Open Access, Peer-reviewed
pISSN 1015-4817
eISSN 2289-0963
    J Korean Neuropsychiatr Assoc. 2013 Mar;52(2):98-107. Korean.
    Published online Mar 31, 2013.
    https://doi.org/10.4306/jknpa.2013.52.2.98
    Copyright © 2013 Korean Neuropsychiatric Association
    Original Article

    Psychosocial Correlates of Length of Stay of Institutionalized Patients with Mental Illness

    Jung Kyoo Choi, MD,1 Hong-Suk Jang, MD, PhD,2 Myung-Soo Lee, MD, MPH,3 Jin Pyo Hong, MD, PhD,4 and Jong-Ik Park, MD, PhD, LLM1
      • 1Department of Psychiatry, Kangwon National University School of Medicine, Chuncheon, Korea.
      • 2Dr. Jang's Psychotherapeutic Clinic, Seoul, Korea.
      • 3Seoul Metropolitan Mental Health Center, Seoul, Korea.
      • 4Department of Psychiatry, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
    • Address for correspondence: Jong-Ik Park, MD, PhD, LLM. Department of Psychiatry, Kangwon National University School of Medicine, 156 Baengnyeong-ro, Chuncheon 200-947, Korea. Tel +82-33-258-9171, Fax +82-33-258-2146, Email: lugar@kangwon.ac.kr
    Received October 16, 2012; Revised December 06, 2012; Accepted February 07, 2013.

    Abstract

    Objectives

    The aim of this study was to investigate the correlated factors that may influence the length of stay in mental health related facilities.

    Methods

    We chose 2253 patients with mental illness using a stratified multi-stage cluster sampling from 48 psychiatric hospitals, twelve psychiatric clinics, five psychiatric welfare facilities, and five mental rehabilitation facilities. The investigation involved psychiatrists, psychology practitioners, and social workers, and lasted from August 1, 2008 to November 15, 2008. Assessment and investigation of diverse factors was performed using one-way analysis of variance in order to examine their influence on length of stay.

    Results

    Factors showing significant correlation with length of stay included the types of mental health related facilities, age, marital status, socioeconomic status, type of medical security, familial support, type of admission, diagnosis, age of onset of the illness, number of admissions, severity of psychiatric symptoms, daily living and social function, GAF score, prominent thought/perception disability, memory/orientation disturbance, odd behavior/prominent regression, personal hygiene, communication/personal relationship, management of money, and public transportation/facility utilization.

    Conclusion

    Findings of this study suggest that the type of mental health related facilities and the type of medical security are the most significant factors showing correlation with length of stay.

    Keywords
    Length of stay; Long-term institutionalization; Type of mental health facility; Type of medical security

    Tables

    Table 1
    Length of stay by types of facilities

    Table 2
    Length of stay by demographic characteristics

    Table 3
    Length of stay by socioeconomic and social support characteristics

    Table 4
    Length of stay by clinical characteristics

    Table 5
    Length of stay by clinical levels

    Table 6
    Length of stay by functional levels

    Notes

    The authors have no financial conflicts of interest.

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    MeSH Terms
    Age of Onset
    Hospitals, Psychiatric
    Humans
    Hygiene
    Length of Stay
    Marital Status
    Mental Health
    Psychiatry
    Social Class
    Social Workers
    Metrics
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