![]() Four studies examined consequences on services, identifying high financial costs. ![]() Only one study commented on consequences of delays for patients, finding they experienced feelings of lack of choice and control. Being unemployed and socially isolated were also linked to delays. Some demographic and clinical factors were also found to relate to delays, such as having a diagnosis of schizophrenia or other psychotic disorder, cognitive impairment, and increased service input prior to admission. Six main reasons for delayed discharge were identified: (1) accommodation needs, (2) challenges securing community or rehabilitation support, (3) funding difficulties, (4) family/carer factors, (5) forensic considerations and (6) person being out of area. ResultsĮighteen studies from England, Canada, Australia, Ireland, and Norway met the inclusion criteria. ![]() Quality of research was appraised using the Mixed Methods Appraisal Tool (MMAT). A narrative synthesis method was utilised. Studies examining child and adolescent, general medical or forensic settings were excluded. Studies of any design, which published data on delayed discharge from psychiatric inpatient care in high income countries were included. MethodsĪ search of relevant literature published between 20 was conducted on Pubmed, PsycInfo and Embase. This systematic review aimed to collate existing evidence on delayed discharge in psychiatric inpatient settings and to develop understanding of factors and outcomes of delays in these services. It is financially costly and can create barriers to delivering best patient care, by preventing return to usual functioning and delaying admissions of others in need.
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