alliant International University, 2016, 119; 3714400
Abstract (Summary)

Severely mentally ill adults are a historically underserved population that tends to be highly resistant to taking psychiatric medications. Although medications generally help to decrease the severity of symptoms and lower risk of relapse/hospital readmission, they can also negatively impact patient senses of self and identity, and lead to unwanted side effects. Non-adherence frequently leads to involuntary hospitalizations, where a medication adherence intervention is needed. In order to make a case for a medication adherence intervention, regression analyses were conducted on an inpatient psychiatric sample of 178 adults diagnosed with severe mental illnesses in order to determine predictive relationships between symptom severity upon admission, frequency of hospital readmission, medication adherence/non-adherence, and length of hospital stay (LOS). Results yielded insignificant findings, which is informative and even compelling due to medications being considered the gold standard in inpatient psychiatric care. Results were limited by medication adherence being measured dichotomously, as well as confounds related to ethnicity, family involvement, and substance abuse. Post-hoc analyses confirmed the null findings and also yielded significant relationships between pretest symptom severity and length of stay. Implications for future research and practice are also discussed.

Key Words: Inpatient Psychology, Medication Adherence, Mental Illness, Psychiatric Hospital, Psychiatric Medication, Severe Mental Illness.

Indexing (document details)
Advisor: Petti, Patrick
Commitee: Cort, Doug, Taube, Dan
School: Alliant International University
Department: San Francisco, CSPP
School Location: United States -- California
Source: DAI-B 76/12(E), Dissertation Abstracts International
Subjects: Mental health, Social psychology
Keywords: Inpatient psychology, Medication adherence, Mental illness, Psychiatric hospital, Psychiatric medication, Severe mental illness
Publication Number: 3714400
ISBN: 978-1-321-91677-5
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