Related Experiment Videos
A patient-based voucher system of brief hospitalisation
1Grampians Psychiatric Services, Ballarat, Victoria, Australia. psychmed@tpgi.com.au
Objective:
The aim of this study was to demonstrate the clinical use of a patient-based voucher system for brief hospitalisation.
Clinical Picture:
A 31-year-old male, chronically disabled, with schizophrenia, polysubstance, and borderline personality disorders presented concerns for the treating team.
Treatment:
Management was community based except for a single admission in which the patient chose the timing and duration via a predetermined set of vouchers.
Outcome:
In contrast to previous admissions, a patient-chosen, voucher-based admission was single, brief and uneventful.
Conclusions:
Novel approaches to chronically disabled patients with psychiatric illness enable change from therapeutic pessimism. A patient-based voucher system seemed to be of use in one patient.