TY - JOUR
T1 - Inpatient psychiatric care in the 21st century
T2 - The need for reform
AU - Glick, Ira D.
AU - Sharfstein, Steven S.
AU - Schwartz, Harold I.
PY - 2011/2
Y1 - 2011/2
N2 - Driven by financial pressures, the sole focus of psychiatric inpatient treatment has become safety and crisis stabilization. Data are lacking on outcomes of ultrashortstay hospitalizations; however, such stays may diminish opportunities for a sustained recovery. In the absence of an evidence base to guide clinicians and policy makers, mental health professionals have an ethical obligation to promote what they consider to be best practice. This Open Forum focuses on the need to reconsider the current model of inpatient hospitalization in order to maximize positive outcomes and emphasize appropriate transition to the community and less intensive levels of care. A model of care is presented based on rapid formulation of diagnosis, goals, and treatment modalities before treatment begins. Three phases are described - assessment, implementation, and resolution - with specific principles to guide length-of-stay decisions and requirements for staffing.
AB - Driven by financial pressures, the sole focus of psychiatric inpatient treatment has become safety and crisis stabilization. Data are lacking on outcomes of ultrashortstay hospitalizations; however, such stays may diminish opportunities for a sustained recovery. In the absence of an evidence base to guide clinicians and policy makers, mental health professionals have an ethical obligation to promote what they consider to be best practice. This Open Forum focuses on the need to reconsider the current model of inpatient hospitalization in order to maximize positive outcomes and emphasize appropriate transition to the community and less intensive levels of care. A model of care is presented based on rapid formulation of diagnosis, goals, and treatment modalities before treatment begins. Three phases are described - assessment, implementation, and resolution - with specific principles to guide length-of-stay decisions and requirements for staffing.
UR - http://www.scopus.com/inward/record.url?scp=79953043095&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79953043095&partnerID=8YFLogxK
U2 - 10.1176/ps.62.2.pss6202_0206
DO - 10.1176/ps.62.2.pss6202_0206
M3 - Short survey
C2 - 21285100
AN - SCOPUS:79953043095
SN - 1075-2730
VL - 62
SP - 206
EP - 209
JO - Hospital and Community Psychiatry
JF - Hospital and Community Psychiatry
IS - 2
ER -