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Day Patient versus In-patient: Factors Determining Selection of Acutely Ill Patients for Hospital Treatment

Published online by Cambridge University Press:  29 January 2018

E. Philbin Bowman
Affiliation:
Department of Child Psychiatry, Eastern Health Board, James's Street, Dublin 8
R. K. Shelley
Affiliation:
Trinity College, Dublin
A. Sheehy-Skeffington
Affiliation:
Irish Marketing Surveys, Dublin
K. Sinanan
Affiliation:
Cluain Mhuire Family Centre, Newtownpark Avenue, Blackrock, Co. Dublin

Summary

In a prospective study the criteria and characteristics associated with the admission of acutely ill psychiatric patients to in-patient or day hospital care were examined. Over a four-month period, 54 patients were admitted to hospital and 43 to a day hospital. There were significantly more schizophrenics in the hospital. Day hospital patients were significantly younger, had shorter psychiatric histories, were considered less severely ill and had more insight into their illness. Hospital patients had poorer employment histories, and perceived their families as less supportive; admission had more often been requested by them or their families.

Type
Research Article
Copyright
Copyright © 1983 The Royal College of Psychiatrists 

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References

Aitken, R. C. B. (1969) Measurement of feelings using visual analogue scales. Proceedings of the Royal Society of Medicine, 62, 989–96.Google Scholar
Carney, M. W. P., Ferguson, R. S. & Sheffield, B. F. (1970) Psychiatric day hospital and community. Lancet, i, 1218–21.Google Scholar
Craft, M. (1959) Psychiatric day hospitals. American Journal of Psychiatry, 116, 251–4.Google Scholar
Department of Health and Social Security (1969) A pilot survey of patients attending day hospitals. London: DHSS.Google Scholar
Department of Health and Social Security (1975) Census of mental illness day patients in England and Wales at April 1972. London: DHSS.Google Scholar
Fenton, R. F., Tessier, L., Struening, E. L. (1979) A comparative trial of home and hospital care. Archives of General Psychiatry, 36, 1073–9.Google Scholar
General Register Office (1968) A Glossary of Mental Disorders. London: HMSO.Google Scholar
Herz, M. I., Endicott, J., Spitzer, R. L. & Mesnikoff, A. (1971) Day versus in-patient hospitalization: a controlled study. American Journal of Psychiatry, 10, 1371–82.Google Scholar
Hogarty, G. E., Dennis, H., Guy, W. & Gross, G. M. (1968) “Who goes there?”—A critical evaluation of admissions to a psychiatric day hospital. American Journal of Psychiatry, 124, 934–44.Google Scholar
Marx, A. J., Test, M. A. & Stein, L. I. (1973) Extrahospital management of severe mental illness. Archives of General Psychiatry, 29, 505–11.Google Scholar
Morrice, J. K. W. (1973) A day hospital's function in the mental health service. British Journal of Psychiatry, 122, 307–14.Google Scholar
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
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