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The Effect of Research on Readmission to a Psychiatric Hospital

Published online by Cambridge University Press:  02 January 2018

O. Ben-Arie ,
A. Koch ,
M. Welman  and
A. F. Teggin
O. Ben-Arie*
Affiliation:
MRC Clinical Psychiatry Research Unit, Department of Psychiatry, University of Cape Town, Groote Schuur Hospital, Observatory 7925, Republic of South Africa
A. Koch
Affiliation:
MRC Clinical Psychiatry Research Unit, Department of Psychiatry, University of Cape Town, Groote Schuur Hospital, Observatory 7925, Republic of South Africa
M. Welman
Affiliation:
MRC Clinical Psychiatry Research Unit, Department of Psychiatry, University of Cape Town, Groote Schuur Hospital, Observatory 7925, Republic of South Africa
A. F. Teggin
Affiliation:
MRC Clinical Psychiatry Research Unit, Department of Psychiatry, University of Cape Town, Groote Schuur Hospital, Observatory 7925, Republic of South Africa
*
∗Department of Psychiatry, Queen's University, Kingston, Ontario K7L 3N6, Canada
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Abstract

The effects on outcome of research into the course of psychiatric illness are controversial. This study examines a cohort of research patients involved in an outcome study in which the research and clinical teams were kept separate. While research intervention of this nature would not be expected to influence outcome, the research cohort had fewer readmissions than non-research controls. This occurred despite the presence of factors which would be expected to be associated with a contrary result. It is stressed that the confounding effects of research need to be taken into account when designing follow-up studies and evaluating outcome results.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 156 , Issue 1 , January 1990 , pp. 37 - 39
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Braff, D. L., Bachman, J., Glick, I. D., et al (1979) The therapeutic community as a research ward: myths and facts. Archives of General Psychiatry, 36, 355–360.CrossRefGoogle ScholarPubMed
Buell, G. J. & Anthony, W. J. (1973) Demographic characteristics as predictors of recidivism and post-hospital employment. Journal of Counselling Psychology, 20, 361–365.CrossRefGoogle Scholar
Carroll, R. S., Miller, A., Ross, B., et al (1980) Research as an impetus to improved treatment. Archives of General Psychiatry, 37, 377–380.CrossRefGoogle ScholarPubMed
Epstein, R. S. & Janowsky, D. S. (1969) Research on the psychiatry ward: the effects of conflicting priorities. Archives of General Psychiatry, 21, 455–463.CrossRefGoogle ScholarPubMed
Falloon, I. R. H., Marshall, G. N., Boyd, J. L., et al (1983) Relapse in schizophrenia: a review of the concept and its definitions. Psychological Medicine, 13, 469–477.CrossRefGoogle ScholarPubMed
Gillis, L. S. (1990) The efficacy of a home visiting programme. South African Medical Journal (in press).Google Scholar
Gillis, L. S., Sandler, R., Jakoet, A., et al (1985) The rise in readmissions to psychiatric hospitals. South African Medical Journal, 68, 466–470.Google ScholarPubMed
Gillis, L. S., Sandler, R., Jakoet, A., et al (1986) Readmissions to a psychiatric hospital: outcome on follow-up. South African Medical Journal, 70, 735–739.Google ScholarPubMed
Hirsch, R., Gaind, R., Rohde, P. D., et al (1973) Outpatient maintenance of chronic schizophrenic patients with long-acting fluphenazine: double-blind placebo trial. British Medical Journal, i, 633–637.CrossRefGoogle Scholar
Hogarty, G. E. & Ulrich, R. F. (1977) Temporal effects of drug and placebo in delaying relapse in schizophrenic outpatients. Archives of General Psychiatry, 34, 297–301.CrossRefGoogle ScholarPubMed
Jacobs, L. & Kotin, J. (1972) Fantasies of psychiatric research. American Journal of Psychiatry, 128, 64–70.CrossRefGoogle ScholarPubMed
Kirk, S. A. (1976) Effectiveness of community services for discharged mental hospital patients. American Journal of Orthopsychiatry, 46, 646–659.CrossRefGoogle ScholarPubMed
Koesis, J. H., Frances, A., Kalman, T. P., et al (1981) The effect of psychobiological research on treatment outcome. Archives of General Psychiatry, 38, 511–515.Google Scholar
Lorei, T. W. & Gurel, L. (1973) Demographic characteristics as predictors of post hospital employment and readmission. Journal of Consulting and Clinical Psychology, 40, 426–430.CrossRefGoogle Scholar
Reich, L. H. & Weiss, B. L. (1975) The clinical research ward as a therapeutic community: incompatibilities. American Journal of Psychiatry, 132, 48–51.Google Scholar
Roethlisberger, F. J. & Dickson, W. J. (1939) Management and the Worker. Cambridge, Mass.: Harvard University Press.Google Scholar
Solomon, P., Gordon, B. & Davis, J. (1984) Differentiating psychiatric readmissions from non-readmissions. American Journal of Orthopsychiatry, 54, 426–435.CrossRefGoogle Scholar
Strauss, J. S. & Carpenter, W. T. (1977) Prediction of outcome in schizophrenia: III. Five-year outcome and its predictors. Archives of General Psychiatry, 34, 139–163.CrossRefGoogle ScholarPubMed
Wing, J. K., Cooper, J. E. & Sartorius, N. (1974) The Measurement and Classification of Psychiatric Symptoms. London: Cambridge University Press.Google Scholar
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