Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
Initial Evaluation of Reorganized Hospitalization Services in a Community Mental Health Center
David E.K. Hunter; William P. Buick; Thomas Wellington; Gloria Dzerovych
Psychiatric Services 1993; doi:
View Author and Article Information

The authors are grateful to Miles F. Shore, M.D., Fernando Rodriguez-Villa, M.D., William Buffett, Ed.D., M.S.W., Barbara Dickey, Ph.D., Sondra Hellman, R.N., M.S., and the staff of the Massachusetts Mental Health Center for their generous contributions of time and inspiration and to Sheila A. Bell, R.N., who helped plan the reorganization and was the first director of the psychiatric intensive care unit.

Cedarcrest Regional Hospital, 525 Russell Road, Newington, Connecticut 06111

Griffin Hospital in Derby, Connecticut; Greater Bridgeport CMHC

Greater Bridgeport Community Mental Health Center in Bridgeport, Connecticut

1993 by the American Psychiatric Association

text A A A
PDF of the full text article.

Objective: Two locked inpatient units at an inner-city community mental health center were reorganized as a hospitalization service consisting of a 22-bed intensive care inpatient unit, an acutetreatment day hospital for 20 patients, and a 23-bed transitional residence program. Levels of functioning of hospitalized patients treated before and after the reorganization were compared to determine if the reorganized program as a whole was more effective clinically than the two inpatient units had been. Methods: The authors retrospectively compared levels of functioning at discharge of random samples of 10 percent of patients treated in the ten months before the reorganization (N=66) and 10 percent of the intensive care and day hospital patients treated in the same ten calendar months afterward (N=78). They also compared data on episodes of seclusion and restraint and on patient flow in the two time periods. Results: The mean functional level of intensive care and day hospital patients treated in the reorganized service was significantly higher than the level of inpatients treated before. The mean duration of episodes of seclusion, but not of restraint, decreased significantly. Total service admissions and readmissions increased from 493 to 603. Conclusions: The reorganized service encouraged patients to function at higher levels. However, such a program must be affiliated with a diversified and well-functioning outpatient service that can divert some potential inpatients to appropriate alternative treatments and help move patients out of the day hospital-residential program when they are stabilized.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).




CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe

Related Content
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 5.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 31.  >
DSM-5™ Clinical Cases > Chapter 5.  >
DSM-5™ Clinical Cases > Chapter 4.  >
The American Psychiatric Publishing Textbook of Psychopharmacology, 4th Edition > Chapter 53.  >
Topic Collections
Psychiatric News
PubMed Articles