Effectiveness and application of partial hospitalization

Schene, Aart H.; Gersons, Berthold P. R.

doi:10.1111/j.1600-0447.1986.tb06251.x

Cited by 25 publications

(11 citation statements)

References 32 publications

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“…A review of the literature on the effectiveness and application of partial hospitalization was presented in Acta Psychiatrica Scandinavia by one of the present authors in 1986 (1). One of the conclusions at that time was that in order to arrive at a better understanding of where partial hospitalization programs (PHP) might fit into the overall mental health care system, it is important to define the different functions PHP can fulfill within that system.…”

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confidence: 99%

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

Schene

Lieshout

Mastboom

1988

Acta Psychiatr Scand

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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.

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confidence: 99%

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

Schene

Lieshout

Mastboom

1988

Acta Psychiatr Scand

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“…This study was started after a thorough review of the literature on PH (Schene & Gersons, 1986) and a nationwide study on this type of mental health service in The Netherlands (Schene et al 1988). These studies showed that in other countries considerable more acute patients were treated in PH services.…”

Section: Discussionmentioning

confidence: 99%

Partial or full-time hospitalization: patients̍ preference

1997

Epidemiol. psichiatr. soc, Monograph suppl.

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Partial hospitalization (PH) fulfills four different functions in the mental health care system. First it can be a continuation of full-time hospitalization (FH). Secondly it functions as a rehabilitation oriented day care facility for the chronically ill. Thirdly it can be an extension of an outpatient treatment for patients without any indication for FH. And lastly it can be an alternative to (sub)acute FH (Schene & Gersons, 1986). Of course a particular PH service can fulfill different functions at the same time. However, based on data from a nationwide survey in The Netherlands we found clear differences between PH services that were specialized in one of the four functions mentioned (Schene et al., 1988).PH might be regarded as a real and useful alternative to FH, provided it adheres to the original inpatient treatment objectives and their related functions, without any loss of quality. It should accommodate the same, or at least a comparable, patient population. Only under those conditions can PH really replace FH.

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“…At first these reviews were non-systematic [5,8,13,[16][17][18][19][20][21][22], but more recently systematic ones have been published as well [23,24 . .…”

Section: Recent Literature and Earlier Findingsmentioning

confidence: 99%

The effectiveness of psychiatric partial hospitalization and day care

Schene¹

2004

Current Opinion in Psychiatry

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Purpose of reviewThe aim of this article is to review recent literature on partial hospitalization and day care in order to answer the following questions: (1) For what percentage of patients otherwise hospitalized is partial hospitalization a good alternative?(2) What is the (cost)-effectiveness of partial hospitalization in comparison with full hospitalization? (3) What is the (cost)-effectiveness of partial hospitalization in comparison with outpatient treatment and day care? Recent findings Partial hospitalization is a good alternative for about one third of patients in need of full hospitalization. There seem to be no disadvantages regarding recovery (symptoms and social functioning), readmissions, suicide risk and unemployment at follow-up, while symptom reduction might be even more rapid in partial hospitalization. Families are no more burdened, while patients are more satisfied with services. Costs might be lower. It is far less clear what partial hospitalization has to offer patients who have no acute psychiatric illness but for whom their more severe psychopathology nevertheless does not respond to regular outpatient treatment. SummaryIn current mental health care services partial hospitalization needs a more dominant position as an alternative for full hospitalization. Partial hospitalization or day care as an alternative for outpatient treatment certainly needs more research. Here the main unresolved question is whether partial hospitalization or day care has cost-effective advantages over continued outpatient treatment. Further research on partial hospitalization should be executed on more homogeneous diagnostic groups. Treatments of proven efficacy should be given by the same staff within the two different settings (partial hospitalization or day care and outpatient) in order to study their effectiveness.

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Effectiveness and application of partial hospitalization

Cited by 25 publications

References 32 publications

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

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

Partial or full-time hospitalization: patients̍ preference

The effectiveness of psychiatric partial hospitalization and day care

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