Treatment Results Achieved in Psychiatric Day Hospital Care: A Follow‐up of 100 Patients

Niskanen, P

doi:10.1111/j.1600-0447.1974.tb09705.x

Cited by 13 publications

(5 citation statements)

References 7 publications

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“…It is impossible to tell whether these two effects of unreliability balance each other in this study. 23,[26][27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, follow-up (20)(21)(22)(23) as well as con-trolled studies (24)(25)(26)(27)(28)(29)(30) have generally concluded that day hospital treatment is as good as, or better than, both inpatient and outpatient treatment in terms of symptoms, social functioning, rehospitalization and so forth (31). However, none of these studies focused on borderline patients.…”

mentioning

confidence: 99%

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Clinical significance of outcome in long‐term follow‐up of borderline patients at a day hospital

Sandell

Alfredsson²,

Berg³

et al. 1993

Acta Psychiatr Scand

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All borderline patients admitted at a day hospital during a 6-year period were followed up with a postal questionnaire after 3-10 years. Patients who had chosen to leave the treatment within 4 months were analyzed as a separate group, and these drop-outs and the remaining patients were compared with a group of well-adjusted people who were assumed to represent the functional norm. The patients who remained in treatment were clearly posited at a level of functioning between the norm and the drop-outs, although the variation among them was quite large. Depending on the stringency and content of the criterion of clinical significance, 25-75% of the patients remaining in treatment fell within the range of the norm group versus 20-50% of the drop-outs. The patients who had benefited most since termination had differed favorably from the other patients already at admission to treatment, but not as much as had the drop-outs. The drop-outs, however, at admission also had more ambivalent or negative attitudes towards treatment.

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“…It is impossible to tell whether these two effects of unreliability balance each other in this study. 23,[26][27][28][29][30].…”

Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Clinical significance of outcome in long‐term follow‐up of borderline patients at a day hospital

Sandell

Alfredsson²,

Berg³

et al. 1993

Acta Psychiatr Scand

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show abstract

“…Being single and being unemployed are suicide risk factors for individuals with schizophrenia [29,33,34,42,45]. Some researchers believe that there is a problem with interpreting these findings because most persons with schizophrenia are single and unemployed.…”

Section: Demographic and Psychosocial Risk Factorsmentioning

confidence: 99%

Suicide in Schizophrenia: An Educational Overview

2019

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Suicide is an important public health problem. The most frequent psychiatric illnesses associated with suicide or severe suicide attempt are mood and psychotic disorders. The purpose of this paper is to provide an educational overview of suicidal behavior in individuals with schizophrenia. A lifetime suicide rate in individuals with schizophrenia is approximately 10%. Suicide is the largest contributor to the decreased life expectancy in individuals with schizophrenia. Demographic and psychosocial factors that increase a risk of suicide in individuals with schizophrenia include younger age, being male, being unmarried, living alone, being unemployed, being intelligent, being well-educated, good premorbid adjustment or functioning, having high personal expectations and hopes, having an understanding that life’s expectations and hopes are not likely to be met, having had recent (i.e., within past 3 months) life events, having poor work functioning, and having access to lethal means, such as firearms. Throughout the first decade of their disorder, patients with schizophrenia are at substantially elevated suicide risk, although they continue to be at elevated suicide risk during their lives with times of worsening or improvement. Having awareness of symptoms, especially, awareness of delusions, anhedonia, asociality, and blunted affect, having a negative feeling about, or non-adherence with, treatment are associated with greater suicide risk in patients with schizophrenia. Comorbid depression and a history of suicidal behavior are important contributors to suicide risk in patients with schizophrenia. The only reliable protective factor for suicide in patients with schizophrenia is provision of and compliance with comprehensive treatment. Prevention of suicidal behavior in schizophrenia should include recognizing patients at risk, delivering the best possible therapy for psychotic symptoms, and managing comorbid depression and substance misuse.

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“…It seems more reasonable to conclude that some PHP's attain good results with schizophrenics for instance (15,36), while others are better for non-schizophrenics (36). The length of treatment (25), the patient's motivation (42) and the attitude of the family towards the program (36) seem to correlate positively with outcome.…”

Section: Outcome Predicting Variables the Financial Aspectmentioning

confidence: 85%

Effectiveness and application of partial hospitalization

Schene

Gersons

1986

Acta Psychiatr Scand

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Especially during the past 15 years, partial hospitalization (PHP) has been studied extensively. This article reviews the effectiveness and applicability of PHP. To clarify where PHP might fit into the overall mental health care system, the results of empirical research are evaluated with special attention to topics such as treated population, program evaluation, comparison of PHP with inpatient treatment, PHP as alternative to outpatient treatment, comparison of different PHP's, cost effectiveness and burden on the family. The general conclusion is that PHP can be a reasonable alternative to inpatient as well as to outpatient treatment, taking into account factors such as symptomatology, cost and family burden. PHP seems in particular to enhance social role functioning, which might be attributed to the fact that contact between patient and environment is not disturbed by hospitalization. Suggestions for further research are presented. Furthermore it is recommended in order to improve generalizability of results to differentiate the different functions PHP can fulfil in the mental health care system.

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Treatment Results Achieved in Psychiatric Day Hospital Care: A Follow‐up of 100 Patients

Cited by 13 publications

References 7 publications

Clinical significance of outcome in long‐term follow‐up of borderline patients at a day hospital

Clinical significance of outcome in long‐term follow‐up of borderline patients at a day hospital

Suicide in Schizophrenia: An Educational Overview

Effectiveness and application of partial hospitalization

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