{"title":"Demographic characteristics of the patient population in a Veterans Administration day hospital.","authors":"D Sadow, D M Goodman, M C Geller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In order to better serve the clients in a Veterans Administration day-hospital program, the veterans' social and demographic characteristics were tabulated and correlations were calculated to investigate the existent of any interrelationships among the variables. The typical patient was in his mid-thirties; had a history of familial mental illness; had been hospitalized eight times previously, with the first hospitalization in his late twenties; had been unemployed for the previous 4 years; had completed at least 1 year of college; and had been married at some point in time, if not at the time of admission. One particularly interesting result was that acting-out behavior and the presence of substance abuse were related less to diagnosis (unless the diagnosis was itself substance abuse) and more to social class.</p>","PeriodicalId":79650,"journal":{"name":"International journal of partial hospitalization","volume":"2 4","pages":"283-300"},"PeriodicalIF":0.0,"publicationDate":"1984-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21141756","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Nursing homes: the new total institution in mental-health policy.","authors":"W R Shadish, R R Bootzin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Recent opinion suggests that the facto mental-health policy in this country is institutionalization, rhetoric to the contrary notwithstanding. The nursing-home industry is the center of that policy. More patients with chronic psychiatric disorders may reside in, and more mental-health money may go to, nursing homes than to any other mental-health setting. Starting from Goffman's classic definition of the central feature of a total institution, the present study documents, through a random sample of mental-health facilities, that nursing homes are virtually indistinguishable from hospitals on some characteristics that define a total institution and that both hospitals and nursing homes are clearly distinguishable from a variety of outpatient mental-health settings. In view of the magnitude of the role played by nursing homes in the care of mental patients, it is concluded that the nursing home is the new total institution of mental-health policy.</p>","PeriodicalId":79650,"journal":{"name":"International journal of partial hospitalization","volume":"2 4","pages":"251-62"},"PeriodicalIF":0.0,"publicationDate":"1984-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21142385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L J Kiser, E B McColgan, D B Pruitt, B J Ackerman, J B Moseley
{"title":"Child and adolescent day treatment: a descriptive analysis of a model program.","authors":"L J Kiser, E B McColgan, D B Pruitt, B J Ackerman, J B Moseley","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since the inception of the University of Tennessee Child and Adolescent Day Treatment Program in 1982, a total of 53 patients has received services. This paper provides a broad overview of the patient population as well as descriptive data accumulated during the first 18 months of operation of the program. Several factors which determined patient eligibility and availability are briefly described. Special attention is given to the following variables: (1) age, (2) sex, (3) referral source to the program, (4) diagnosis, (5) length of stay in the program, and (6) discharge disposition. Interrelationships among these variables are also discussed.</p>","PeriodicalId":79650,"journal":{"name":"International journal of partial hospitalization","volume":"2 4","pages":"263-74"},"PeriodicalIF":0.0,"publicationDate":"1984-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21141755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The implementation of a program innovation in a community mental-health center: theory and practice.","authors":"S C Schneider","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This paper describes the innovation of a partial-hospital program into an ongoing community mental-health center which is under the auspices of the department of psychiatry housed in a city general hospital. The role of the environment and structure of this mental health system in facilitating and hindering implementation is discussed. Resistance from within the program and problems associated with institutionalization of the implementation are noted. The experience of innovation is linked with theory.</p>","PeriodicalId":79650,"journal":{"name":"International journal of partial hospitalization","volume":"2 3","pages":"185-97"},"PeriodicalIF":0.0,"publicationDate":"1984-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21136409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Mental patients in nursing homes: their characteristics and treatment.","authors":"W R Shadish, B G Silber, R R Bootzin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nursing homes have become a primary care site for chronic mental patients. The present study reports an empirical investigation of the characteristics of 163 mental patients in nursing homes in a large midwestern city and of the treatment they receive. These mental patients tended to be chronic schizophrenics with an established history of poor social coping. Their average age was 48 years, and they had no obvious physical ailments that would account for their nursing-home placements. These patients received an average of three or four medications each, a figure that tended to increase over a 1-year period. Conversely, relatively little psychosocial treatment is provided these patients, and such treatment tends to decrease over a year. Results are discussed in terms of the relative emphasis in nursing homes on custodial care versus active psychosocial treatment.