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Article   |    
Effects of Long-Term Psychiatric Hospitalization for Young, Treatment-Refractory Patients
William S. Edell; Ralph E. Hoffman; Stephen A. DiPietro; Diane F. Harcherik
Psychiatric Services 1990; doi:
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The authors thank Jeri Doane, Ph.D., Joanne Mezger, Martin Harrow, Ph.D., Thomas McGlashan, M.D., John Strauss, M.D., Gary Tischler, M.D., and Sheila Wellington, M.P.H., for their assistance with this project.

Evaluation Unit

Yale Psychiatric Institute in New Haven, Connecticut

Department of Mental Health in Bridgeport, Connecticut

1990 by the American Psychiatric Association

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Although short-term hospitalization has been shown to be effective in helping severely impaired psychiatric patients improve, such improvement is for some only temporary. Young, treatment-refractory patients who have failed to respond to previous brief hospitalization and outpatient treatments may benefit more from longer-term hospitalization. The authors report on a three-and-a-half-year follow-up study of 55 young adult and adolescent treatment-refractory inpatients after long-term hospitalization. Significant improvements in recidivism, quality of life, and overall functioning were found between discharge and the follow-up assessment. The authors conclude that potential benefits of long-term hospitalization for this subgroup warrant further empirical study.

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