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Integration of General Hospital Psychiatric Services With Freestanding Psychiatric Hospitals
Richard J. Goldberg; Barry S. Fogel
Psychiatric Services 1989; doi:
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Rhode Island Hospital, Providence, Rhode Island 02903, Women and Infants Hospital in Providence. The Departments of Psychiatry and Medicine at Brown University

Department of Psychiatry, The Center for Gerontology and Health Care Research at Brown University

1989 by the American Psychiatric Association

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Abstract

General medical hospitals and freestanding psychiatric hospitals usually function independently. The authors review the relative strengths and weaknesses of the two settings and suggest a plan for a rational coordination of services. In an efficient integrated system, the general hospital would provide emergency psychiatric services and treat patients with combined medical and psychiatric conditions. The freestanding facility would offer inpatient and outpatient services, as well as partial hospitalization and transitional living arrangements, to psychiatric patients without medical complications. All facilities would share professional staff and data processing capabilities and would have common policies and procedures, reducing the cost of treatment and facilitating patient transfers.

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