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Day treatment: suitability and referral procedure
The British Journal of Psychiatry : the Journal of Mental Science
|September 1, 1985
Summary
Early transfer to day hospital treatment is feasible for many emergency admissions with neurosis or adjustment disorders. However, factors like substance abuse and aggression can make patients unsuitable, necessitating active recruitment by day hospital staff.
Area of Science:
- Psychiatry
- Mental Health Services
Background:
- Emergency admissions often include patients with neurosis, personality disorders, and adjustment reactions.
- Assessing suitability for day hospital treatment is crucial for efficient resource allocation.
Purpose of the Study:
- To evaluate the suitability of emergency admissions for early transfer to day hospital treatment.
- To identify factors influencing suitability and barriers to day hospital care.
Main Methods:
- Prospective screening of emergency admissions.
- Assessment of patient suitability for day hospital treatment.
- Analysis of reasons for unsuitability.
Main Results:
- 100 patients were suitable for day hospital transfer, 101 unsuitable, and 39 required no further intervention.
- Common reasons for unsuitability included severe disturbance, alcohol abuse, physical/social problems, and aggression.
- Patient attitudes and active recruitment by day hospital staff were significant factors.
Conclusions:
- A significant proportion of emergency admissions for psychiatric conditions can be managed with day hospital treatment.
- Addressing specific patient barriers and implementing proactive recruitment strategies are essential for successful day hospital integration.