Article2007

Are Day Hospitals Effective for Acutely Ill Psychiatric Patients?

Thomas Wilhelm Kallert · Stefan Priebe · Rose McCabe · Andrzej Kiejna · Joanna Rymaszewska · Pětr Nawka +5 more

92 citations0/0 files storedThe Journal of Clinical Psychiatry

No readable copy stored yet — this record is metadata only.

No open-access location is known for this record yet.

Literature note Cite in a project Citation map

Psychiatric care and mental health services Schizophrenia research and treatment Historical Psychiatry and Medical Practices

Abstract

OBJECTIVE: Acute psychiatric day care has been proposed as an alternative to conventional inpatient care, yet the evidence of its effectiveness is inconsistent and based only on single-site studies in 3 countries. The aim of this multicenter randomized controlled trial was to establish the effectiveness of acute day hospital care in a large sample across a range of mental health care systems. METHOD: The trial was conducted from December 2000 to September 2003 in 5 European countries, with a sample of 1117 voluntarily admitted patients. Immediately before or very shortly after admission to the participating psychiatric facilities, patients were randomly allocated to treatment in a day hospital or an inpatient ward. Psychopathology, treatment satisfaction, subjective quality of life, and social disabilities were assessed at admission, at discharge, and 3 and 12 months after discharge. An intention-to-treat analysis was conducted using fixed-effects linear models with structured error covariance matrices and covariates. RESULTS: Day hospital care was as effective as conventional inpatient care with respect to psychopathologic symptoms, treatment satisfaction, and quality of life. It was more effective on social functioning at discharge and at the 3- and 12-month follow-up assessments. CONCLUSION: This study, which has more than doubled the existing evidence base, has shown that day hospital care is as effective on clinical outcomes as conventional inpatient care and more effective on social outcomes. CLINICAL TRIALS REGISTRATION: ClinicalTrials.gov identifier NCT00153959.

Paper brief

Loading…

Cite this work

Citation unavailable for this work.

BibTeX RIS CSL-JSON

No public copy is stored for this record, so only the metadata is cited.

Citations in this library

Citation map →

Stored only when both papers are in the corpus — 92 citations exist upstream.

References

2001The Revised CONSORT Statement for Reporting Randomized Trials: Explanation and Elaboration 2005External validity of randomised controlled trials: “To whom do the results of this trial apply?”1999Application and Results of the Manchester Short Assessment of Quality of Life (Mansa)1993Training and quality assurance with the Brief Psychiatric Rating Scale: "The drift busters."1999A Bayesian approach to stochastic cost-effectiveness analysis 2005Quality of Life and Mental Health Services 1971Day Versus Inpatient Hospitalization: A Controlled Study 1996Day hospital/crisis respite care versus inpatient care, Part I: Clinical outcomes

Cited by

2010Predictors of clinical and social outcomes following involuntary hospital admission: a prospective observational study 2011Why do some voluntary patients feel coerced into hospitalisation? A mixed-methods study 2010Mental disorder in Polish families: is diagnosis a predictor of caregiver’s burden?

Explore the map →

Papers that cite the same references — the relational fallback while embeddings are still backfilling.

Imported from OpenAlex (CC0) — nothing here is generated.