Inpatient versus day hospital treatment for chronic, combat-related posttraumatic stress disorder: a naturalistic comparison

The Journal of Nervous and Mental Disease
Mark CreamerPeter Elliott

Abstract

This study adopted a quasi-experimental design to compare the treatment outcomes of inpatient-outpatient programs and day hospital programs for chronic, combat-related posttraumatic stress disorder. Data were drawn from 202 Vietnam veterans who had completed treatment at four programs across Australia. The veterans were assessed on a range of psychological and social variables at intake to the programs and followed up at 3 and 9 months after discharge. A significant main effect was found for time, with veterans from both program models demonstrating improvements that were maintained over the 9-month follow-up period. Group by time effects were not significant, which suggests that inpatient-outpatient programs are not more efficacious than the less expensive day hospital alternatives. In line with current mental health policy directions, the current study lends broad support to the recommendation that treatment services for veterans with posttraumatic stress disorder be delivered in the least restrictive environment.

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Citations

May 6, 2003·Clinical Psychology Review·Allison G HarveyNicholas Tarrier
Oct 14, 2003·The Journal of Nervous and Mental Disease·Andrew C Page, Geoffrey R Hooke
Sep 1, 2011·The Journal of Nervous and Mental Disease·J Don RichardsonJitender Sarreen
Dec 13, 2012·European Journal of Psychotraumatology·Neil J KitchinerJonathan I Bisson
Nov 1, 2006·Journal of Traumatic Stress·Mark CreamerGraeme Hawthorne
Dec 31, 2005·Journal of Traumatic Stress·Dirk BiddleGreg Coman
Nov 19, 2008·The Australian and New Zealand Journal of Psychiatry·David ForbesMark Creamer
Sep 30, 2017·Journal of Telemedicine and Telecare·David TurgooseDominic Murphy
Jun 19, 2019·Journal of Telemedicine and Telecare·Dominic Murphy, David Turgoose

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