Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-23T12:32:24.605Z Has data issue: false hasContentIssue false

Predictors of length of stay in day hospital patients

Published online by Cambridge University Press:  02 January 2018

Sukhwinder S. Shergill*
Affiliation:
Maudsley Hospital London
Irshaad Ebrahim
Affiliation:
Department of Psychological Medicine, University College Hospital, London
Maurice Greenberg
Affiliation:
Jules Thorn Day Hospital St Pancras Hospital London NW1 0PE
*
Correspondence
Rights & Permissions [Opens in a new window]

Abstract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

This prospective study assessed the importance off baseline clinical, socio-demographic and diagnostic variables on patient outcome at six weeks, and their relationship to total length of stay. It included all patients admitted to an acute day hospital in inner London over a one-year period, and used standardised rating scales. All scales improved after six weeks, but only improvement on the Global Assessment Scale (GAS) predicted the length off stay in those patients who were depressed. There was an increased length off stay in patients with a diagnosis off personality disorder and those admitted with a lower score on the GAS.

Type
Original Papers
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
Copyright © 1997 The Royal College of Psychiatrists

References

Baker, B. & Rochon, J. (1989) Length of stay, short stay units and psychiatric emergency admissions. Canadian Journal of Psychiatry, 34, 3942.Google Scholar
Brock, I. P. & Brown, G. R. (1993) Psychiatric length of stay determinants in a military medical centre. General Hospital Psychiatry, 15, 392398.Google Scholar
Beck, A. T., Ward, C. H., Mendelson, M., et al (1961) An inventory for measuring depression. Archives of General Psychiatry, 4, 561571.Google Scholar
Carney, M. W., Ferguson, R.S. & Sheffield, B. F. (1970) Psychiatric day hospital and community. Lancet, i, 12181220.Google Scholar
Creed, F., Antony, P., Godbert, K., et al (1988) Treatment of severe mental illness in a day hospital. British Journal of Psychiatry, 154, 341347.Google Scholar
Cyr, J. J. & Hayley, G. A. (1983) Use of demographic and clinical characteristics in predicting length of psychiatric hospital stay: a final evaluation. Journal of Consultant Clinical Psychology, 51, 637640.Google Scholar
Endicott, J., Spitzer, R. L., Fleiss, J. L., et al (1976) The Global Assessment Scale. A procedure for measuring overall psychiatric disturbance. Archives of General Psychiatry, 33, 766771.CrossRefGoogle Scholar
McGrath, G. & Tantam, D. (1987) Long-stay patients in a psychiatric day hospital. A case note review. British Journal of Psychiatry, 150, 836840.Google Scholar
Michaux, M. H., Chelst, M. R., Foster, S. A., et al (1973) Post release adjustment of day and full-time psychiatric patients. Archives of General Psychiatry, 29, 647651.Google Scholar
Overall, J. E. & Gorham, D. R. (1962) The Brief Psychiatric Rating Scale. Psychological Reports, 10, 799812.Google Scholar
Powell, R. B., Hollander, D. & Tobiansky, R. (1995) Crisis in admission beds. British Journal of Psychiatry, 167, 765769.Google Scholar
Tyrer, P., Merson, S., Harrison-Read, P., et al (1990) A pilot study of the effects of early intervention on clinical symptoms and social functioning in psychiatric emergencies. Irish Journal of Psychological Medicine, 7, 132134.CrossRefGoogle Scholar
Vidalis, A. A. & Baker, G. H. B. (1986) Factors influencing effectiveness of day hospital treatment. International Journal of Social Psychiatry, 32, 16.CrossRefGoogle ScholarPubMed
Wilder, J. F., Levin, G. & Zwerling, I. (1966) A two year follow-up evaluation of acute psychotic patients treated in a day hospital. American Journal of Psychiatry, 122, 10951101.Google Scholar
Submit a response

eLetters

No eLetters have been published for this article.