Different types of partial hospitalization programs: results of a nationwide survey in the Netherlands

Abstract

An outline is presented of four characteristically different types of partial hospitalization programs currently operating in the Netherlands. The findings are based on empirical data gathered from a study of 85 institutions active in this particular field. The institutions are distinguished according to the function they perform within the total mental health care system, the assumption being that these programs are capable of fulfilling four main functions: 1) an alternative to full-time hospitalization; 2) a continuation of full-time hospitalization; 3) an extension of ambulatory treatment; 4) a day care or rehabilitation service for the chronically mental ill. A study was made of the differences and similarities between four types of institution specializing in one of the four functions mentioned above. In this connection, the authors have particularly concentrated on staffing, number of places, accommodation, organization, referral, patient population (age, education, diagnoses), treatment (type, duration, drug use) and contraindications.

Las múltiples caras de la hospitalización parcial

“…Si bien las denominaciones pueden variar, parece haber tres grandes tipos de hospitales parciales, que se pueden identificar más adecuadamente, según su principal función terapéutica (Hoge, Davidson, Hill, Turner & Ameli, 1992;Scheifler & Lefkovitz, 2003;Schene, van Lieshout & Mastboom, 1988).…”

Issues in Dutch community mental health care

“…From the early seventies one sees a rapid increase in their outpatient and daypatient facilities (Schene & Gersons, 1986;1988 These extramural activities of the psychiatric hospitals however were not combined with a reduction in the number of beds (Schene et al, 1992). In the period between 1980 and 1993 the number of beds dropped from 25.379 to 22.676.…”

The effectiveness of psychiatric partial hospitalization and day care

“…Over those 50 years this component of psychiatric services has become highly differentiated, in terms of treated populations, age groups, staff and programmes, medical or non-medical approach, duration and intensity (hours per week) and relationship with other services [1][2][3][4].…”