Brief Psychiatric Inpatient Care for Acutely Disturbed Patients

Kaskey, Gary B.

doi:10.1176/ps.38.11.1203

Cited by 4 publications

(2 citation statements)

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“…In a recent attempt t o predict admission decisions, a neural network approach (an attempt to reproduce the computational processes taking place in the central nervous system by using a set of highly interconnected processing elements) produced results that were 94% accurate (6). Race (7), a history of previous hospitalizations (%lo), the resident's professional experience (9, 1 I), the availability of certain facilities such as holding areas (12)(13)(14), crisis intervention teams (15,16) and community treatment programmes (17) have also been shown to contribute significantly to this decision. Furthermore, clinical decision-making may also depend on local legislation concerning hospital care and commitment.…”

Section: Introductionmentioning

confidence: 99%

Characteristics of psychiatric emergencies and the choice of intervention strategies

Schnyder

Klaghofer

Leuthold

et al. 1999

Acta Psychiatr Scand

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The aim of this study was to describe the sociodemographic, contextual and clinical characteristics of a consecutive sample of 3611 psychiatric emergency visits to a Swiss university general hospital, and to investigate their associations with different intervention strategies. All consultations were documented by a questionnaire covering sociodemographic and diagnostic data as well as information about the consultation and the disposition decision. In a total of 1093 cases (30.3%) no further emergency intervention was required, in 1287 cases (35.6%) patients were offered out-patient crisis intervention, and in 1231 cases (34.1%) patients were hospitalized. Social integration and the presence of an easily recognizable precipitating stressor were associated with referral to out-patient crisis intervention. In logistic regression analyses, referral by the police or by health professionals (in contrast to self-referral or referral by relatives), current diagnosis of a psychotic disorder, and previous hospitalizations were the most powerful predictors of hospitalization. The presence of a precipitating stressor related to the patient's social network decreased the likelihood of hospitalization. The findings indicate a need for facilities offering brief admission, allowing for extended emergency assessments.

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Section: Introductionmentioning

confidence: 99%

Characteristics of psychiatric emergencies and the choice of intervention strategies

Schnyder

Klaghofer

Leuthold

et al. 1999

Acta Psychiatr Scand

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show abstract

“…In a recent attempt to predict admission decisions, a neural network approach produced results that were 94% accurate [6]. Race [7], a history of previous hospitalizations [8][9][10], the resident's professional experience [8,11], the availability of certain facilities such as holding areas [12][13][14], crisis intervention teams [15,16] or community treatment programs [17] have also been shown to contribute significantly to this decision.…”

Section: Introductionmentioning

confidence: 99%

Patient-Disease Characteristics and Coping Strategies Predict Hospitalization in Emergency Psychiatry

Schnyder

Valach

Mörgeli

et al. 1999

Int J Psychiatry Med

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A controlled evaluation of inpatient crisis treatment for acute schizophrenic episodes

et al. 1990

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Acutely ill chronic schizophrenic patients requiring hospitalization were assigned to either an intensive crisis oriented (five day) or a short term (twenty-one day) inpatient unit. Despite intensive psychosocial treatment and initial rapid symptom reduction, the crisis patients could not be successfully discharged earlier than the short term patients. The crisis patients more frequently utilized day hospital aftercare and did not differ from the short term patients in symptom level or global functioning at three month follow-up. Limitations of very brief crisis oriented inpatient care for acutely ill schizophrenia patients are discussed.

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Brief Psychiatric Inpatient Care for Acutely Disturbed Patients

Cited by 4 publications

References 0 publications

Characteristics of psychiatric emergencies and the choice of intervention strategies

Characteristics of psychiatric emergencies and the choice of intervention strategies

Patient-Disease Characteristics and Coping Strategies Predict Hospitalization in Emergency Psychiatry

A controlled evaluation of inpatient crisis treatment for acute schizophrenic episodes

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