Fixed values and a flexible partial hospital program model

Harvard Review of Psychiatry
Edmund C Neuhaus

Abstract

Since the 1990s, societal and economic factors have constrained mental health care service delivery in the United States. Partial hospital (PH) programs have been presented with the challenge of using limited resources to treat complex patients in very short time frames; yet predominant psychosocial models and evidence-based treatment approaches have not adjusted sufficiently to the combined demands of patient care and the new health care environment. An updated PH model can advance existing psychosocial theory and practice. The basic assumption of the model is that both clinical and organizational aspects of a PH program must be inherently adaptable to maintain consistent effectiveness. The set of fixed values described here are instrumental in establishing priorities, guiding decision making, and creating a proactive, flexible organization. These values are drawn from the history of psychosocial and milieu treatments from the 1930s to the present and from assumptions and practices of cognitive-behavioral therapy, and are augmented by insights from psychodynamic psychiatry, business management, and leadership. The PH treatment approach aims to translate evidence-based cognitive-behavioral treatments into pragmatic intervention...Continue Reading

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Citations

Mar 18, 2009·Issues in Mental Health Nursing·Christine OeyeNorman Anderssen
May 18, 2012·Clinical Psychology & Psychotherapy·Sarah KertzThrostur Bjorgvinsson
Mar 17, 2012·Journal of Clinical Psychology·Lorie A RitschelJuliet Nelson
Aug 27, 2014·Behaviour Research and Therapy·Christian A WebbThröstur Björgvinsson
Oct 15, 2014·Anxiety, Stress, and Coping·Sarah J KertzThröstur Björgvinsson
Dec 12, 2012·Social Science & Medicine·Indra de Soysa, Theodora-Ismene Gizelis
Feb 5, 2014·Behavior Therapy·R Kathryn McHughThröstur Björgvinsson
Sep 7, 2011·Behavior Modification·Karen L JacobEdmund C Neuhaus
Sep 25, 2007·Journal of Psychiatric Practice·Edmund C NeuhausJames P Burns
Dec 9, 2008·British Journal of Nursing : BJN·Danny Meetoo
Apr 27, 2018·Journal of Clinical Psychology·Sara B DanitzThröstur Björgvinsson
Mar 17, 2007·Harvard Review of Psychiatry·Catherine TellidesEdward R Shapiro
Oct 8, 2020·Research in Psychotherapy : Psychopathology, Process, and Outcome·Kirk D MochrieJane St John
Nov 23, 2021·Psychotherapy Research : Journal of the Society for Psychotherapy Research·Kristen M Van Swearingen, John E Lothes

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