Abstract
<Purpose> The purpose of this study was to analyze the inpatient dynamics in mental health care facilities, including environmental changes before and after hospitalization and to discuss the organization of wards in mental health care facilities and the future environment to support recovery.
<Method> Patient outcomes were examined from the patient records in two health care facilities actively promoting the discharge of psychiatric patients.
<Results> The characteristics of the patients who were discharged from 11 wards in the 2 health care facilities were summarized based on their living places before admission and after discharge, and the mean length of hospital stay in each ward. The discharged patients were categorized into 7 types based on the number of hospitalizations, the length of hospital stay or the living places before and after hospitalization, and their characteristics were summarized. Four types common to both facilities were extracted.
<Discussion> It was shown to be necessary to consider the environment to support the recovery of psychiatric patients, as the comprehensive living environment not only for the patient's behavior and satisfaction in the acute phase, in which patients are admitted from home and discharged back to their home, but also for patients who begin to live in places other than their homes after prolonged hospitalization and those who are repeatedly hospitalized from places other than their homes.
