Are Day Hospitals Effective for Acutely Ill Psychiatric Patients?

Kallert, Thomas W.; Priebe, Stefan; McCabe, Rose; Kiejna, Andrzej; Rymaszewska, Joanna; Nawka, Pětr; Ocvar, Ladislav; Raboch, Jiří; Starkova-Kalisova, Lucie; Koch, Rainer; Schützwohl, Matthias

doi:10.4088/jcp.v68n0214

Cited by 85 publications

(49 citation statements)

References 30 publications

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“…The EDEN study found more favourable outcomes for social disability in day hospitals, and no difference in terms of symptoms or subjective quality of life (11). Here, we analysed the association between SIR and outcomes at discharge, 3 months postdischarge, and 12 months post-discharge.…”

Section: Methodsmentioning

confidence: 99%

“…The European Day Hospital Evaluation (EDEN) study, a randomised controlled trial of acute inpatient versus day hospital treatment conducted across five European countries (11), presented an ideal opportunity to improve on existing research by assessing the association between SIR to hospital or day hospital treatment and outcome in a large multi-national sample including three major diagnostic groups.…”

Section: Introductionmentioning

confidence: 99%

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Patients’ subjective initial response and the outcome of inpatient and day hospital treatment

et al. 2011

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Objective: This study aimed to establish whether psychiatric patients' subjective initial response (SIR) to hospital and day hospital treatment predicts outcomes over a one year follow-up period. Method:We analysed data from 765 patients who were randomised to acute psychiatric treatment in a hospital or day hospital. SIR was assessed on day three after admission. Outcomes were psychiatric symptom levels and social disability at discharge, and at 3 and 12 months after discharge. Results:After controlling for socio-demographic and clinical characteristics, a more positive SIR was significantly associated with lower symptom levels at discharge and 3 months after discharge, and lower social disability at 3 months and 12 months after discharge.Conclusion: SIR can predict outcomes of complex interventions over a one year period. Patients' initial views of acute hospital and day treatment should be elicited and considered as important.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Patients’ subjective initial response and the outcome of inpatient and day hospital treatment

et al. 2011

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“…Each item is rated from 0 "not at all" to 10 "entirely satisfied" and the mean score was used for analyses. CAT has been used in large-scale studies of inpatient care Kallert et al, 2007). Researchers rated patients' functioning on the Global Assessment of Functioning (GAF), with scores ranging from 1 to 100 and higher scores indicating enhanced functioning, (American Psychiatric Association, 1994) and severity of symptoms on the 24-item Brief Psychiatric Rating Scale (BPRS) (Ventura et al, 1993).…”

Section: Additional Measures For Coerced Patients At Baseline and Folmentioning

confidence: 99%

Why do some voluntary patients feel coerced into hospitalisation? A mixed-methods study

Katsakou

Marougka

Garabette

et al. 2011

Psychiatry Research

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101

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This study aimed to investigate factors linked to perceived coercion at admission and during treatment among voluntary inpatients. Quantitative and qualitative methods were used. Two hundred seventy patients were screened for perceived coercion at admission. Those who felt coerced into admission rated their perceived coercion during treatment a month after admission. Patient characteristics and experiences were tested as predictors of coercion. In-depth interviews on experiences leading to perceived coercion were conducted with 36 participants and analysed thematically. Thirty-four percent of patients felt coerced into admission and half of those still felt coerced a month later. No patient characteristics were associated with perceived coercion. Those whose satisfaction with treatment increased more markedly between baseline and a month later were less likely to feel coerced a month after admission. In the qualitative interviews three themes leading to perceived coercion were identified: viewing the hospital as ineffective and other treatments as more appropriate, not participating in the admission and treatment and not feeling respected. Involving patients in the decision-making and treating them with respect may reduce perceived coercion.

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“…Meanwhile, this model is recommended by the WHO [2,19,20,21]. It has been proved that this model is more effective and cheaper than the traditional one [22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42].…”

Section: Discussionmentioning

confidence: 99%

An analysis of the functioning of mental healthcare in northwestern Poland

Bażydło

Karakiewicz

2017

Pomeranian J Life Sci

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Wstęp: Współczesna psychiatria stoi przed licznymi wyzwaniami związanymi ze zmianą epidemiologii zaburzeń psychicznych oraz rozwojem wiedzy w tej dyscyplinie. Odpowiedzią na tę sytuację ma być wprowadzenie środowiskowego modelu opieki psychiatrycznej, który w Polsce miał gwarantować Narodowy Program Ochrony Zdrowia Psychicznego. Celem pracy było dokonanie analizy funkcjonowania opieki psychiatrycznej na przykładzie województwa zachodniopomorskiego.Materiały i metody: Wybraną metodą była metoda jakościowa. Przeprowadzono trzy wywiady zbiorowe w interdyscyplinarnym gremium doradczym. W każdy spotkaniu brały udział osoby reprezentujące różne obszary działające na rzecz osób z zaburzeniami psychicznymi. Na podstawie wyciągniętych wniosków wykonano analizę PEST oraz analizę SWOT funkcjonowania opieki psychiatrycznej. Wyniki: W ramach analizy makrootoczenia opieki psychiatrycznej oceniono za pomocą analizy PEST wpływ czynników polityczno-prawnych, ekonomiczno-gospodarczych, społeczno-kulturowych i technologicznych. Wszystkie te obszary zostały ocenione jako negatywne dla funkcjonowania opieki psychiatrycznej. Następnie podczas analizy SWOT wskazano, jakie są mocne oraz słabe strony, szanse i zagrożenia w funkcjonowaniu opieki psychiatrycznej.Wnioski: 1. Opieka psychiatryczna w większym stopniu jest kształtowana przez czynniki zewnętrzne niż wewnętrzne. 2. Czynniki zewnętrzne wpływają na funkcjonowanie opieki psychiatrycznej w sposób znacznie negatywny. 3. Podstawowym problemem w funkcjonowaniu opieki psychiatrycznej jest niedobór środków finansowych. 4. W celu poprawy funkcjonowania opieki psychiatrycznej należy dokonać zmian w sposobie jej finansowania, w prawie, w systemie monitorowania świadczeń, a także należy zmienić postrzeganie zaburzeń psychicznych przez społeczeństwo.

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Are Day Hospitals Effective for Acutely Ill Psychiatric Patients?

Cited by 85 publications

References 30 publications

Patients’ subjective initial response and the outcome of inpatient and day hospital treatment

Patients’ subjective initial response and the outcome of inpatient and day hospital treatment

Why do some voluntary patients feel coerced into hospitalisation? A mixed-methods study

An analysis of the functioning of mental healthcare in northwestern Poland

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