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Partial or full-time hospitalization: patients̍ preference

  • Aart H. Schene (a1), Bob van Wijngaarden (a1) and Berthold P.R. Gersons (a1)


Partial hospitalization (PH) fulfills four different functions in the mental health care system. First it can be a continuation of full-time hospitalization (FH). Secondly it functions as a rehabilitation oriented day care facility for the chronically ill. Thirdly it can be an extension of an outpatient treatment for patients without any indication for FH. And lastly it can be an alternative to (sub)acute FH (Schene & Gersons, 1986). Of course a particular PH service can fulfill different functions at the same time. However, based on data from a nationwide survey in The Netherlands we found clear differences between PH services that were specialized in one of the four functions mentioned (Schene et al., 1988).

PH might be regarded as a real and useful alternative to FH, provided it adheres to the original inpatient treatment objectives and their related functions, without any loss of quality. It should accommodate the same, or at least a comparable, patient population. Only under those conditions can PH really replace FH.



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Creed, F., Black, D., Anthony, P., Osborn, M., Thomas, P. & Tomenson, B. (1990). Randomized controlled trial of day versus inpatient psychiatric treatment. British Medical Journal 300, 10331037.
Dick, P.H., Ince, A. & Barlow, M. (1985a). Day treatment: suitability and referral procedure. British Journal of Psychiatry 142, 250253.
Dick, P.H., Cameron, L., Cohen, D., Barlow, M. & Ince, A. (1985b). Day and full time psychiatric treatment: a controlled comparison. British Journal of Psychiatry 147, 246250.
Feldman, M.D. (1988). The challenge of self-mutilation: a review. Comprehensive Psychiatry 29, 252–69.
Herz, M.I., Endicott, J., Spitzer, R.L. & Mesnikoff, A. (1971). Day versus inpatient hospitalization: a controlled study. American Journal of Psychiatry 127, 13711382.
Kluiter, H., Giel, R., Nienhuis, F.J., Rüphan, M. & Wiersma, D. (1992). Predicting feasibility of day treatment for unselected patients referred for inpatient psychiatric treatment: results of a randomized trial. American Journal of Psychiatry 149, 11991205.
Rosen, P.M. & Walsh, B.W. (1989). Patterns of contagion in self mutilation epidemics. American Journal of Psychiatry 146, 656658.
Ruggeri, M. (1996). Satisfaction with psychiatric services. In Mental Health Outcome Measures (ed. Thornicroft, G. and Tansella, M.), pp. 2752. Springer: Berlin.
Schene, A.H. (1992). Psychiatric Partial and Full-time Hospitalization. Dissertation (in Dutch). University of Utrecht: Utrecht.
Schene, A.H. & Gersons, B.P.R. (1986). Effectiveness and application of partial hospitalization. Acta Psychiatrica Scandinavia 74, 335340.
Schene, A.H., van Lieshout, P. & Mastboom, J. (1986). Development and current status of partial hospitalization in the Netherlands. International Journal of Partial Hospitalization 3, 237246.
Schene, A.H., van Lieshout, P. & Mastboom, J. (1988). Different types of partial hospitalization programs: results from a nationwide study. Acta Psychiatrica Scandinavia 75, 515520.
Schene, A.H., van Wijngaarden, B., Poelijoe, N.W. & Gersons, B.P.R. (1993). The Utrecht comparative study on psychiatric day treatment and inpatient treatment. Acta Psychiatrica Scandinavia 87, 427436.
Schene, A.H., van Wijngaarden, B. & van Baaren-Marcelis, J.W. (1994). Randomization and generalization in psychiatric research. International Journal of Methods in Psychiatric Research 4, 15.
Ware, J.E. & Davies, A.R. (1983). Behavioural consequences of consumer dissatisfaction with medical care. Evaluation and Program Planning 6, 291298.
Washburn, S., Vannicelli, R., Longabaugh, R. & Scheff, B.J. (1976). A controlled comparison of psychiatric day treatment and inpatient hospitalization. Journal of Consulting and Clinical Psychology 44, 665675.
Zwerling, I & JF., Wilder (1964). An evaluation of the applicability of the day hospital in treatment of acutely disturbed patients. Israel Annals of Psychiatry and Related Disciplines 2, 162185.


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