Patient-controlled hospital admission in psychiatry: A systematic review

Abstract

Patient-controlled admission is a promising novel approach to inpatient care in psychiatry. However, available studies are small and quality of evidence is generally low.

Self‐admission to inpatient treatment for patients with anorexia nervosa: The patient's perspective

“…Furthermore, some of the topics brought up by the informants may relate more to experiences of AN and AN treatment in general than to self‐admission specifically—e.g., problems associated with ambivalence and the ego‐syntonicity of symptoms in AN are certainly not unique to the self‐admission model. While previous studies have indicated that self‐admission can be a helpful treatment tool in psychiatry (Strand & von Hausswolff‐Juhlin, ), it is unclear for whom the model is most suitable and what factors that impact this viability. In, for example, patients with psychotic or affective disorders—groups that have previously been targeted in general psychiatric self‐admission programs—there may of course be within‐group differences regarding cognitive deficits, executive functions, insight etc.…”

“…In Norway, self‐admission to inpatient treatment for psychiatric patients has been in place for approximately 10 years, with promising results (Strand & von Hausswolff‐Juhlin, ). Self‐admission has led to increased patient participation and compliance, strengthened the patients’ abilities to handle their symptoms and their everyday life, and clearly reduced the total time spent in inpatient care.…”

A randomized controlled trial comparing self-referral to inpatient treatment and treatment as usual in patients with severe mental disorders

“…One solution to increase the patient participation in mental health services is to make it possible for patients to self-refer to inpatient stay in mental health services. Several Community Mental Health Centers (CMHC) in Norway have implemented services called "self-referral to inpatient treatment" (SRIT) for patients with severe mental disorders (14)(15)(16). The aims of SRIT are to secure low threshold access to short term inpatient admissions and to increase patient participation and involvement in treatment choices and decisions (17).…”

Is it time for a more nuanced view on self‐admission to in‐patient treatment in psychiatry?

“…The same group showed that this impairment was not present in the remitted summer state but only in depressive winter state (4). The recent study by Berman et al and the 2016 study by Laurenzo et al both included individuals with SAD, individuals with non-seasonal depression and healthy controls without depression (1,3). In these studies, the pupillary responses did not differentiate the two DOI: 10.1111/acps.12895…”