PMID- 22775246
OWN - NLM
STAT- MEDLINE
DCOM- 20131206
LR  - 20130513
IS  - 1471-6712 (Electronic)
IS  - 0283-9318 (Linking)
VI  - 27
IP  - 2
DP  - 2013 Jun
TI  - Effectiveness of psychiatric inpatient care.
PG  - 319-26
LID - 10.1111/j.1471-6712.2012.01036.x [doi]
AB  - There is a growing demand for evaluating the process and outcome of mental health 
      care. Most healthcare providers routinely collect and register data related to 
      the process of treatment, and it is important to acquire more knowledge about how 
      to make use of these databases. The aim of this study was to investigate the 
      outcome of psychiatric inpatient care in relation to different clinical factors, 
      using the Global Assessment of Functioning Scale (GAF) as a measure of outcome. 
      Another objective was to explore the ability of routinely collected and 
      registered data to provide valuable information about patients and their care. 
      The studied psychiatric inpatient sample consisted of 816 care episodes with GAF 
      ratings made both at admission and at discharge for 648 patients. Variables used 
      in the study included GAF score at admission and at discharge, age, gender, 
      diagnosis, length of stay and ward affiliation. The overall mean GAF change was 
      20.74, and the overall effect size Cohen's d 1.67, which corresponds to a large 
      effect. The mean GAF change for women was 21.6, with an effect size of 1.80, and 
      for men 19.4 with an effect size of 1.52. The effect size spectra including all 
      groups of diagnoses ranged from 1.03 (substance-related disorders) to 2.33 (other 
      mood disorders). Length of stay and ward affiliation also showed significant 
      results concerning GAF change. Some limitations in this study could depend on the 
      absence of randomization procedures and a control group. Another limitation 
      concerns the insufficient control of the inpatient care interventions performed. 
      The results support the capacity of the GAF to function as a measure of outcome 
      in relation to different clinical factors, such as length of stay and diagnosis. 
      Support was also found for the importance and usefulness of routinely collected 
      and registered data.
CI  - (c) 2012 Nordic College of Caring Science.
FAU - Sonesson, Ove
AU  - Sonesson O
AD  - University of Gothenburg, Department of Psychology, Gothenburg, Sweden. 
      ove.sonesson@vgregion.se
FAU - Arvidsson, Hans
AU  - Arvidsson H
FAU - Tjus, Tomas
AU  - Tjus T
LA  - eng
PT  - Journal Article
DEP - 20120709
PL  - Sweden
TA  - Scand J Caring Sci
JT  - Scandinavian journal of caring sciences
JID - 8804206
MH  - Adolescent
MH  - Adult
MH  - Female
MH  - Humans
MH  - *Inpatients
MH  - Male
MH  - Mental Disorders/*therapy
MH  - Mental Health Services/*standards
MH  - Middle Aged
MH  - Young Adult
EDAT- 2012/07/11 06:00
MHDA- 2013/12/16 06:00
CRDT- 2012/07/11 06:00
PHST- 2012/07/11 06:00 [entrez]
PHST- 2012/07/11 06:00 [pubmed]
PHST- 2013/12/16 06:00 [medline]
AID - 10.1111/j.1471-6712.2012.01036.x [doi]
PST - ppublish
SO  - Scand J Caring Sci. 2013 Jun;27(2):319-26. doi: 10.1111/j.1471-6712.2012.01036.x. 
      Epub 2012 Jul 9.