Comparative effectiveness of day hospital and inpatient psychiatric treatment.

A review of the comparative studies on day treatment as an alternative modality to traditional full-time hospitalization reveals impressive evidence of its superior effectiveness in facilitating the adjustment and re-integration of patients into the community. On other measures, such as cost effectiveness, family stress, symptom alleviation and relapse rate, day treatment proves to be on par with full-time hospitalization. The data base pertaining to the efficacy of day treatment as a transitional facility from hospital to community is promising, but much too incomplete to permit conclusive statements. Methodological and conceptual issues in the current research are discussed and recommendations for future studies are offered.

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Efficacy of psychiatric day treatment. Course and outcome of psychiatric disorders in a randomised trial

Nienhuis

Giel

Kluiter

et al. 1994

Eur Arch Psychiatry Clin Nuerosci

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The course of the psychopathology and social functioning in an experimental day-treatment group referred for inpatient psychiatric treatment is compared with that of a control group receiving standard inpatient care. During a follow-up period of 2 years subjects were interviewed three times. The interview comprised information about psychiatric symptoms, psychological functions, psychiatric diagnosis and social-role functioning. Apart from these discrete assessments an effort was made to map episodes of illness throughout the follow-up period. Upon entry the groups did not differ in terms of psychopathology or social functioning. At follow-up both groups had improved significantly with respect to symptomatology, psychological and social functioning. The extent to which the groups improved did not differ significantly regarding pathology, but self-care improved more in the experimental group. The average duration of episodes of illness was similar for the experimental and control group. During the 2-year follow-up patients suffered from a well-defined disorder during an average of 11 months. The fact that approximately 40% of them were still a psychiatric case after 2 years further underscores the severity of their pathology.

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Comparative effectiveness of day hospital and inpatient psychiatric treatment.

Cited by 15 publications

References 10 publications

Day hospital versus admission for acute psychiatric disorders

Day hospital versus admission for acute psychiatric disorders

Psychiatric day treatment as alternative to and transition from full-time hospitalization

Efficacy of psychiatric day treatment. Course and outcome of psychiatric disorders in a randomised trial

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