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Article   |    
Psychiatric Episodes in General Hospitals Without Psychiatric Units
Michael Hendryx; Richard R. Bootzin
Psychiatric Services 1986; doi:
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The Department of Behavioral Sciences at the University of Chicago, 5848 South University Avenue, Chicago, Illinois 60637

Northwestern University

1986 American Psychiatric Association

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Forty percent of inpatient psychiatric episodes are treated in general hospitals without psychiatric units, but little is known about these patients and their treatment. A survey of medical records personnel at 452 hospitals without psychiatric units revealed that the hospitals' psychiatric patients typically lived at home, were admitted through the emergency room because of a substance abuse disorder, received active medical treatment, were discharged back home after about four days, and paid with private insurance. The hospitals that treated primarily substance abusers provided a significantly different mix of treatments than did those that treated primarily patients with traditional diagnoses. The data suggest that general hospitals without psychiatric units may provide appropriate treatment for psychiatric patients, especially those with a substance abuse disorder.

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