UNASSIGNED: Inpatient care is integral to balanced mental health systems, contributing to containment of risk associated with @entity146 crises and affording opportunities for treatment. However, @entity146 wards are not always safe and service users are often dissatisfied with the experience. Hence, and because inpatient care is the most costly component of mental health systems, minimising duration of admission and reducing risk of readmission are clinical and strategic priorities internationally. With (primarily quantitative) research to date focused on explaining readmission in terms of characteristics of individuals and services, understanding of the 'revolving door phenomenon' remains limited. Considering verstehen critical to addressing this messy problem, we examined readmission from the service users' perspective. Using grounded theory techniques, we inductively analysed data from interviews with 13 @entity1 readmitted to inpatient care within 28  days of discharge. @entity1 , including eight @entity1 , were recruited in 2013 from three @entity146 wards at a metropolitan hospital in Australia. Analysis supported description of readmission as a process, fundamentally related to insufficiency of internal, interpersonal and/or environmental resources to maintain community tenure. For the @entity1 in this study, admission to hospital was either the default coping mechanism or the culmination of counter-productive attempts to manage stressful circumstances. Readmission can appropriately be understood as one representation of a fundamental social malaise and the struggle of some @entity1 to survive in an apparently inhospitable world. The findings indicate that neither locating the 'problem of readmission' within an individual and promoting self-governance/self-control/self-regulation, nor identifying failures of specific services or sectors are likely to support the economic and ethical imperative of reducing @entity146 admissions. The findings of the study and limitations related to its conduct in a particular setting provide fertile ground for further research and design of interventions to break the readmission cycle. However, balanced, mental health services alone are insufficient; systems of care must become 'recovery oriented'.

Understanding readmission to XXXX hospital in Australia from the service users' perspective: a qualitative study.

@entity1 :: ('9606', 'Species') :: ['Participants', 'people', 'men'] @entity146 :: ('MESH:D001523', 'Disease') :: ['psychiatric']
@entity146 :: (MESH:D001523,Disease) :: ['psychiatric']
