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Admissions to a day hospital and to a general hospital psychiatric unit in a new community psychiatric service

Published online by Cambridge University Press:  13 June 2014

Anil P Joseph ,
Ruth Loane  and
John Sheehan
Anil P Joseph
Affiliation:
Dept of Psychiatry, Leighton Hospital, Middlewich Road, Crewe, Cheshire CW1 4QJ, England
Ruth Loane
Affiliation:
South Kildare Mental Health Service, Abbeyview, Castledermot, Co Kildare, Ireland
John Sheehan
Affiliation:
Mater Misericordiae Hospital, Sisters of Mercy, Eccles St, Dublin 7, Ireland
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Abstract

Objective: To conduct an audit of the patients treated at a day hospital or in an inpatient unit of a district general hospital from the South Kildare sector of the Kildare Mental Health Service, a new community based psychiatric service.

Method: Retrospective case note review of all admissions over a six month period. ICD-9 diagnosis used.

Results: There were 39 and 29 admissions to the inpatient unit and day hospital respectively. The average duration of stay in the inpatient unit was 14 days, 66% were discharged home and 33% discharged to the day hospital. The average duration of stay was 30 days in the day hospital, 62% were discharged home and 17% discharged to the inpatient unit.

Conclusions: The trend was to treat more neurotic patients in the day hospital; psychotic patients were treated in both settings; the proportion of patients discharged home was similar. The duration of stay was longer in the day hospital.

Keywords

Patient characteristicsDay hospitalInpatient unit
Type
Audits
Information
Irish Journal of Psychological Medicine , Volume 13 , Issue 4 , December 1996 , pp. 149 - 150
Copyright
Copyright © Cambridge University Press 1996

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References

1.Dutta, A, Parker, RR, Fleet, TW. Audit in two acute psychiatric units. Psychiatr Bull 1991; 15: 351–2.CrossRefGoogle Scholar
2.Creed, F, Black, D, Anthony, P. Day hospital and community treatment for acute psychiatric illness a critical appraisal. Br J Psychiatry 1989; 154: 300–10.CrossRefGoogle ScholarPubMed
3.Wilder, JF, Levin, G, Zwerling, L. A two year follow up evaluation of acute psychotic patients treated in a day hospital. Am J Psychiatry 1966; 122: 1095–101.CrossRefGoogle Scholar
4.Stein, LI, Test, MA. Alternative to mental hospital treatment:1 Conceptual model, treatment program and clinical evaluation. Arch Gen Psychiatry 1980; 37: 392–7.CrossRefGoogle Scholar
5.Hoult, J. Community care of the mentally ill. Br J Psychiatry 1986; 149: 137–44.CrossRefGoogle Scholar
6.Pryce, IG. An expanding ‘stage army’ of long stay psychiatric day patients. Br J Psychiatry 1982; 141: 595–601.CrossRefGoogle ScholarPubMed
7.McGrath, G, Tantum, D. Long stay patients in a psychiatric day hospital. Br J Psychiatry 1987; 150: 836–40.CrossRefGoogle Scholar
8.Washburn, S, Vannicelli, M, Longabough, R. A controlled comparison of psychiatric day treatment and inpatient hospitalisation. J Consult Clin Psychol 1976; 44: 665–75.CrossRefGoogle Scholar
9.Hirsh, SR, Piatt, S, Knights, A. Shortening hospital stay for psychiatric care effect on patients and their families. BMJ 1979; 442–46Google Scholar