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Partial to holistic care.

P Walmsley1

  • 1Edge Hill College of Higher Education.

Nursing Times
|February 24, 2001
PubMed
Summary

This study compares partial hospitalization services for severe mental illness in the USA and Ireland. It highlights differences in care philosophies and outcomes between modern partial hospitalization and traditional inpatient mental health services.

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Area of Science:

  • Psychiatry
  • Mental Health Services Research
  • Comparative Healthcare Analysis

Background:

  • Severe and enduring mental illness (SEMI) management varies globally.
  • Traditional inpatient mental health services face challenges in providing continuous care.
  • Partial hospitalization offers a flexible alternative to full-time inpatient care.

Purpose of the Study:

  • To evaluate the management of SEMI clients using partial hospitalization in the USA and Ireland.
  • To compare the philosophy and practice of partial hospitalization with traditional inpatient care.
  • To identify best practices in mental health service delivery.

Main Methods:

  • Comparative case study analysis of mental health facilities in the USA and Ireland.
  • Site visits to McLean Hospital (USA) and St Joseph's/Newcastle Hospitals (Ireland).
  • Review of institutional care philosophies and bed population data.

Main Results:

  • McLean Hospital exemplifies excellence in partial hospitalization.
  • Irish hospitals evolved from institutional care, maintaining high inpatient bed populations.
  • Significant philosophical differences exist in the approach to SEMI management.

Conclusions:

  • Partial hospitalization represents a progressive approach to SEMI care.
  • Contrasting models highlight the need for evolving mental health service philosophies.
  • Further research is needed to optimize partial hospitalization models for diverse populations.

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