Brief Psychiatric Hospitalization: Preliminary Experience with an Urban Short-Stay Unit

Mok, Hiram; Watler, Crosbie

doi:10.1177/070674379504000709

Cited by 12 publications

(28 citation statements)

References 5 publications

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“…If a shortstay unit existed, 40% of all patients requiring hospitalisation would have been admitted there rather than to a conventional in-patient psychia tric unit. A literature review indicates that short- stay units increase bed availability and reduce cost (Herz et al 1977;Martin et al 1985;Gordon & Breakey, 1983;Mok & Walter, 1995). Our findings support this observation.…”

Section: Commentsupporting

confidence: 83%

“…The broad spectrum of diagnostic status of patients with short admis sions indicates that less severely and severely ill patients also benefit from short admissions. Our findings accord with those of Mok & Walter (1995) who reported the following diagnostic status of patients with short admissions: adjust ment disorder in 46%, followed by substance abuse (30%), bipolar disorder (8%), dysthymia (7%), schizophrenia (6%), major depression (5%), and schizophreniform disorder (5%). If a shortstay unit existed, 40% of all patients requiring hospitalisation would have been admitted there rather than to a conventional in-patient psychia tric unit.…”

Section: Commentsupporting

confidence: 79%

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Is there a real need for a short-stay unit in Al Ain, United Arab Emirates?

et al. 1997

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Thisstudy explores the rationale and need for a short-stay psychiatric unit at AI Ain (United Arab Emirates) district hospital. The paper describes the demographic and diagnostic characteristics of patients with brief admis sions over 40% -of all psychiatric admissions -most of whom have neurotic, stress-related and adjustment disorders. Only 12% of patients were severely disabled and in about half the patients, anxiolyric or no medica tions were prescribed. Significant reduction of distress was achieved by brief admission. In current circum stances, we believe that the short-stay unit might be the best available and least costly option.

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Section: Commentsupporting

confidence: 83%

Section: Commentsupporting

confidence: 79%

Is there a real need for a short-stay unit in Al Ain, United Arab Emirates?

et al. 1997

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“…In other terms, brief hospitalizations would produce heavy users of acute psychiatric beds 50. However, there are currently several studies supporting the use of brief psychiatric admissions 50,51. As Frieri et al52 outline, psychiatric hospitalization should obey the following objectives: stabilizing symptoms; adjusting medication; and facilitating connections to outpatient care.…”

Section: What Can Be Done To Reduce Negative Outcomes?mentioning

confidence: 99%

Discharged from a mental health admission ward: is it safe to go home? A review on the negative outcomes of psychiatric hospitalization

Loch¹

2014

PRBM

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Before psychiatry emerged as a medical discipline, hospitalizing individuals with mental disorders was more of a social stigmatizing act than a therapeutic act. After the birth of the mental health disciplines, psychiatric hospitalization was legitimized and has proven to be indispensable, preventing suicides and helping individuals in need. However, despite more than a century passing since this legitimization occurred, psychiatric hospitalization remains a controversial issue. There is the question of possible negative outcomes after a psychiatric admission ceases to take its protective effect, and even of whether the psychiatric admission itself is related to a negative setback after discharge. This review aims to summarize some of the most important negative outcomes after discharge from a psychiatric institution. These experiences were organized into two groups: those after a brief psychiatric hospitalization, and those after a long-stay admission. The author further suggests possible ways to minimize these adversities, emphasizing the need of awareness related to this important issue.

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“…Nevertheless, nurses must "continue to examine outcomes of health care interventions that are sensitive to nursing care interventions and important to our clients and institutions" (Holzemer, 1997, p. 53). Today's inpatient psychiatric treatment is usually brief and focuses on symptom stabilization, crisis intervention, and the arrangement of ongoing outpatient services (Delaney, Rogers Pitula, & Perraud, 2000;LeCuyer, 1992;Mitchell & Reaghard, 1996;Mok & Walter, 1995). Although a great deal of research has been conducted on the effec-tiveness of psychiatric inpatient treatment (Caton & Gralnick, 1987;Coyne et al, 1990;Lieberman, Von Rehn, Dickie, Elliott, & Egerter, 1992;Pfeiffer, 1990;Rabinowitz, Modai, & Inbar-Saban, 1994), few nurse researchers have examined interventions that are associated with treatment outcomes among the brief psychiatric inpatient treatment programs of today.…”

mentioning

confidence: 99%

Exploring the Relationship Between Brief Inpatient Treatment Intensity and Treatment Outcomes for Mood and Anxiety Disorders

Tucker

Luedtke

Moore

2001

J Am Psychiatr Nurses Assoc

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BACKGROUND: Few studies have identified effective nursing interventions for today’s psychiatric settings. OBJECTIVES: This article reports findings from a study that explored the relationship between brief inpatient treatment intensity (average daily frequencies of treatment activities) and treatment outcomes (symptomatology, functioning, and readmission rates up to 3 months postdischarge) among 67 inpatients treated for mood and anxiety disorders. DESIGN: By using an evaluation design, multiple outcome measures were completed by patients, family members, and clinicians at admission and discharge. Nurses recorded all patient activities on a tool developed by the authors. RESULTS: Spearman rank correlations and nonparametric regression models indicated that greater community/leisure treatment activities were associated with greater improvements in patient symptoms and functioning. In addition, lower admission functioning was associated with poorer functioning improvements (p < .05). CONCLUSIONS: Patients may have better outcomes when they actively engage in the inpatient treatment milieu. Further study with rigorous methods is needed to identify effective psychiatric nursing interventions.

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Brief Psychiatric Hospitalization: Preliminary Experience with an Urban Short-Stay Unit

Abstract: Many psychiatric inpatients may benefit from brief hospitalization. Brief hospitalization results in reduced health care costs.

Cited by 12 publications

References 5 publications

Is there a real need for a short-stay unit in Al Ain, United Arab Emirates?

Is there a real need for a short-stay unit in Al Ain, United Arab Emirates?

Discharged from a mental health admission ward: is it safe to go home? A review on the negative outcomes of psychiatric hospitalization

Exploring the Relationship Between Brief Inpatient Treatment Intensity and Treatment Outcomes for Mood and Anxiety Disorders

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