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

Abstract

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.

Therapeutic alliance, anorexia nervosa and the inpatient setting: A mixed methods study

“…(Blais, ; Kerfoot, Bamford, & Jones, ; Rise, Eriksen, Grimstad, & Steinsbekk, ). Consumers also assessed satisfaction with care poorly (CAT mean 5.5) compared with other studies (Priebe et al., , ), although similar to previous findings of an involuntary inpatient population (Priebe et al., ). Compared with population norms for females aged between 12‐42 (Carter, Stewart, & Fairburn, ; Mond, Hay, Rodgers, & Owen, ), the consumers surveyed for this study reported severe eating disorder psychopathology across all subscales, well above the community norms for Global EDE‐Q scores of between 1.5‐1.6.…”

“…Consumer satisfaction with care was measured with the Client Assessment of Treatment Scale (CAT) scale, consisting of seven items that are rated along a 10 point visual analogue scale (Priebe et al, 2009). The scale has been used in several inpatient mental health studies (Kallert et al, 2007;Priebe et al, 2006Priebe et al, , 2011Richardson et al, 2011). It has a good internal consistency (Cronbach's alpha = 0.90) (Priebe et al, 2009), factorial validity and consistency across samples (Richardson et al, 2011).…”

The nature of the therapeutic alliance between nurses and consumers with Anorexia Nervosa in the inpatient setting: A mixed‐methods study

“…The average duration of interviews was 40 min for nurses, 25 min for consumers. From phase one, it was established that consumers perceived a relatively poor therapeutic alliance with nurses (mean I‐TAS 3.70, SD 1.30) (Blais, ; Rise, Eriksen, Grimstad, & Steinsbekk, ), a low satisfaction with care (mean CAT 5.5, SD 2.33) (Priebe et al., , ) and a high degree of eating disorder pathology (mean global EDE‐Q 4.0, SD 1.49) (Carter, Stewart, & Fairburn, ; Mond, Hay, Rodgers, & Owen, ). Nurses reported a high quality of attitudes towards mental health consumers (mean ATAMHS‐33 sum of 185.6, SD 21.97) (Baker et al., ; Foster, Usher, Baker, Gadai, & Ali, ).…”

Assessment and determinants of patient satisfaction with mental health care

“…Furthermore, patient satisfaction predicts outcomes right from the initial stages of treatment, e.g. when assessed within the first two days of hospital care. It is also a quality indicator, because all treatments should be as patient friendly as possible, independently of any impact on health and social outcomes.…”