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A Comparative Evaluation of Two Psychiatric Day Hospitals

Published online by Cambridge University Press:  29 January 2018

Derek Milne*
Affiliation:
Clinical Psychology Service, Stanley Royd Hospital, Wakefield, WF1 4DQ

Summary

Two psychiatric day hospitals were evaluated in terms of the outcomes after three months' attendance by patients. Multiple measures were made using questionnaires, naturalistic observation, and ratings at the start and end of this period, for a total of 83 patients. The results indicated that although both day hospitals were serving similar patient samples, only one was achieving significant clinical improvements; one plausible explanation for the findings was the differences between their respective programmes. The major implication of the result is the need for evaluation of both the outcome obtained by patients following attendance and the therapeutic process by which these outcomes are achieved.

Type
Research Article
Copyright
Copyright © 1984 The Royal College of Psychiatrists 

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References

Austin, N. K., Liberman, R. P., King, L. W. & DeRisi, W. J. (1976) A comparative evaluation of two day hospitals. Journal of Nervous and Mental Diseases, 163, 253–62.CrossRefGoogle ScholarPubMed
Baker, G. H. B. (1978) The psychiatric day hospital. In Therapy Options in Psychiatry. (Ed. Connolly, J.). London: Pitman Medical.Google Scholar
Beck, A. T., Ward, C.H., Mendelson, M., Mock, J. & Erbaugh, J. (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 5363.CrossRefGoogle ScholarPubMed
Brown, D. K., Kratochwell, T. R. & Bergan, J. R. (1982) Teaching interview skills for problem identification: an analogue study. Behavioural Assessment, 4, 6373.Google Scholar
Buehler, R. E., Patterson, G. R. & Furniss, J. M. (1966) The reinforcement of behaviour in institutional settings. Behaviour Research and Therapy, 4, 157–67.CrossRefGoogle ScholarPubMed
Carney, M. W. P., Ferguson, R. S. & Sheffield, B. F. (1970) Psychiatric day hospital and community. Lancet, i, 1218–20.Google Scholar
Fink, E. B., Longabaugh, R. & Stout, R. (1978) The paradoxical underutilisation of partial hospitalisation. American Journal of Psychiatry, 135, 713–16.Google Scholar
Glasscote, R., Kraft, A., Glassman, S. & Jepson, W. (1969) Partial Hospitalisation for the Mentally Ill: A Study of Programs and Problems. Washington, D. C.: Joint Information Service.Google Scholar
Goodson, W. H. & Turner, A. J. (1982) Evaluating a behavioural community mental health centre. In Community Mental Health & Behavioural Ecology (Eds. Jeger, A. M. and Slotnick, R. S.) London: Plenum Press.Google Scholar
Hall, J. & Baker, R. (1973) Token economy systems: breakdown and control. Behaviour Research and Therapy, 11, 253–63.CrossRefGoogle ScholarPubMed
Kuldau, J. M. & Dirks, S. J. (1977) Controlled evaluation of a hospital originated community transitional system. Archives of General Psychiatry, 34, 1331–40.CrossRefGoogle ScholarPubMed
Liberman, R. P., & Bryan, E. (1977) Behaviour therapy in a community mental health centre. American Journal of Psychiatry, 134, 401–6.Google Scholar
Liberman, R. P. Fearn, C. H., DeRisi, W., Roberts, J. & Carmona, M. (1977) The credit-incentive system: motivating the participation of patients in day hospitals. British Journal of Social and Clinical Psychology, 16, 8594.CrossRefGoogle Scholar
Lukar, K. A. (1981) An overview of evaluation research in nursing. Journal of Advanced Nursing, 6, 8795.CrossRefGoogle Scholar
Marks, I. M. & Mathews, A. M. (1979) Brief standard self-rating for phobic patients. Behaviour Research and Therapy, 17, 263–7.CrossRefGoogle ScholarPubMed
Moscowitz, I. S. (1980) The effectiveness of day hospital treatment: a review. Journal of Community Psychology, 8, 155–64.3.0.CO;2-X>CrossRefGoogle ScholarPubMed
Paul, G. L. & Lentz, R. J. (1977) Psychosocial Treatment of Chronic Mental Patients. London: Harvard University Press.Google Scholar
Platt, S., Weyman, A., Hirsch, S. & Hewett, S. (1980) The social behaviour assessment schedule (SBAS): rationale, contents, scoring and reliability of a new interview schedule. Social Psychiatry, 15, 4355.Google Scholar
Sanson-Fisher, R. W. & Poole, A. D. (1980) The content of interactions: naturally occurring contingencies within a short-stay psychiatric unit. Advances in Behaviour Research and Therapy, 2, 145–57.Google Scholar
Steger, J. C., Shelton, J. L., Benkelman, D. R. & Fowler, R. S. (1981) Pin-pointing: one method of improving staff compliance with rehabilitation regimes. Journal of Behavioural Medicine, 4, 5364.Google Scholar
Trower, P., Argyle, M. & Bryant, B. (1978) Social Skills and Mental Health. London: Methuen.Google Scholar
Turner, S. M. & Luber, R. F. (1980) The token economy in day hospital settings: contingency management or information feedback. Journal of Behaviour Therapy and Experimental Psychiatry, 11, 8994.CrossRefGoogle Scholar
Wing, J. K. (1961) A simple and reliable subclassification of chronic schizophrenia. Journal of Mental Science, 107, 862–75.Google Scholar
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