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[Unplanned discharge in a psychiatric day clinic - argument for an individualized approach]
P Garlipp1, K P Seidler, K Amini
1Abteilung Sozialpsychiatrie und Psychotherapie, Medizinische Hochschule Hannover, Germany.
Objective:
Drop-outs, respectively unplanned discharges in psychiatric therapy are often explained by so-called lack of insight into the disease or difficult circumstances of admission. We were interested in the question how often drop outs are noticed in a voluntarily day clinic setting where nearly all psychiatric diseases are treated.
Method:
The charts of all patients discharged in 1998 (n = 65) were screened referring to their mode of discharge.
Results:
31 patients (47.7 %) regularly ended their treatment. An unplanned discharge was registered with 34 patients (52.3 %).
Conclusions:
The statistically relevant term of drop-out does not appear to be the right one to deal with the individual treatment situation and the motivation for the limitation of treatment. A typology of prematurely ended therapies is developed.