PMID- 8978941
OWN - NLM
STAT- MEDLINE
DCOM- 19970402
LR  - 20181130
IS  - 0706-7437 (Print)
IS  - 0706-7437 (Linking)
VI  - 41
IP  - 10
DP  - 1996 Dec
TI  - Acute day hospitalization as an alternative to inpatient treatment.
PG  - 629-37
AB  - OBJECTIVE: This paper describes the administrative process by which the Ottawa 
      General Hospital (OGH) closed 6 beds and used the staff and space resources thus 
      released to set up an acute day hospital (ADH) for the treatment of 8 acutely ill 
      psychiatric patients. Outcome data are presented on the first 160 patients 
      admitted to the ADH. METHODS: Demographic and clinical information including 
      diagnostic (DSM-III-R; Global Assessment of Functioning [GAF]) and questionnaire 
      data (Symptom Checklist-90 Revised [SCL-90R]; Beck Depression Inventory [BDI]; 
      State-Trait Anxiety Inventory [STAI]; patient satisfaction) were obtained from 
      160 ADH patients at admission and discharge. Forty-two of these patients provided 
      follow-up data 3 to 6 months postdischarge. The outcome of ADH patients was 
      compared with that of a retrospectively obtained random sample (n = 100) of 
      inpatients on selected diagnostic and demographic variables. RESULTS: On 
      clinician-rated and self-report clinical scales, ADH patients showed significant 
      clinical improvement reflected in higher GAF scores and less psychological 
      distress, depression, and anxiety at discharge relative to admission. There were 
      no significant group differences in outcome indices except for shorter length of 
      stay in the ADH group compared with inpatients. The ADH group rated the program 
      highly in help received and quality of service. Short-term follow-up showed that 
      gains made during treatment were maintained 3 to 6 months later. CONCLUSIONS: 
      These results show that a time-limited day hospital program is clinically 
      effective for acutely ill psychiatric patients and leads to a more efficient use 
      of inpatient resources. We believe that partial hospitalization for the treatment 
      of acute psychiatric disorders may have wide application in psychiatric hospital 
      practice.
FAU - Russell, V
AU  - Russell V
AD  - Cavan General Hospital, Republic of Ireland.
FAU - Mai, F
AU  - Mai F
FAU - Busby, K
AU  - Busby K
FAU - Attwood, D
AU  - Attwood D
FAU - Davis, M
AU  - Davis M
FAU - Brown, M
AU  - Brown M
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Can J Psychiatry
JT  - Canadian journal of psychiatry. Revue canadienne de psychiatrie
JID - 7904187
SB  - IM
MH  - Acute Disease
MH  - Adult
MH  - *Day Care, Medical/statistics & numerical data
MH  - Female
MH  - Hospital Bed Capacity/statistics & numerical data
MH  - *Hospital Restructuring
MH  - Humans
MH  - Length of Stay/statistics & numerical data
MH  - Male
MH  - Mental Disorders/diagnosis/epidemiology/*therapy
MH  - Middle Aged
MH  - Ontario
MH  - *Patient Admission/statistics & numerical data
MH  - Patient Satisfaction
MH  - Referral and Consultation/statistics & numerical data
MH  - Treatment Outcome
MH  - Utilization Review
EDAT- 1996/12/01 00:00
MHDA- 1996/12/01 00:01
CRDT- 1996/12/01 00:00
PHST- 1996/12/01 00:00 [pubmed]
PHST- 1996/12/01 00:01 [medline]
PHST- 1996/12/01 00:00 [entrez]
AID - 10.1177/070674379604101005 [doi]
PST - ppublish
SO  - Can J Psychiatry. 1996 Dec;41(10):629-37. doi: 10.1177/070674379604101005.