Intensive Psychotherapy for Acute Psychiatric Patients in a Day Hospital Setting in Israel

1972 ◽  
Vol 121 (565) ◽  
pp. 635-639 ◽  
Author(s):  
Y. Fried ◽  
F. Brüll
Keyword(s):  
Psychiatric Patients ◽  
Hospital Setting ◽  
Health Clinic ◽  
Day Hospital ◽  
Professional Literature ◽  
Sick Fund ◽  
Day Hospitals ◽  
Type Of Institution ◽  
Autonomous Service ◽  
Intensive Psychotherapy

The psychiatric services in the field of community psychiatry in Israel have developed in a number of directions over the past decade. Following the establishment by the Workers' Sick Fund (Kupat Holim) of a Rehabilitation Unit for chronic psychiatric patients (Wijsenbeek and Lindner (53)) and the opening of a Day Hospital for acute cases in conjunction with a psychiatric hospital (Ramot and Jaffe (45)), a Day Hospital was established in October 1968, at the Out-Patient Mental Health Clinic (Ramat Chen), to serve acute psychiatric patients. This represented the first attempt of its kind in Israel. The professional literature on Day Hospitals, which in the main describes a ‘half-way out’ type of hospital (Farndale (16); Epps and Hanes (14); Kramer (32)), also reports the existence of a ‘half-way in’ type of institution, operating as an autonomous service catering to a particular geographical region, without being attached directly to a mental hospital. This kind of Day Hospital, specifically designed for acute cases, has not yet been tried in Israel.

Treatment concepts of day hospitals for general psychiatric patients. Findings from a national survey in Germany

2006 ◽  
Vol 21 (2) ◽  
pp. 110-117 ◽  
Author(s):  
Klaus-Peter Seidler ◽  
Petra Garlipp ◽  
Wielant Machleidt ◽  
Horst Haltenhof
Keyword(s):  
Wide Spectrum ◽  
Psychiatric Patients ◽  
Evaluation Research ◽  
Structural Features ◽  
Psychosocial Treatment ◽  
Hospital Treatment ◽  
Day Hospital ◽  
Treatment Services ◽  
Treatment Concepts ◽  
Day Hospitals

AbstractPsychiatric day hospital treatment concepts have to deal with a wide spectrum of mental disorders. We raised the question, if day hospitals can be differentiated concerning their treatment concepts and if so how much this is reflected in their structural and procedural features. In 1999 a survey was initiated concerning structure, concept and method of treatment in psychiatric day hospitals for adults in Germany. Furthermore data concerning rate of utilization, patients' characteristics and aspects of referral and further treatment were ascertained. One hundred and seventy-three (63.4%) of 273-day hospitals contacted took part in the inquiry. The data were interpreted using multivariate as well as non-parametric procedures. The results show that treatment concepts of day hospitals can be specified as three main areas of function (psychotherapy, crisis intervention orientated treatment alternative, rehabilitation) and four therapeutic orientations (psychodynamic social psychiatric, behavioral social psychiatric, psychodynamic, sociotherapeutic). Structural features are predominantly comparable and the differences found concerning the treatment concepts are especially related to patients' characteristics and some procedural features. The conclusion is that the differentiation of day hospital treatment concepts should be taken into consideration in planning psychosocial treatment services as well as in day hospital evaluation research.

Psychiatric patients' behavior and adjustment as appraised in the community and hospital setting

1967 ◽  
Author(s):  
Robert Ellsworth ◽  
Gilbert Arthur ◽  
Duane Kroeker ◽  
Barry Childers
Keyword(s):  
Psychiatric Patients ◽  
Hospital Setting

A treatment protocol for suicidal patients in a day hospital setting: Preliminary results

