Achieving the Goals of Day Treatment

Falloon, Ian R. H.; Talbot, Ralph E.

doi:10.1097/00005053-198205000-00005

Cited by 21 publications

(17 citation statements)

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“…Literature is available on the nature of mental health day hospital provision and there is a general agreement that the focus should be on people with enduring severe mental illness. It has also been identified that, for this client group, behavioural approaches and social activities are found to be more beneficial than dynamic therapeutic interventions, (Falloon & Talbot 1982, Milne 1984, Thornicroft & Bebbington 1989, Holloway 1991).…”

Section: Introductionmentioning

confidence: 99%

Reasons for non‐attendance at a day hospital for people with enduring mental illness: the clients' perspective

Mcgonagle¹,

Gentle

1996

Psychiatric Ment Health Nurs

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This paper describes a research project which aimed to discover the reasons clients give for failing to attend a mental health day hospital. There was concern that this service provision, for people with enduring mental illness, had a high level of non-attendance and therefore might not be meeting the needs of the people for whom it is targeted. Over a period of 6 months 36 people failed to attend, despite assessment and apparent agreement to attend. Of the 36, 14 agreed to talk about their reasons for not attending. An open interview format was used which enabled the clients to talk in depth about their experiences, which they felt led to the decision to stop attending. Content analysis of the interview data resulted in the identification of common themes. Main findings suggest a lack of partnership in decisions on choice of therapy, particularly the emphasis on groupwork, which 86% found unhelpful. Other main factors for non-attendance were a lack of an individual approach to care, not being listened to, and a lack of warmth from the staff. Recommendations for future practice are given, with particular attention to the need to develop a partnership with clients aimed at meeting individual needs.

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Section: Introductionmentioning

confidence: 99%

Reasons for non‐attendance at a day hospital for people with enduring mental illness: the clients' perspective

Mcgonagle¹,

Gentle

1996

Psychiatric Ment Health Nurs

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“…Assessment, goal-setting and individual management planning forms have evolved over time and are currently being trialled. A scientific approach to rehabilitation based on the studies of Liberman and Evans (1985), Bellack (1984), Anthony Pierce, Cohen and Cannon (1980), King and Keuhnel(1983), Falloon and Talbot (1982) and Watts and Bennett (1983) is now in operation. Continuation of funding by the New South Wales Department of Health is based on this documentation and on what officials see when they visit the service.…”

Section: Discussionmentioning

confidence: 99%

Living Skills Centres for People with Serious Psychiatric Disorders

Weir

Rosen²

1989

Aus Occup Therapy J

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Many people with a serious psychiatric disorder live in our community. Some experience numerous admissions to psychiatric hospitals which disrupt their lives and cause suffering to their families, whilst others live precariously in the community without adequate support. Some, through their association with the Living Skills Centre established in the Lower North Shore area of Sydney in 1977, are attempting to avoid this lifestyle of constant disruption. This community‐based rehabilitation service was an innovative service delivery system established by the New South Wales Department of Health in 1977 and consequently had no model on which to base its activities. However, overseas and local studies now confirm that this type of service can effectively maintain these people in their local environment and assist them to lead more satisfying lives. In this paper, the authors describe this Living Skills Centre and discuss the reasons for its success.

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“…The attention has been on possible influence of age, sex, education, psychiatric history, severity of illness, suicide, social support and also diagnosis, but no significant correlations with outcome could be found. 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: 99%

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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Achieving the Goals of Day Treatment

Cited by 21 publications

References 0 publications

Reasons for non‐attendance at a day hospital for people with enduring mental illness: the clients' perspective

Reasons for non‐attendance at a day hospital for people with enduring mental illness: the clients' perspective

Living Skills Centres for People with Serious Psychiatric Disorders

Effectiveness and application of partial hospitalization

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