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Erschienen in: Social Psychiatry and Psychiatric Epidemiology 12/2006

01.12.2006 | ORIGINAL PAPER

Short-term outcome of inpatient psychiatric care—impact of coercion and treatment characteristics

verfasst von: Tuula Wallsten, MD, Dr.med.sc. Lars Kjellin, Leif Lindström, MD, PhD

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 12/2006

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Abstract

Aims

Little is known about the outcome of brief inpatient treatment interventions in routine psychiatric practice. The aim of this article was to study if subjective and assessed outcome of brief psychiatric inpatient care are related to patient characteristics, coercion at admission and during care, and other treatment characteristics.

Method

A total of 233 involuntarily and voluntarily admitted patients were interviewed within 5 days from admission and at discharge or after 3 weeks of care. Outcome was measured as reported by patients and by change in GAF (Global Assessment Scale) scores.

Results

Predictors for a positive subjective outcome were if the patients reported that they had been well treated by the staff and had contact persons at the ward. Predictors for a GAF improvement were a low GAF score at admission and a mood disorder diagnosis.

Conclusions

Subjectively reported outcome and outcome measured by assessing change in level of functioning differed. Coercion was not related to outcome. The way the patient perceived they had been treated by the staff was strongly related to subjective outcome.
Literatur
1.
Zurück zum Zitat Pijl YJ, Kluiter H, Wiersma D (2000) Change in Dutch mental health care: an evaluation. Soc Psychiatry Psychiatr Epidemiol 35:402–407PubMedCrossRef Pijl YJ, Kluiter H, Wiersma D (2000) Change in Dutch mental health care: an evaluation. Soc Psychiatry Psychiatr Epidemiol 35:402–407PubMedCrossRef
2.
Zurück zum Zitat Silfverhielm H, Kamis-Gould E (2000) The Swedish mental health system. Int J Law Psychiatry 21:293–307CrossRef Silfverhielm H, Kamis-Gould E (2000) The Swedish mental health system. Int J Law Psychiatry 21:293–307CrossRef
3.
Zurück zum Zitat Bülow P, Svensson T, Hansson JH (2002) Long-term consequences of the reformation of psychiatric care: a 15-year follow-up study. Nord J Psychiatry 56:15–21PubMedCrossRef Bülow P, Svensson T, Hansson JH (2002) Long-term consequences of the reformation of psychiatric care: a 15-year follow-up study. Nord J Psychiatry 56:15–21PubMedCrossRef
4.
Zurück zum Zitat Levinson D, Lerner Y, Lichtenberg P (2003) Reduction in inpatient length of stay and changes in mental health care in Israel over four decades: a national case register study. Isr J␣Psychiatry Relat Sci 40:240–247PubMed Levinson D, Lerner Y, Lichtenberg P (2003) Reduction in inpatient length of stay and changes in mental health care in Israel over four decades: a national case register study. Isr J␣Psychiatry Relat Sci 40:240–247PubMed
5.
Zurück zum Zitat Clarke P, Hafner RJ, Holme G (1997) The brief admission unit in emergency Psychiatry. J Clin Psychol 53:817–823PubMedCrossRef Clarke P, Hafner RJ, Holme G (1997) The brief admission unit in emergency Psychiatry. J Clin Psychol 53:817–823PubMedCrossRef
6.
Zurück zum Zitat Svensson B, Hansson L (1994) Patient satisfaction with inpatient psychiatric care. The influence of personality traits, diagnosis and perceived coercion. Acta Psychiatr Scand 90:379–384 Svensson B, Hansson L (1994) Patient satisfaction with inpatient psychiatric care. The influence of personality traits, diagnosis and perceived coercion. Acta Psychiatr Scand 90:379–384
7.
Zurück zum Zitat Nicholson RA, Ekenstam C, Norwood S (1996) Coercion and the outcome of psychiatric hospitalization. Int J Law Psychiatry 19:201–217PubMedCrossRef Nicholson RA, Ekenstam C, Norwood S (1996) Coercion and the outcome of psychiatric hospitalization. Int J Law Psychiatry 19:201–217PubMedCrossRef
8.
Zurück zum Zitat Kjellin L, Andersson K, Candefjord IL, et al. (1997) Ethical benefits and costs of coercion in short-term inpatient psychiatric care. Psychiatric Serv 48:1567–1570 Kjellin L, Andersson K, Candefjord IL, et al. (1997) Ethical benefits and costs of coercion in short-term inpatient psychiatric care. Psychiatric Serv 48:1567–1570
