This observational study aims to design, implement, and evaluate the Adaptation Plan for Culturally Competent Care (PAACI) in the Acute Psychiatric Unit of Parc de Salut Mar, Barcelona. The study focuses on improving healthcare quality for immigrant patients by reducing cultural and linguistic barriers in psychiatric care. The PAACI program includes educational materials in multiple languages, enhanced collaboration with social services, training for healthcare professionals in cultural competence, and the use of interpretation devices. Key outcomes include reducing mechanical restraints, improving patient adherence to treatment, decreasing hospital readmissions, and increasing outpatient care engagement. The study will analyze data from immigrant patients admitted to the Acute Psychiatric Unit one year before and after the implementation of PAACI, using various clinical and patient satisfaction indicators. This initiative aims to promote equal and equitable healthcare for diverse populations, potentially serving as a model for other mental health units.
This study evaluates the implementation of the Adaptation Plan for Culturally Competent Care (PAACI) in an Acute Psychiatric Unit. The project aims to improve psychiatric care for immigrant patients by addressing cultural and linguistic barriers. The study follows an observational design, comparing key clinical outcomes before and after the PAACI implementation. It includes measures such as staff training in cultural competence, improved coordination with social and healthcare services, and the introduction of multilingual patient education materials. The primary focus is on enhancing healthcare equity, reducing the use of mechanical restraints, improving patient adherence to outpatient care, and decreasing hospital readmissions. Findings from this study may inform future adaptations of culturally competent care models in psychiatric settings.
Study Type
OBSERVATIONAL
Enrollment
200
Hospital del Mar-Centro Forum
Barcelona, Barcelona, Spain
reduction in mechanical restraints
this measure evaluates the impact of the paaci program on the total number of mechanical restraints used in immigrant patients admitted to the acute psychiatric unit. data will be compared before and after program implementation.
Time frame: 12 months after paaci implementation
Hospital Readmission Rate Among Immigrant Patients
Comparison of the number of readmissions within 30 days post-discharge among immigrant patients before and after PAACI implementation.
Time frame: 12 months after paaci implementation
Length of Hospital Stay for Immigrant Patients
Evaluation of the average length of hospitalization for immigrant patients before and after PAACI implementation.
Time frame: 12 months after PAACI implementation
Patient adherence to outpatient mental health services
Assessment of the percentage of discharged immigrant patients who attend their first outpatient follow-up appointment after hospitalization.
Time frame: 12 months after PAACI implementation
patient and staff satisfaction levels
comparison of patient and staff satisfaction levels with psychiatric care before and after paaci implementation, using validated survey tools.
Time frame: 12 months after paaci implementation
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