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Description and Evaluation of a Short-Stay Admission Ward

Published online by Cambridge University Press:  29 January 2018

Peter Kennedy
Affiliation:
University Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh EH10 5HF
Fiona Hird
Affiliation:
University Department of Psychiatry, Royal Edinburgh Hospital, Edinburgh EH10 5HF

Summary

Duration of stay for unselected admissions to an acute psychiatric ward was reduced to an average of 11 days. The clinical methods by which this was achieved are described. Comparing patients randomly allocated to this experimental ward and other admission wards: (i) the readmission rate to the experimental ward was higher but readmissions were briefer so that total in-patient experience per patient over the course of one year remained substantially lower; (ii) symptom levels and burden on the family had improved equally at three weeks and at four months after discharge; (iii) experimental ward patients made fewer demands on their general practitioners and reported fewer parasuicides. Beds can be released for other purposes in this way.

Type
Papers
Copyright
Copyright © Royal College of Psychiatrists, 1980 

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References

Cooper, J. E. (1979) Crisis Intervention and Psychiatric Emergency Services in Europe. WHO. Copenhagen.Google Scholar
Erickson, R. C. (1975) Outcome studies in mental hospitals: a review. Psychological Bulletin, 82, 519–40.Google Scholar
Glick, I. D., Hargreaves, W. A., Drues, J. & Show-stack, J. A. (1976) Short versus long hospitalization. Archives of General Psychiatry, 33, 7883.CrossRefGoogle Scholar
Herz, M. I., Endicott, M. D. & Spitzer, R. L. (1975) Brief hospitalization of patients with families: initial results. American Journal of Psychiatry, 132, 413–18.Google ScholarPubMed
Herz, M. I., Endicott, J. & Spitzer, R. L. (1976) Brief hospitalization: a two year follow-up. Paper presented to Annual Meeting of American Psychiatric Association.Google Scholar
Hirsch, S. R., Platt, S., Knights, A. & Weyman, A. (1979) Shortening hospital stay for psychiatric care: effects on patient and their families. British Medical Journal, i, 442–6.Google Scholar
Spitzer, R. L., Endicott, J. & Fleiss, J. L. (1970) The psychiatric status schedule: a technique for evaluating psychopathology and impairment in role functioning. Archives of General Psychiatry, 23, 4155.Google Scholar
Spitzer, R. L., Gibbon, M. & Endicott, J. (1971) Family Evaluation Form, New York, Biometrics Research, New York State Department of Mental Hygiene.Google Scholar
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