Three day crisis resolution unit

This paper describes a three day crisis resolution unit within the confines of the psychiatric emergency service of a general hospital. It utilizes a crisis model of acute intervention, time limited psychotherapeutic approach combined with family therapy, and psychotropic meditation when indicated. One hundred thirty six consecutive admissions were rev ie.wed. 19% were discharged within 72 hours, and 51% required further hospitalization. Seventy seven percent of the patients discharged had involved families (significant others) in the treatment process, in comparison with only 28% family involvement with those patients who needed further hospitalization. This may be even more significant for psychotic patients who were discharged (14/18 family involvement) versus those who needed long hospitalization (13/50 family involvement).