PMID: 9545998Apr 18, 1998Paper

Randomized trial of general hospital and residential alternative care for patients with severe and persistent mental illness

The American Journal of Psychiatry
Wayne S FentonC R Blyler

Abstract

Severe and persistent mental illnesses are often lifelong and characterized by intermittent exacerbations requiring hospitalization. Providing needed care within budgetary constraints to this largely publicly subsidized population requires technologies that reduce costly inpatient episodes. The authors report a prospective randomized trial to test the clinical effectiveness of a model of acute residential alternative treatment for patients with persistent mental illness requiring hospital-level care. Patients enrolled in the Montgomery County, Md., public mental health system who experienced an illness exacerbation and were willing to accept voluntary treatment were randomly assigned to the acute psychiatric ward of a general hospital or a community residential alternative. There were no psychopathology-based exclusion criteria. Treatment episode symptom improvement, satisfaction, discharge status, and 6-month pre- and postepisode acute care utilization, psychosocial functioning, and patient satisfaction were assessed. Of 185 patients, 119 (64%) were successfully placed at their assigned treatment site. Case mix data indicated that patients treated in the hospital (N = 50) and the alternative (N = 69) were comparably ill. Treat...Continue Reading

Citations

Apr 19, 2011·The Psychiatric Quarterly·Pesach Lichtenberg
Nov 30, 2010·Archives of Psychiatric Nursing·Diane E Boyer, Catherine Kane
Nov 25, 2003·Psychiatry and Clinical Neurosciences·Yuriko SuzukiKoichi Otani
Apr 6, 2004·Journal of Substance Abuse Treatment·Christine Timko, Jill M Sempel
Jan 7, 2000·The Psychiatric Clinics of North America·M H Allen
Feb 5, 2005·Epidemiologia e psichiatria sociale·Laura GrigolettiUNKNOWN Gruppo Nazionale Progres
Apr 10, 2013·The Australian and New Zealand Journal of Psychiatry·Dan SiskindHarvey Whiteford
May 2, 2009·The British Journal of Psychiatry : the Journal of Mental Science·Sonia JohnsonMike Slade
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Mar 14, 2019·The British Journal of Psychiatry : the Journal of Mental Science·Niklaus StulzUrs Hepp
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Aug 25, 2017·Nordic Journal of Psychiatry·Emely Ek BlæhrPia Vedel Ankersen
Jun 1, 2005·Canadian Journal of Community Mental Health = Revue Canadienne De Santé Mentale Communautaire·Laura McCabePaula Goering
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Jul 16, 2015·Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie·Marc AfilaloJean-François Boivin

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