</p>","PeriodicalId":79650,"journal":{"name":"International journal of partial hospitalization","volume":"2 3","pages":"153-63"},"PeriodicalIF":0.0,"publicationDate":"1984-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21136407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Outcome of a cooperatively funded children's day-treatment program.","authors":"W R Frohring, M J Fitch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Emotionally disturbed children participated in a cooperatively funded day-treatment program. The philosophy of the program, designed to facilitate understanding and cooperation among the three funding agencies, the parents, and interdisciplinary team members, was a variant of social learning theory. In this article the program is described, as well as the results of a follow-up study which indicated successful therapeutic intervention. Finally, a discussion of the success, problems, and dissolution of the program is presented. A suggestion is made that future programs which are funded cooperatively include a buffer fund to allow the program to survive temporary financial shortfalls.</p>","PeriodicalId":79650,"journal":{"name":"International journal of partial hospitalization","volume":"2 3","pages":"165-75"},"PeriodicalIF":0.0,"publicationDate":"1984-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21136408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Method for the study of the effectiveness of attendance in the multiple-family group on overall client treatment in a day-hospital setting.","authors":"S P Bauer-Anstadt","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Client satisfaction in a specific day-hospital session was demonstrated using an evolving questionnaire process. This process consists of phases in which the questionnaire is systematically revised based upon significant findings from the previous questionnaire, further client input, and the application of pertinent theoretical frameworks. In the present study, two phases of revision are described to determine specific aspects of client satisfaction from attendance in a multiple-family group (MFG). Mahler's theory of separation-individuation and Russell's circumplex model were used in the revision of critical items from Questionnaire 1 used in Questionnaire 2. Results of Questionnaire 2 yielded more refined data of discrete aspects of client satisfaction from attendance in the MFG. Thus, these results will be used to devise Questionnaire 3 in the next phase of the questionnaire evolution process.</p>","PeriodicalId":79650,"journal":{"name":"International journal of partial hospitalization","volume":"2 3","pages":"219-32"},"PeriodicalIF":0.0,"publicationDate":"1984-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21136410","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Behavioral alcoholism treatment in the partial hospital.","authors":"B S McCrady, E Fink, R Longabaugh, R Stout","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79650,"journal":{"name":"International journal of partial hospitalization","volume":"2 2","pages":"83-95"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21179503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A systemic-developmental model of day treatment for young adult chronic patients.","authors":"D P Isenberg","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The young adult chronic patient is a recently designated dysfunctional group which is growing significantly in numbers. These patients' multiple deficits in independent functioning and their extreme dependence-independence conflict make them difficult to engage and help in traditional forms of outpatient therapy. A day-treatment program which systematically and flexibily intervenes over many levels would seem to increase the likelihood of successful treatment. F. S. DuBois Day Treatment Center, Stamford, Connecticut, has established such a program based on an integration of general systems theory and separation-individuation theory. This systemic-developmental model of day treatment involves both systems-oriented multimodality therapy and developmentally phased expectations for gradually increasing independent functioning. This paper presents theory and applications of the systemic-developmental day-treatment model and a 2-year pilot program evaluation demonstrating its effectiveness.</p>","PeriodicalId":79650,"journal":{"name":"International journal of partial hospitalization","volume":"2 2","pages":"113-24"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21134593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Development and current status of partial hospitalization in the Federal Republic of Germany and West Berlin.","authors":"I Steinhart, G Bosch","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since the opening of the first partial-hospitalization program in 1962, the development of partial hospitalization in the Federal Republic of Germany and West Berlin has markedly accelerated, especially in recent years. As of July 1, 1982, there were at least 60 such programs with approximately 1200 places in the country. A review of the current status is given regarding the individual programs' perceived mission and their integration into the existing network of psychiatric services. Summary statistics are provided regarding patient census, duration of stay, staffing, therapeutic activities, and clientele. Problems such as the low number of direct community referrals, the preponderance of chronic patients, and the underutilization of programs are discussed.</p>","PeriodicalId":79650,"journal":{"name":"International journal of partial hospitalization","volume":"2 2","pages":"71-81"},"PeriodicalIF":0.0,"publicationDate":"1983-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21134594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}