9.
Zurück zum Zitat Høyer G, Kjellin L, Engberg M, et al. (2002) Paternalism and autonomy: a presentation of a Nordic study on the use of coercion in the mental health care system. Int J Law Psychiatry 25:93–108PubMedCrossRef Høyer G, Kjellin L, Engberg M, et al. (2002) Paternalism and autonomy: a presentation of a Nordic study on the use of coercion in the mental health care system. Int J Law Psychiatry 25:93–108PubMedCrossRef
10.
Zurück zum Zitat Gardner W, Hoge S, Bennet N, et al. (1993) Two scales for measuring patients’ perception for coercion during mental hospital admission. Behav Sci Law 11:307–321PubMed Gardner W, Hoge S, Bennet N, et al. (1993) Two scales for measuring patients’ perception for coercion during mental hospital admission. Behav Sci Law 11:307–321PubMed
11.
Zurück zum Zitat American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders (DSM-IV), 4th edn. APA, Washington DC American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders (DSM-IV), 4th edn. APA, Washington DC
12.
Zurück zum Zitat Overall JE, Gorham DR (1962) The brief psychiatric rating scale. Psychol Rep 10:799–812CrossRef Overall JE, Gorham DR (1962) The brief psychiatric rating scale. Psychol Rep 10:799–812CrossRef
13.
Zurück zum Zitat Candefjord IL, Lampinen K, Ängfors G (1994) Patienters upplevelse av akut psykiatrisk vård. (Patients’ experiences of short-term inpatient psychiatric care. In Swedish). Soc Med Tidskr 71:447–453 Candefjord IL, Lampinen K, Ängfors G (1994) Patienters upplevelse av akut psykiatrisk vård. (Patients’ experiences of short-term inpatient psychiatric care. In Swedish). Soc Med Tidskr 71:447–453
14.
Zurück zum Zitat Kjellin L, Andersson K, Bartholdson E, et al. (2004) Coercion in psychiatric care - patients’ and relatives’ experiences from four Swedish psychiatric services. Nord J Psychiatry 58:153–159PubMedCrossRef Kjellin L, Andersson K, Bartholdson E, et al. (2004) Coercion in psychiatric care - patients’ and relatives’ experiences from four Swedish psychiatric services. Nord J Psychiatry 58:153–159PubMedCrossRef
15.
Zurück zum Zitat Gilbody S, House AO, Sheldon TA (2002) Outcomes research in mental health. Br J Psychiatry 181:8–16PubMedCrossRef Gilbody S, House AO, Sheldon TA (2002) Outcomes research in mental health. Br J Psychiatry 181:8–16PubMedCrossRef
16.
Zurück zum Zitat Rogers A (1993) Coercion and “voluntary” admission: an examination of psychiatric patient views. Behav Sci 11:259–267 Rogers A (1993) Coercion and “voluntary” admission: an examination of psychiatric patient views. Behav Sci 11:259–267
17.
Zurück zum Zitat Monahan J, Hoge SK, Lidz C, et al. (1995) Coercion and commitment. Understanding involuntary mental hospital admission. Int J Law Psychiatry 18:249–263PubMedCrossRef Monahan J, Hoge SK, Lidz C, et al. (1995) Coercion and commitment. Understanding involuntary mental hospital admission. Int J Law Psychiatry 18:249–263PubMedCrossRef
18.
Zurück zum Zitat Kjellin L, Westrin CG (1998) Involuntary admissions and coercive measures in psychiatric care. Int J Law Psychiatry 21:31–42PubMedCrossRef Kjellin L, Westrin CG (1998) Involuntary admissions and coercive measures in psychiatric care. Int J Law Psychiatry 21:31–42PubMedCrossRef
19.
Zurück zum Zitat Steinert T, Schmid P (2004) Effect of voluntariness of partipation in treatment on short-term outcome of inpatients with Schizophrenia. Psychiatric Serv 55:786–791CrossRef Steinert T, Schmid P (2004) Effect of voluntariness of partipation in treatment on short-term outcome of inpatients with Schizophrenia. Psychiatric Serv 55:786–791CrossRef
Metadaten
Titel
Short-term outcome of inpatient psychiatric care—impact of coercion and treatment characteristics
verfasst von
Tuula Wallsten, MD
Dr.med.sc. Lars Kjellin
Leif Lindström, MD, PhD
Publikationsdatum
01.12.2006
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 12/2006
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-006-0131-6

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