Treatment Delays for Involuntary Psychiatric Patients Associated with Reviews of Treatment Capacity

Kelly, Michelle P.; Dunbar, San dra; Gray, John E.; O'Reilly, Rich ard L

doi:10.1177/070674370204700209

Cited by 17 publications

(15 citation statements)

References 6 publications

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“…In practice, only a small proportion of those found to lack capacity seem to seek review by the Board (21% in one study (Kelly, Dunbar, Gray, & O'Reilly, 2002)), 19 and the Board almost invariably endorses the physician's determination (98.5% of the time, in that study).…”

Section: Ontario: the Detention-treatment Splitmentioning

confidence: 89%

A realistic approach to assessing mental health laws' compliance with the UNCRPD

Dawson

2015

International Journal of Law and Psychiatry

159

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Section: Ontario: the Detention-treatment Splitmentioning

confidence: 89%

A realistic approach to assessing mental health laws' compliance with the UNCRPD

Dawson

2015

International Journal of Law and Psychiatry

159

View full text Add to dashboard Cite

“…However, if this finding was then taken to the courts, average treatment delay was 253 days. 13 Incapacity has indirectly been associated with longer hospital LOS on a geriatric psychiatric inpatient unit in a study 14 of 384 patients. Requiring court proceedings to medicate patients against their will increase the probability of having a hospital LOS of 25 days or more 10-fold, from 2.5% to 24.8% and led to a 65% increase in hospital LOS.…”

Section: Discussionmentioning

confidence: 99%

Predicting Hospital Length of Stay for Geriatric Patients with Mood Disorders

et al. 2012

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Objective:To determine predictors of hospital length of stay (LOS) for adult and geriatric patients with mood disorders admitted to inpatient psychiatric beds.Method: Admission and discharge data from a large urban mental health centre, from 2005 to 2010 inclusive, were retrospectively analyzed. Using the Resident Assessment Instrument-Mental Health, an assessment that is used to collect demographic and clinical information within 72 hours of hospital admission, 199 geriatric mood disorder admissions were compared with 570 adult mood disorder admissions. Predictors of hospital LOS were determined using a series of general linear models. Results:Living alone, number of recent psychiatric admissions, involuntary admission, and close or constant observation level predict longer hospital LOS in geriatric, but not in adult mood disorder, patients. Conversely, pain on admission predicts shorter hospital LOS in geriatric, but not among adult, mood disorder patients. Predictors of longer hospital LOS, irrespective of admission group (adult, compared with geriatric), include incapacity, negative symptoms, and increased dependence for instrumental activities of daily living. Conclusions:Addressing these predictive factors early on during admission and in the community may result in shorter hospital LOS and more optimal use of resources. W W W French Abstractwww.LaRCP.ca 628 W La Revue canadienne de psychiatrie, vol 57, no 10, octobre 2012Original Research

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“…However, if this finding was then taken to the courts, the average treatment delay was 253 days. 13 Incapacity has indirectly been associated with longer hospital LOS on a geriatric psychiatric inpatient unit in a study 14 of 384 patients. Requiring court proceedings to medicate patients against their will increased the probability of having a hospital LOS of 25 days or more (a 10-fold increase from 2.5% to 24.8%) and led to a 65% increase in hospital LOS.…”

Section: Discussionmentioning

confidence: 99%

Predicting Hospital Length of Stay for Geriatric Patients with Mood Disorders

et al. 2012

View full text Add to dashboard Cite

Objective: To determine predictors of hospital length of stay (LOS) for adult and geriatric patients with mood disorders admitted to inpatient psychiatric beds.Method: Admission and discharge data from a large urban mental health centre, from 2005 to 2010 inclusive, were retrospectively analyzed. Using the Resident Assessment Instrument-Mental Health, an assessment that is used to collect demographic and clinical information within 72 hours of hospital admission, 199 geriatric mood disorder admissions were compared with 570 adult mood disorder admissions. Predictors of hospital LOS were determined using a series of general linear models. Results:Living alone, number of recent psychiatric admissions, involuntary admission, and close or constant observation level predict longer hospital LOS in geriatric, but not in adult mood disorder, patients. Conversely, pain on admission predicts shorter hospital LOS in geriatric, but not among adult, mood disorder patients. Predictors of longer hospital LOS, irrespective of admission group (adult, compared with geriatric), include incapacity, negative symptoms, and increased dependence for instrumental activities of daily living. Conclusions:Addressing these predictive factors early on during admission and in the community may result in shorter hospital LOS and more optimal use of resources.

show abstract

Treatment Delays for Involuntary Psychiatric Patients Associated with Reviews of Treatment Capacity

Cited by 17 publications

References 6 publications

A realistic approach to assessing mental health laws' compliance with the UNCRPD

A realistic approach to assessing mental health laws' compliance with the UNCRPD

Predicting Hospital Length of Stay for Geriatric Patients with Mood Disorders

Predicting Hospital Length of Stay for Geriatric Patients with Mood Disorders

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