2006 ◽  
Vol 143 (2-3) ◽  
pp. 307-310
Author(s):  
Marianna Mazza ◽  
Susanna Capitani ◽  
Emanuele Barbarino ◽  
Sergio De Risio ◽  
Pietro Bria
Keyword(s):  
Treatment Protocol ◽  
Hospital Setting ◽  
Day Hospital ◽  
Preliminary Results ◽  
Suicidal Patients

scholarly journals Assessment of the Therapeutic Evolution of Psychiatric Patients through Rorschach Psychodiagnosis

2021 ◽  
Vol 37 ◽  
Author(s):  
Patrícia Costa ◽  
Sónia Remondes-Costa ◽  
Cláudia Milheiro
Keyword(s):  
Clinical Sample ◽  
Psychiatric Patients ◽  
Patient Evaluation ◽  
Day Hospital ◽  
Rorschach Test ◽  
Intervention Model ◽  
Exclusion Criteria ◽  
Personality Functioning ◽  
The North ◽  
Psychotherapeutic Interventions

Abstract The present work aims to constitute an important contribution to the scientific proof of the effectiveness of psychiatric and psychotherapeutic interventions, through the Rorschach test. A clinical sample of 10 psychiatric patients, admitted and followed at the Day Hospital of a psychiatric hospital in the North of Portugal, where the psychoanalytic orientation intervention model is followed. The data were collected in two moments: upon admission, a sociodemographic and clinical questionnaire and Rorschach's projective proof were applied; after three months of treatment, Rorschach was re-applied, followed by a survey of exclusion criteria and patient evaluation on the therapeutic program.The comparative analysis of the data showed a slight therapeutic evolution and personality functioning.

A National Audit of New Long-Stay Psychiatric Patients

1994 ◽  
Vol 165 (2) ◽  
pp. 170-178 ◽  
Author(s):  
Paul Lelliott ◽  
John Wing
Keyword(s):  
Northern Ireland ◽  
Psychiatric Patients ◽  
Hospital Setting ◽  
Residential Setting ◽  
National Audit ◽  
Community Based ◽  
Community Placement ◽  
Lengths Of Stay ◽  
Psychiatric Beds ◽  
Rate Of Accumulation

Background.This second report of a national audit of new long-stay (NLS) psychiatric patients describes the services caring for the patients and the reasons why patients were still in hospital.Method.Data analyses addressed the prevalence of NLS patients, the residential resources available to services, the distributions of patients within services, clinicians' views as to the appropriateness of current placement and the reasons for any inappropriate placements.Results.The average point prevalence was 6.1 per 100 000 population; it was significantly lower in England and Wales (5.6, s.d. = 3.2) than in Scotland and Northern Ireland (10.7, s.d. = 6.4, ANOVA F ratio = 10.9, P < 0.01). The estimated rate of accumulation was 1.3 per 100 000 population per year. Many English services had very few non-acute psychiatric beds and 31 % of English NLS patients, despite their protracted lengths of stay, were housed on acute wards. Assessors thought that 61 % of patients would be better placed in a non-hospital setting; 47% were thought to require a community-based residential setting, and of these over one-half were still in hospital because no suitable community placement was available.Conclusions.Many NLS patients remain in hospital because their residential needs are not met by existing community provision.

Exposure, Relaxation, and Rescripting Therapy for Trauma-Related Nightmares With Psychiatric Inpatients: A Case Series

2020 ◽  
Vol 20 (1) ◽  
pp. 3-21
Author(s):  
Helen Reiter ◽  
Leanne Humphreys
Keyword(s):  
Acute Care ◽  
Psychiatric Hospital ◽  
Psychological Symptoms ◽  
Psychiatric Patients ◽  
Hospital Setting ◽  
Case Series ◽  
Psychiatric Inpatients ◽  
Empirically Supported ◽  
Individualized Care

