Comparative effectiveness of day hospital and inpatient psychiatric treatment.

Penk, W. E.; Charles, H. L.; Hoose, Thomas A. Van

doi:10.1037/0022-006x.46.1.94

Cited by 33 publications

(12 citation statements)

References 6 publications

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“…19(17) 8(7) 9(8) 4(4) 2(2 The finding that most outcomes of day treatment were not significantly different from those of residential treatment is consistent with findings of other clinical trials evaluating drug abuse day treatment (Alterman et al, 1993;Bachman et al, 1992;Milby et al, 1995;Rawson et al, 1995). This finding, represented here in terms of drug abuse treatment, parallels a commonly reported finding in the alcohol treatment literature: Controlled trials comparing partial hospitalization programs to inpatient programs do not show differential outcomes (Annis & Liban, 1979;Fink et al, 1985;Longabaugh et al, 1983;McLachlan & Stein, 1982;Penk. Charles, & van Hoose, 1978).…”

Section: Analysis Of Reliable Changesupporting

confidence: 83%

Drug abuse day treatment: A randomized clinical trial comparing day and residential treatment programs.

Guydish¹,

Werdegar²,

Sorensen³

et al. 1998

Journal of Consulting and Clinical Psychology

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Clients entering a therapeutic community (TC)-oriented drug treatment program were randomly assigned to day or residential conditions and interviewed at 2 weeks and 6 months after admission. Outcomes included Addiction Severity Index composite scores and summary scores for the Beck Depression Inventory, Symptom Checklist-90-R, and a social support scale. Only clients who remained in treatment for at least 2 weeks were included. The mean age of the sample (N = 261) was 32.9 (SD = 6.7 years) and the mean education level was 12.1 years (SD = 1.9 years); 30% were women. Comparison of outcome scores at 6 months between groups, while controlling for baseline values, indicated greater improvement for residential clients on social problems and psychiatric symptoms. The groups were similar on the 8 remaining outcomes, including measures of alcohol and drug problems. Overall, the level of improvement among day treatment clients was not significantly different from that of residential clients.

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Section: Analysis Of Reliable Changesupporting

confidence: 83%

Drug abuse day treatment: A randomized clinical trial comparing day and residential treatment programs.

Guydish¹,

Werdegar²,

Sorensen³

et al. 1998

Journal of Consulting and Clinical Psychology

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“…Matched samples of general psychiatric patients in day treatment versus inpatient treatment were evaluated by Penk, Charles, and Van Hoose (1978) at two months after intake. Although the population did not consist of diagnosed alcoholics (48% were identified as schizophrenic), alcohol abuse was among the dimensions evaluated in this study and is common in general psychiatric populations.…”

Section: Inpatient Versus Partial Residential Treatmentmentioning

confidence: 99%

“…The four relying on matching designs may have inadvertently produced pretreatment differences between groups on x;ariables not matched. Penk et al (1978), for example, reported significant pretreatmerit differences on ratings of alcohol abuse, a variable not employed in their matching process. This may account for the apparent discrepancies in outcome between matched and random-assignment studies of length of outpatient treatment.…”

Section: Treatment Setting and Outcomementioning

confidence: 99%

Inpatient alcoholism treatment: Who benefits?

Miller¹,

Hester²

1986

American Psychologist

334

114

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Although uncontrolled studies have yielded mixed findings, 26 controlled comparisons have consistently shown no overall advantage for residential over nonresidential settings, for longer over shorter inpatient programs, or for more intensive over less intensive interventions in treating alcohol abuse. Predictor data suggest that intensive treatment may be differentially beneficial for more severely deteriorated and less socially stable individuals. The outcome of alcoholism treatment is more likely to be influenced by the content of interventions than by the settings in which they are offered. Third-party reimbursement policy shouM discourage the use of intensive residential models for addressing alcohol abuse when more cost-effective alternatives are available and should reinforce the use of research-supported treatment methods regardless of setting. Such policy priorities run directly counter to the current practices and financial interests of many for-profit providers.

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“…The international situation is only marginally better: the number of well-tested and thoughtfully constructed studies of day treatment is limited. Studies have been conducted by Lystad (1958), Zwerling and Wilder (1965), Herz et al (1971), Washburn et al (1976), Penk et al (1978), Dick et al (1985), and Creed et al (1990). Research on home treatment and community care has been done by Stein and Test (1980), with their Training in Community Living model replicated by Hoult and Reynolds (1984) in Australia, and also by Marks and Muijen (1988) in the United Kingdom.…”

mentioning

confidence: 99%

Costs and Benefits of Day Treatment With Community Care for Schizophrenic Patients

Wiersma

Kluiter

Nienhuis

et al. 1991

Schizophrenia Bulletin

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The feasibility of day treatment with community care for schizophrenic patients was tested by means of a longitudinal randomized experiment with 34 experimentals and 16 controls: 38 percent could be treated satisfactorily in a day program that included a very active ambulatory service. The new approach did not improve prognosis with respect to psychiatric symptomatology, social role disabilities, or number of readmissions during the first year of followup. Total cost of treatment was less for day-treatment patients than for ordinary clinical patients.

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Comparative effectiveness of day hospital and inpatient psychiatric treatment.

Cited by 33 publications

References 6 publications

Drug abuse day treatment: A randomized clinical trial comparing day and residential treatment programs.

Drug abuse day treatment: A randomized clinical trial comparing day and residential treatment programs.

Inpatient alcoholism treatment: Who benefits?

Costs and Benefits of Day Treatment With Community Care for Schizophrenic Patients

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