Effectiveness and costs of acute day hospital treatment compared with conventional in-patient care: randomised controlled trial

The British Journal of Psychiatry : the Journal of Mental Science
Stefan PriebeJennifer Beecham

Abstract

Data on effectiveness of acute day hospital treatment for psychiatric illness are inconsistent. To establish the effectiveness and costs of care in a day hospital providing acute treatment exclusively. In a randomised controlled trial, 206 voluntarily admitted patients were allocated to either day hospital treatment or conventional wards. Psychopathology, treatment satisfaction and subjective quality of life at discharge, 3 months and 12 months after discharge, readmissions to acute psychiatric treatment within 3 and 12 months, and costs in the index treatment period were taken as outcome criteria. Day hospital patients showed significantly more favourable changes in psychopathology at discharge but not at follow-up. They also reported higher treatment satisfaction at discharge and after 3 months, but not after 12 months. There were no significant differences in subjective quality of life or in readmissions during follow-up. Mean total support costs were higher for the day hospital group. Day hospital treatment for voluntary psychiatric patients in an inner-city area appears more effective in terms of reducing psychopathology in the shortterm and generates greater patient satisfaction than conventional in-patient care, but may ...Continue Reading

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Citations

Dec 25, 2010·European Archives of Psychiatry and Clinical Neuroscience·Stefan PriebeTil Wykes
Jan 2, 2009·The British Journal of Psychiatry : the Journal of Mental Science·Stefan PriebeKsenija Yeeles
Aug 4, 2009·The British Journal of Psychiatry : the Journal of Mental Science·Garry R BartonDavid Fowler
Jun 13, 2015·Nordic Journal of Psychiatry·Giovanni CamardeseLuigi Janiri
Jan 24, 2007·International Journal of Nursing Studies·Joseph Curran, Charles Brooker
Apr 9, 2008·International Journal of Geriatric Psychiatry·Alessandra CanutoKerstin Weber
Mar 17, 2012·Journal of Clinical Psychology·Lorie A RitschelJuliet Nelson
Oct 13, 2011·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Maya SemrauGraham Thornicroft
Mar 23, 2011·Journal of Psychiatric and Mental Health Nursing·P NolanN Brimblecombe
Jan 19, 2012·Journal of Mental Health·Dieneke Hubbeling, Robert Bertram
Jan 29, 2011·Psychiatry Research·Christina KatsakouStefan Priebe
Nov 15, 2017·The Journal of Behavioral Health Services & Research·Marlene Taube-SchiffThomas Ungar
Jun 1, 2010·Journal of Psychiatric Practice·Nadine LarivièreRichard Boyer
Feb 14, 2018·The British Journal of Psychiatry : the Journal of Mental Science·V J BirdS Priebe
Oct 13, 2009·The Cochrane Database of Systematic Reviews·Elena ShekPeter Tyrer
Dec 14, 2011·The Cochrane Database of Systematic Reviews·Max MarshallKarla Soares-Weiser
May 31, 2017·Journal of Psychiatric and Mental Health Nursing·Marlene Taube-SchiffSanjeev Sockalingam
Nov 23, 2019·BMC Health Services Research·Danielle LambDavid Osborn
Jun 12, 2020·Frontiers in Psychiatry·Karsten HeekerenWolfram Kawohl
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Jul 3, 2018·The Journal of Nervous and Mental Disease·Marlene Taube-SchiffJennifer S Mills
Apr 6, 2017·BJPsych Bulletin·Frank Röhricht

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