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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.

Family involvement significantly improves crisis resolution outcomes in psychiatric emergency services. Early discharge is more likely when families actively participate in treatment, especially for psychotic patients.

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Area of Science:

  • Psychiatry
  • Emergency Medicine
  • Psychotherapy

Background:

  • Psychiatric emergency services face challenges in acute crisis resolution.
  • The need for effective, time-limited interventions is critical.

Purpose of the Study:

  • To evaluate the effectiveness of a three-day crisis resolution unit.
  • To assess the impact of family involvement on patient outcomes.

Main Methods:

  • Retrospective review of 136 consecutive admissions to a crisis resolution unit.
  • Utilized a crisis model with acute intervention, time-limited psychotherapy, family therapy, and psychotropic medication.
  • Analyzed patient discharge rates and family involvement levels.

Main Results:

  • 19% of patients were discharged within 72 hours; 51% required further hospitalization.
  • 77% of discharged patients had family involvement, versus 28% of those needing further hospitalization.
  • Family involvement was higher in discharged psychotic patients (14/18) compared to those requiring long hospitalization (13/50).

Conclusions:

  • Family involvement is a significant factor in successful crisis resolution and early discharge from psychiatric emergency services.
  • Integrating family therapy into acute psychiatric care can improve patient outcomes.
  • The crisis resolution unit model shows promise, particularly with active family participation.