Inpatient and outpatient psychiatric treatment: The effect of matching patients to appropriate level of treatment on psychiatric and medical-surgical hospital days |
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| Institution: | 1. Department of Pharmacy, Sentara Norfolk General Hospital, Norfolk, Virginia;2. Department of Infectious Diseases, Solid Organ Transplant, Sentara Norfolk General Hospital, Norfolk, Virginia;1. Elemental Bio-imaging Facility, University of Technology Sydney, Australia;2. The Florey Institute of Neuroscience and Mental Health, The University of Melbourne, Australia;3. Center for Functional and Molecular Imaging, Georgetown University Medical Center, United States;4. Advanced Magnetic Resonance Imaging Section, Laboratory of Functional and Molecular Imaging, National Institute of Neurological Disorders and Stroke, National Institutes of Health, United States;5. Department of Anatomical Pathology, Alfred Hospital, Australia;6. Department of Medicine, Central Clinical School, Monash University, Australia;7. Department of Neural and Behavioral Sciences, Penn State Hershey Medical Center, United States;8. Department of Neurosurgery, Penn State Hershey Medical Center, United States;9. Department of Pathology, School of Biomedical Sciences, University of Melbourne, Australia |
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| Abstract: | The effects of inpatient or outpatient treatment for psychiatric disorder on posttreatment hospital days were examined for 106 Health Maintenance Organization (HMO) patients who initially presented for inpatient treatment. Based on a complete mental status examination and the availability of appropriate treatment alternatives, 15% were admitted to inpatient and 85% were referred for intensive outpatient treatment. In the 12 months following treatment, (a) neither group had further psychiatric hospital days and (b) those treated on an outpatient basis had fewer medical-surgical hospital days. Number of medical-surgical hospital days was lower for patients who completed the full treatment plan. These results complemented experimental research regarding the clinical effectiveness of outpatient treatment alternatives. |
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