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Inpatient Treatment of Schizophrenia in General Hospitals
Mark Olfson; Ira D. Glick; David Mechanic
Psychiatric Services 1993; doi:
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This work was supported in part by a grant from the Robert Wood Johnson Foundation and the National Institute of Mental Health-Rutgers Center for Research on the Organization and Financing of Care for the Severely Mentally III. The authors are indebted to Peter Marzuk, M.D., for helpful comments on an earlier version of the paper.

College of Physicians, Surgeons of Columbia University; New York State Psychiatric Institute, Box 47, 722 West 168th Street, New York, New York 10032

Cornell University Medical College in New York City

Rutgers University in New Brunswick, New Jersey

1993 by the American Psychiatric Association

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Abstract

Objective: To improve treatment of schizophrenic patients in short-term inpatient units, the authors review studies of interventions that have been implemented with schizophrenic patients during brief hospitalizations and suggest areas for future research. Methods: The review is organized around seven general treatment domains, including the therapeutic alliance, continuity of care, family involvement, procurement of community services, psychosocial rehabilitation, medication compliance, and substance abuse treatment. Results and conclusions: Because schizopbrenic patients have traditionally been treated in long-term settings, little literature exists to inform interventions on short-term units. The authors suggest that general hospital staff strengthen the treatment alliance between patients and outpatient clinicians, aggressively pursue community supports, work to ensure patients' follow-up with outpatient care, and consider depot medications and patient education to promote medication compliance.

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