PMID- 15232018 OWN - NLM STAT- MEDLINE DCOM- 20041029 LR - 20191210 IS - 1075-2730 (Print) IS - 1075-2730 (Linking) VI - 55 IP - 7 DP - 2004 Jul TI - Effect of voluntariness of participation in treatment on short-term outcome of inpatients with schizophrenia. PG - 786-91 AB - OBJECTIVE: The purpose of this study was to examine associations between the voluntary or coercive nature of patients' participation in inpatient treatment and the short-term outcome of inpatient treatment for patients with schizophrenia. METHODS: Eighty-eight adult patients with schizophrenia and delusional disorders who were consecutively admitted to a 320-bed psychiatric hospital in southern Germany over a three-month period in 2002 were assessed with the Positive and Negative Syndrome Scale (PANSS) and the Global Assessment of Functioning (GAF) at admission and discharge, a mean of 36.2 days later. The patients were grouped by whether their participation was voluntary or involuntary in each of five aspects of inpatient treatment: admission, hospital stay, medication, discharge, and intention to continue treatment after discharge. Outcome was defined as the change between admission and discharge in scores on the PANSS and the GAF and change in those scores per inpatient day. RESULTS: The outcome measures were not significantly related to the voluntariness of patients' participation in any aspect of treatment. CONCLUSIONS: The short-term outcome of inpatient treatment is independent of whether treatment is voluntary. FAU - Steinert, Tilman AU - Steinert T AD - Psychiatric Care Research Department, Weissenau Psychiatric Center, University of Ulm, D-88214 Ravensburg-Weissenau, Germany. tilman.steinert@zfp-weissenau.de FAU - Schmid, Peter AU - Schmid P LA - eng PT - Comparative Study PT - Journal Article PL - United States TA - Psychiatr Serv JT - Psychiatric services (Washington, D.C.) JID - 9502838 RN - 0 (Antipsychotic Agents) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antipsychotic Agents/therapeutic use MH - Catchment Area, Health MH - *Coercion MH - Commitment of Mentally Ill/*statistics & numerical data MH - Community Participation/*statistics & numerical data MH - Delusions/epidemiology/psychology/rehabilitation MH - Female MH - Germany MH - Hospitalization MH - Humans MH - Length of Stay/statistics & numerical data MH - Male MH - Middle Aged MH - Patient Admission/*statistics & numerical data MH - Schizophrenia/drug therapy/*epidemiology/*rehabilitation MH - Schizophrenic Psychology MH - Surveys and Questionnaires MH - Time Factors MH - Treatment Outcome OID - KIE: 120437 OTO - KIE OT - Empirical Approach OT - Mental Health Therapies GN - KIE: 24 refs. GN - KIE: KIE Bib: involuntary commitment/foreign countries; patient care/mentally disabled EDAT- 2004/07/03 05:00 MHDA- 2004/10/30 09:00 CRDT- 2004/07/03 05:00 PHST- 2004/07/03 05:00 [pubmed] PHST- 2004/10/30 09:00 [medline] PHST- 2004/07/03 05:00 [entrez] AID - 10.1176/appi.ps.55.7.786 [doi] PST - ppublish SO - Psychiatr Serv. 2004 Jul;55(7):786-91. doi: 10.1176/appi.ps.55.7.786.