Systematic reviews of the effectiveness of day care for people with severe mental disorders: (1) Acute day hospital versus admission; (2) Vocational rehabilitation; (3) Day hospital versus outpatient care

Abstract

Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £300 per volume. Please see our website for details. Subscriptions can only be purchased for the current or forthcoming volume. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK.We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. The review on vocational rehabilitation has been published: Crowther RE, Marshall M, Bond GR, Huxley P. Helping people with severe mental illness to obtain work: systematic review. BMJ 2001;322:204-8. It has also been accepted by the Cochrane Library. HTA NHS R&D HTA ProgrammeT he NHS R&D Health Technology Assessment (HTA) Programme was set up in 1993 to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS.Initially, six HTA panels (pharmaceuticals, acute sector, primary and community care, diagnostics and imaging, population screening, methodology) helped to set the research priorities for the HTA Programme. However, during the past few years there have been a number of changes in and around NHS R&D, such as the establishment of the National Institute for Clinical Excellence (NICE) and the creation of three new research programmes: Service Delivery and Organisation (SDO); New and Emerging Applications of Technology (NEAT); and the Methodology Programme.This has meant that the HTA panels can now focus more explicitly on health technologies ('health technolo...

A national survey of psychiatric day hospitals

“…To our knowledge, there is no published nationwide survey of the function and structure of day hospitals across England. There is renewed interest in, and strong evidence for, the use of acute day hospitals as a more cost-effective alternative to conventional inpatient care (Creed et al, 1990(Creed et al, , 1997Horwitz-Lennon et al, 2001;Marshall 2001), in line with the increasing focus on community care. However, the evidence relating to non-acute day hospitals is more sparse and less consistent (Marshall, 2001).…”

“…There is renewed interest in, and strong evidence for, the use of acute day hospitals as a more cost-effective alternative to conventional inpatient care (Creed et al, 1990(Creed et al, , 1997Horwitz-Lennon et al, 2001;Marshall 2001), in line with the increasing focus on community care. However, the evidence relating to non-acute day hospitals is more sparse and less consistent (Marshall, 2001). The generalisability of day hospital research, and thus the opportunity for evidence-based practice, is restricted as it remains unclear what services are included in the umbrella term 'day hospital'.…”

“…In the literature, various terms are employed to distinguish between different day hospital models, but there is no clear and consistent use of terminology. For example, in a systematic review of day care effectiveness, Marshall et al (2001) distinguish between acute day hospitals (an alternative to admission), transitional day hospitals (to shorten admission), day care centres (for rehabilitation or maintenance) and day treatment programmes (to enhance out-patient treatment). However, there is a lack of research into how mutually exclusive these day hospital 'types' are in practice.…”

An analysis of the functioning of mental healthcare in northwestern Poland

“…Meanwhile, this model is recommended by the WHO [2,19,20,21]. It has been proved that this model is more effective and cheaper than the traditional one [22,23,24,25,26,27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42].…”

Verweildauer kann und sollte weiter sinken

“…Auch Patienten, die neben der Behandlung Angehörige zu versorgen haben, profitieren von diesem Setting [5]. Für einige ausgesuchte Indikationsgebiete er− weist sich die Behandlung im tagesklinischen Rahmen sogar als besonders wirksam [3,8,9].…”