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Updated: May 29, 2026

Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
10:38

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Published on: January 16, 2019

Three day crisis resolution unit.

S E Dubin1, J Ananth, B Bajwa-Goldsmith

  • 1Harbor-UCLA Medical Centre, 1000 West Carson Street, Torrance, CA 90509.

Indian Journal of Psychiatry
|September 20, 2011
PubMed
Summary
This summary is machine-generated.

A three-day crisis resolution unit effectively treated psychiatric emergencies. Family involvement significantly improved patient discharge rates, especially for those with psychosis.

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Area of Science:

  • Psychiatry
  • Emergency Medicine
  • Psychiatric Nursing

Background:

  • Psychiatric emergency services often face overcrowding and limited resources.
  • Effective, short-term interventions are crucial for managing acute psychiatric crises.
  • Integrating family support can enhance treatment outcomes in psychiatric care.

Purpose of the Study:

  • To evaluate the efficacy of a three-day crisis resolution unit within a psychiatric emergency service.
  • To determine the impact of family involvement on patient outcomes and discharge rates.
  • To explore the role of a time-limited, integrated treatment model in acute psychiatric care.

Main Methods:

  • A retrospective review of 136 consecutive admissions to a three-day crisis resolution unit.
  • Application of a crisis model involving acute intervention, time-limited psychotherapy, family therapy, and psychotropic medication.
  • Analysis of patient discharge rates (within 72 hours vs. further hospitalization) and family involvement.

Main Results:

  • 49% of patients were discharged within 72 hours, while 51% required further hospitalization.
  • 77% of discharged patients had family involvement, compared to only 28% of those needing further hospitalization.
  • Family involvement was particularly significant for psychotic patients, with higher discharge rates (77.8%) versus those requiring extended hospitalization (26%).

Conclusions:

  • A three-day crisis resolution unit can effectively manage psychiatric emergencies.
  • Significant family involvement is strongly correlated with successful short-term treatment and discharge.
  • Integrating family therapy into acute psychiatric care models enhances patient outcomes, particularly for severe mental illnesses.