Day Hospitalization as a Cost-Effective Alternative to Inpatient Care: A Pilot Study

Guillette, William; Crowley, Brittany; Savitz, S. Alan; Goldberg, Frederick

doi:10.1176/ps.29.8.525

Cited by 15 publications

(7 citation statements)

References 1 publication

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“…Professionals began to push for better health insurance, including coverage for partial hospitalization (287). The argument for insured partial hospital treatment was further pursued in the 1970s (288).…”

Section: Economicsmentioning

confidence: 99%

The Last Half-Century of Psychiatric Services as Reflected in Psychiatric Services

Geller¹

2000

132

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The last half-century of psychiatric services in the United States is examined through developments and trends reported in the 50 years of publication of Psychiatric Services. The journal, earlier named Mental Hospitals and then Hospital and Community Psychiatry, was launched by the American Psychiatric Association in January 1950 and marks its 50th anniversary this year. The author organizes his review of psychiatric services largely around the locus of care and treatment because the location of treatment--institution versus community--has been the battleground for the ideology of care and for the crystallization of policy and legal reform. He uses "dehospitalization" to describe the movement of patients out of state hospitals, rejecting the widely used term "deinstitutionalization" as inappropriate; one reason is that the term wrongly implies that many settings where patients ended up were not institutional. Also covered in detail, as reflected in the journal, are community care and treatment, economics, patient empowerment, and the interface issues of general hospitals, outpatient commitment, and psychosocial rehabilitation. The author notes that some concepts, such as outpatient commitment and patient empowerment, emerged earlier than now assumed, and that others, like psychosocial rehabilitation, recurred in slightly different forms over time. He concludes that even after 50 years of moving patients out of state hospitals and putting them somewhere else, mental health policymakers and practitioners remain too myopically focused on the locus of care and treatment instead of on the humaneness, effectiveness, and quality of care.

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Section: Economicsmentioning

confidence: 99%

The Last Half-Century of Psychiatric Services as Reflected in Psychiatric Services

Geller¹

2000

132

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“…Another 20 studies referred to non-pharmaceutical therapies, comparing different therapies, 116,117 such as behavioural therapy, 118 liaison psychiatry 119,120 and other therapies aiming at keeping the patient as long as possible out of the psychiatric circuit. 63,73,[121][122][123][124][125][126][127][128] Two studies looked at the effect of sending a consultation letter to the general practitioner. 60,61,129 …”

Section: Interventions Comparedmentioning

confidence: 99%

“…To measure information at a patient level one can also record the resources used 54,55,64,65,72,73,119,120,150 or time spent in treatment 74,75,78,96,119,123,124,132,133 by each patient. In some studies special forms or charts are used to register the services used.…”

Section: Measurement Of Costsmentioning

confidence: 99%

Economic Evaluation of Mental Health Care Interventions. A Review

Evers¹,

Wijk

Ament³

1997

Health Econ.

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Due to rising costs, the economic aspects of the mental health care sector are receiving increasing attention. This article scrutinizes 91 published studies in the field of mental health care, applying methodological criteria drawn from epidemiology and economics. The purpose of this study is to provide some insight into the quality of economic evaluation in the field of mental health care. The article shows that few good full economic evaluations studies have been undertaken in the domain of mental health care. One reason for this could be that the measurement of effectiveness in mental health care is complicated because of the known difficulties with the reliability of psychiatric diagnosis and the lack of consensus about the etiology and appropriate treatment for many psychiatric illnesses.

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“…Since its inception in Russia in the 1940s as a cost-effective alternative to inpatient care, this treatment modality has been seen as often more clinically effective as well as less costly than inpatient hospitalization (1)(2)(3) …”

mentioning

confidence: 99%