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Day Treatment: Suitability and Referral Procedure

Published online by Cambridge University Press:  29 January 2018

Peter Dick*
Affiliation:
Dundee Psychiatric Services, Royal Dundee Liff Hospital, Dundee DD2 5NF
Lewis Cameron
Affiliation:
Tayside Health Board
David Cohen
Affiliation:
Health Economics Research Unit, University of Aberdeen
Marion Barlow
Affiliation:
Dundee Psychiatric Services
Anne Ince
Affiliation:
Dundee Psychiatric Services
*
Correspondence

Abstract

In a prospective screening of emergency admissions of patients suffering from neurosis, personality disorder or adjustment reaction, 100 were assessed as suitable for early transfer to day hospital treatment, 101 as unsuitable, and 39 as not requiring further intervention. Of the unsuitable patients, 39 were grossly disturbed; the remainder did not differ in severity from those thought suitable, but there was a specific reason against day treatment in all but 13 of the 62—most commonly alcohol abuse, physical problems, social problems or aggression. Patients' attitudes were also important. Recruitment of patients had to be active, with regular visits to the wards by day hospital staff.

Type
Papers
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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References

Braun, P., Kochansky, G., Shapiro, R., Greenberc, D., Gudeman, J., Johnson, S. & Shore, M. (1981) Overview: deinstitutionalisation of psychiatric patients, a critical review of outcome studies. American Journal of Psychiatry, 138, 736749.Google Scholar
Dick, P., Cameron, L., Cohen, D., Barlow, M. & Ince, A. (1985a) Day and full time psychiatric treatment—a controlled comparison. British Journal of Psychiatry.CrossRefGoogle Scholar
Dick, P., Ince, A. & Barlow, B. (1985b) Day treatment: suitability and referral procedure. British Journal of Psychiatry.Google Scholar
Drummond, M. F. (1980) Principles of Economic Appraisal in Health Care. London: Oxford University Press.Google Scholar
Goldberg, D. P., Cooper, B., Eastwood, M. P., Kedward, H. B. & Shepherd, M. (1970) A standardised psychiatric interview for use in community surveys. British Journal of Preventive and Social Medicine, 24, 1823.Google Scholar
Goldberg, D. P., & Jones, R. (1980) The costs and benefits of psychiatric care In The Social Consequences of Psychiatric Illness (eds Robins, L., Clayton, P. & Wing, J. K.). New York: Brunner/Mazel.Google Scholar
Herz, M. I., Endicott, J., Spitzer, R. E. & Mesnikoff, A. (1971) Day versus in-patient hospitalisation, a controlled study. American Journal of Psychiatry, 127, 13711382.Google Scholar
Platt, S. D., Knight, A. C. & Hirsch, S. R. (1980) Caution and conservatism in the use of a psychiatric day hospital: evidence from a research project that failed. Psychiatric Research, 3, 123132.Google Scholar
Washburn, S., Vannicelli, M., longabough, R. & Scheff, B. (1976) A controlled comparison of psychiatric day treatment and in-patient hospitalisation. Journal of Consulting and Clinical Psychology, 44, 665675.Google Scholar
Zwerling, I. & Wilder, J. F. (1964) An evaluation of the applicability of the day hospital in treatment of acutely disturbed patients. Israel Annals of Psychiatry and Related Disciplines, 2, 162185.Google Scholar
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