The effectiveness of day hospital treatment: A review

Moscowitz, Ira S.

doi:10.1002/1520-6629(198004)8:2<155::aid-jcop2290080210>3.0.co;2-x

Cited by 34 publications

(12 citation statements)

References 38 publications

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“…Nevertheless, follow-up (20)(21)(22)(23) as well as con-trolled studies (24)(25)(26)(27)(28)(29)(30) have generally concluded that day hospital treatment is as good as, or better than, both inpatient and outpatient treatment in terms of symptoms, social functioning, rehospitalization and so forth (31). However, none of these studies focused on borderline patients.…”

mentioning

confidence: 99%

Clinical significance of outcome in long‐term follow‐up of borderline patients at a day hospital

Sandell

Alfredsson²,

Berg³

et al. 1993

Acta Psychiatr Scand

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All borderline patients admitted at a day hospital during a 6-year period were followed up with a postal questionnaire after 3-10 years. Patients who had chosen to leave the treatment within 4 months were analyzed as a separate group, and these drop-outs and the remaining patients were compared with a group of well-adjusted people who were assumed to represent the functional norm. The patients who remained in treatment were clearly posited at a level of functioning between the norm and the drop-outs, although the variation among them was quite large. Depending on the stringency and content of the criterion of clinical significance, 25-75% of the patients remaining in treatment fell within the range of the norm group versus 20-50% of the drop-outs. The patients who had benefited most since termination had differed favorably from the other patients already at admission to treatment, but not as much as had the drop-outs. The drop-outs, however, at admission also had more ambivalent or negative attitudes towards treatment.

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mentioning

confidence: 99%

Clinical significance of outcome in long‐term follow‐up of borderline patients at a day hospital

Sandell

Alfredsson²,

Berg³

et al. 1993

Acta Psychiatr Scand

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“…In studies on social functioning collected from different informants (patient, family, therapist, researcher) by use of various instruments, employed at different times, it has been clearly indicated that day treatment outcome is superior to inpatient treatment outcome. One may conclude that partial hospitalization Seems to be a reasonable alternative to 24-hour treatment for some 70 Vo to 90 Vo of patients normally treated there (42)(43)(44). Characterizing those 10 Yo to 30 Yo of patients, for whom partial hospitalization is not the treatment of choice, has been difficult until now.…”

Section: Discussionmentioning

confidence: 99%

“…It seems more reasonable to conclude that some PHP's attain good results with schizophrenics for instance (15,36), while others are better for non-schizophrenics (36). The length of treatment (25), the patient's motivation (42) and the attitude of the family towards the program (36) seem to correlate positively with outcome.…”

Section: Outcome Predicting Variables the Financial Aspectmentioning

confidence: 99%

Effectiveness and application of partial hospitalization

Schene

Gersons

1986

Acta Psychiatr Scand

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Especially during the past 15 years, partial hospitalization (PHP) has been studied extensively. This article reviews the effectiveness and applicability of PHP. To clarify where PHP might fit into the overall mental health care system, the results of empirical research are evaluated with special attention to topics such as treated population, program evaluation, comparison of PHP with inpatient treatment, PHP as alternative to outpatient treatment, comparison of different PHP's, cost effectiveness and burden on the family. The general conclusion is that PHP can be a reasonable alternative to inpatient as well as to outpatient treatment, taking into account factors such as symptomatology, cost and family burden. PHP seems in particular to enhance social role functioning, which might be attributed to the fact that contact between patient and environment is not disturbed by hospitalization. Suggestions for further research are presented. Furthermore it is recommended in order to improve generalizability of results to differentiate the different functions PHP can fulfil in the mental health care system.

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“…Quant au fonctionnement des patients dans le monde du travail, il semble que les programmes de traitement communautaire soient en mesure d'avoir une incidence sur le taux d'emploi de leurs bénéfi-ciaires (Moscowitz, 1980). Il convient, cependant, de préciser que seules quelques études évaluatives contrôlées ont examiné le fonctionnement professionnel des patients psychiatriques, et ce, en dépit de l'extrême importance accordée à ce critère d'éva-luation de l'adaptation sociale, par des auteurs tels que Strauss et Carpenter (1978.…”

Section: Composantes De Traitement Visant Le Fonctionnement Sur Le Maunclassified

Composantes d’efficacité des programmes de traitement communautaires destinés aux personnes souffrant de désordres mentaux

Hodgins¹,

Gaston²

2006

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Les programmes communautaires visent à aider les bénéficiaires à s'intégrer de façon permanente au sein de la collectivité. Pour ce faire, ces programmes doivent être constitués de multiples composantes qui visent à réduire ou à éliminer les difficultés présentées par ces personnes. Ces composantes sont : des chimiothérapies; des interventions visant à encourager une prise régulière des médicaments jugés nécessaires; les mécanismes de formation susceptibles d'aider tant le personnel que les patients à évaluer la symptomatologie; une relation stable; des mécanismes permettant d'inculquer aux patients les aptitudes sociales dont ils ont besoin; des programmes de formation professionnelle visant à permettre aux patients de se trouver un emploi ou d'exercer une activité significative; des mécanismes de formation visant à enseigner aux patients les aptitudes pouvant les aider à faire face au stress et à résoudre leurs problèmes; des interventions destinées à les aider à réduire leur consommation d'alcool; des milieux résidentiel, social et communautaire propices à l'amélioration de l'état des patients, afin que ceux-ci puissent accomplir des progrès soutenus et durables.Community programmes are designed to help clients establish themselves permanently in the community to succeed, these programmes must include several treatment components each addressing a specific problem presented by the clients. These components include : drug therapy, an intervention to encourage clients to take medications as prescribed ; an intervention to train staff and clients to evaluate symptoms aetiology ; a stable relationship ; social skills training ; vocational training or an intervention which aims to help clients participate regularly in an activity of their choice ; stress innoculation ; problem solving ; an intervention to reduce the use of alcohol ; residences which will provide support to the clients

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The effectiveness of day hospital treatment: A review

Cited by 34 publications

References 38 publications

Clinical significance of outcome in long‐term follow‐up of borderline patients at a day hospital

Clinical significance of outcome in long‐term follow‐up of borderline patients at a day hospital

Effectiveness and application of partial hospitalization

Composantes d’efficacité des programmes de traitement communautaires destinés aux personnes souffrant de désordres mentaux

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