Understanding barriers and facilitators to therapeutic relationships in state psychiatric hospitals

2019 ◽  
Vol 76 (1) ◽  
pp. 195-209
Author(s):  
Kristen Keefe ◽  
Esteban V. Cardemil ◽  
Matthew Thompson
Keyword(s):  
Psychiatric Hospitals ◽  
Barriers And Facilitators ◽  
Therapeutic Relationships ◽  
State Psychiatric ◽  
State Psychiatric Hospitals

Length of stay for inpatient incompetent to stand trial patients: importance of clinical and demographic variables

CNS Spectrums ◽  
2020 ◽  
Vol 25 (5) ◽  
pp. 734-742
Author(s):  
Charles Broderick ◽  
Allen Azizian ◽  
Katherine Warburton
Keyword(s):  
Length Of Stay ◽  
Psychiatric Hospitals ◽  
Primary Diagnosis ◽  
Hospital Length ◽  
Demographic Variables ◽  
Hospital Length Of Stay ◽  
State Psychiatric ◽  
State Psychiatric Hospitals ◽  
Violent Acts ◽  
Incompetent To Stand Trial

ObjectiveWe investigated clinical and demographic variables to better understand their relationship to hospital length of stay for patients involuntarily committed to California state psychiatric hospitals under the state’s incompetent to stand trial (IST) statutes. Additionally, we determined the most important variables in the model that influenced patient length of stay.MethodsWe retrospectively studied all patients admitted as IST to California state psychiatric hospitals during the period January 1, 2010 through June 30, 2018 (N = 20 041). Primary diagnosis, total number of violent acts while hospitalized, age at admission, treating hospital, level of functioning at admission, ethnicity, sex, and having had a previous state hospital admission were evaluated using a parametric survival model.ResultsThe analysis showed that the most important variables related to length of stay were (1) diagnosis, (2) number of violent acts while hospitalized, and (3) age of admission. Specifically, longer length of stay was associated with (1) having a diagnosis of schizophrenia or neurocognitive disorder, (2) one or more violent acts, and (3) older age at admission. The other variables studied were also statistically significant, but not as influential in the model.ConclusionsWe found significant relations between length of stay and the variables studied, with the most important variables being (1) diagnosis, (2) number of physically violent acts, and (3) age at admission. These findings emphasize the need for treatments to target cognitive issues in the seriously mentally ill as well as treatment of violence and early identification of violence risk factors.

Admission Patterns at South Carolina's State Psychiatric Hospitals following Legislative Reform

1982 ◽  
Vol 10 (4) ◽  
pp. 457-469
Author(s):  
Stjepan Mestrovic
Keyword(s):  
Mental Health ◽  
Minority Groups ◽  
Multivariate Analyses ◽  
Psychiatric Hospitals ◽  
Health Law ◽  
Inpatient Hospitalization ◽  
Legislative Reform ◽  
Clinical Variables ◽  
State Psychiatric ◽  
State Psychiatric Hospitals

Despite the last revision of South Carolina's mental health law in 1977, multivariate analyses of social, legal, and clinical variables for inpatient hospitalization in 1981 reveal that the state's mental hospitals are still a dumping ground for minority groups and those who are at a disadvantage with regard to the law. Emergency commitments have increased over 300% since passage of the new law, and approximately half of these commitments result in release at the subsequent probate hearing.

Pharmacy staffing, workload, and productivity benchmarks in state psychiatric hospitals

2018 ◽  
Vol 75 (8) ◽  
pp. 536-547 ◽  
Author(s):  
Angela Black Smith ◽  
James T. Zoller ◽  
Glen T. Schumock ◽  
Ann L. Richards
Keyword(s):  
Psychiatric Hospitals ◽  
State Psychiatric ◽  
State Psychiatric Hospitals

Closure of State Psychiatric Hospitals for Children

2002 ◽  
Vol 53 (1) ◽  
pp. 101-a-102
Author(s):  
Peter Nierman ◽  
John Lyons
Keyword(s):  
Psychiatric Hospitals ◽  
State Psychiatric ◽  
State Psychiatric Hospitals
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