Research has shown that posttraumatic stress disorder (PTSD) is a highly prevalent diagnosis for psychiatric patients, yet individualized care and treatment is limited in the inpatient acute care sector. Two case studies are presented which examine the use of Exposure, Relaxation, and Rescripting Therapy (ERRT) for chronic trauma-related nightmares, within a private acute care inpatient psychiatric hospital setting. ERRT is empirically supported with efficacy for veteran and civilian populations, however no research to date has been conducted with psychiatric inpatients. Two participants diagnosed with PTSD, suffering distressing trauma-related nightmares, completed ERRT over three sessions during their psychiatric hospital admission, with the aim of reducing the frequency and severity of nightmares and related psychological symptoms. PTSD, depression, sleep quality and quantity, and nightmare frequency and related distress, were measured pre-treatment, during treatment, and follow-up at one, 3 and 6 months. Only one participant reported ongoing nightmares by the third week of the intervention, with both participants reporting an absence of nightmares at the one and 3-month follow-ups, but mixed results by the 6-month follow-up. One participant also reported a reduction in PTSD symptoms and a mild improvement in depression. The results offer some preliminary support for the provision of ERRT for the treatment of trauma-related nightmares for psychiatric inpatients.

scholarly journals Better together: a day hospital's move towards integrated care

2019 ◽  
Vol 26 (6) ◽  
pp. 1-9
Author(s):  
Michele Board ◽  
Lisa Pigott ◽  
Heather Olive ◽  
Vanessa Heaslip
Keyword(s):  
Hospital Setting ◽  
Interdisciplinary Team ◽  
Shared Vision ◽  
Professional Staff ◽  
Day Hospital ◽  
Complex Needs ◽  
Rigorous Approach ◽  
Team Working ◽  
Principles Of Practice ◽  
Practice Development

Background/AimsThis article will present how an interdisciplinary team working within a day hospital in an acute NHS Foundation Trust embraced the opportunities of practice development to work ‘better together’ to meet the complex needs of individuals using the service.MethodsBy working closely with key stakeholders, the team developed an integrated service intersecting both primary and secondary care boundaries.ResultsThe principles of practice development, including shared vision and focus, ensured changes made to the service were patient centred. These changes included a 360-degree assessment by professional staff with extended skills beyond their own professional role, and a virtual ward round, where individual patients are reviewed by an interdisciplinary team in the community with a focus on avoiding hospital admission, with quicker access to the day hospital. The team worked closely with their local university towards achieving practice development unit status, demonstrating a rigorous approach to the development of services provided by the day hospital.ConclusionsThe article highlights both the value of practice development and significantly the value of an interdisciplinary team working within a day hospital setting.

scholarly journals Day Hospital and Then…follow-up Two and a Half Years After the Hospitalization

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
R. Pedrosa ◽  
V. Teixeira de Sousa ◽  
J. Marques ◽  
A. Martins ◽  
I. Domingues ◽  
...  
Keyword(s):  
Wide Spectrum ◽  
Health Resources ◽  
Cross Sectional Study ◽  
Primary Objective ◽  
Day Hospital ◽  
Inpatient Hospitalization ◽  
Cross Sectional ◽  
Before And After ◽  
Day Hospitals

Psychiatry Day Hospitals deal with a wide spectrum of disorders, being responsible for a psychosocial intervention that intends to improve patient's quality of life. The Psychiatry Day Hospital Department of Hospital de São João has thirty-eight years of activity, and has been one of the first in Portugal. The aim of this Psychiatry Unit, composed by a multidisciplinary team, is to prevent relapses and rehospitalisations, promoting the patients’ social rehabilitation, building a bridge between inpatient hospitalization and their re-entry into the community.The primary objective of this cross-sectional study was to evaluate important aspects of service's quality, such as the use of health resources and results in functional terms. The authors made the follow-up of the patients that had been admitted in 2005 (Jan 2005 - Dez 2005; n= 77). For this purpose, it was assessed the number of attendances to the Emergency Department and hospitalizations two and a half years before and after the treatment in Day Hospital. It was also compared their current employment situation to that which preceded the Day Hospital care.This study was performed in clinical setting among a reduced sample, with the inherent limitations. It would be appealing to replicate this investigation in a larger population and including some other variables.

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