The Effect of Short-Term Acute Residential Treatment on Psychiatric Rehospitalization

被引：1

作者：

Lichtenberg, Pesach ^{[1
,2
,10
]}

Friedlander, Avraham ^{[3
,4
]}

Bergman-Levy, Tal ^{[5
]}

Susser, Ehud ^{[5
]}

Yoffe, Rinat ^{[6
]}

Budowski, Danny ^{[5
]}

Kodesh, Arad ^{[7
,8
]}

Bitan, Dana Tzur ^{[3
,9
]}

Weiser, Mark

机构：

[1] Soteria Israel, Jerusalem, Israel

[2] Hebrew Univ Jerusalem, Fac Med, Dept Psychiat, Jerusalem, Israel

[3] Ariel Univ, Dept Behav Sci, Ariel, Israel

[4] Tel Aviv Univ, Sheba Med Ctr, Sackler Sch Med, Drora & Pinchas Zachai Div Psychiat, Ramat Gan, Israel

[5] Minist Hlth, Div Mental Hlth, Jerusalem, Israel

[6] Minist Hlth, Dept Informat & Evaluat, Jerusalem, Israel

[7] Univ Haifa, Dept Community Mental Hlth, Hefa, Israel

[8] Mental Hlth, Meuhedet Hlth Serv, Tel Aviv, Israel

[9] Tel Aviv Univ, Shalvata Mental Hlth Ctr, Sackler Sch Med, Hod Hasharon, Israel

[10] Harav Katzenelbogen 101, IL-9382408 Jerusalem, Israel

来源：

JOURNAL OF NERVOUS AND MENTAL DISEASE | 2023年 / 211卷 / 06期

关键词：

Short-Term Acute Residential Treatment; psychiatric hospitalizations; rehospitalizations; alternatives; RANDOMIZED-TRIAL; ALTERNATIVES; INPATIENT; SOTERIA;

D O I：

10.1097/NMD.0000000000001600

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Short-Term Acute Residential Treatment (START) homes, located in the community and operating in noninstitutional atmospheres, seek to reduce rehospitalization. This report investigates whether these homes reduced rates and duration of subsequent inpatient stays in psychiatric hospitals. For 107 patients treated in START homes after psychiatric hospitalization, we compared the number and duration of psychiatric hospitalizations before and after their START stay. We found that, compared with the year before the START stay, in the year after the START stay, patients had fewer episodes of rehospitalization (1.60 [SD = 1.23] vs. 0.63 [SD = 1.05], t[106] = 7.097, p < 0.001) and a briefer accumulative duration of inpatient stays (41.60 days [SD = 49.4] vs. 26.60 days [SD = 53.25], t[106] = -2.32, p < 0.03). This suggests that START homes can reduce rehospitalization rates and should be considered a valid alternative to psychiatric hospitalization.

引用

页码：467 / 470

页数：4

共 50 条

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