Skip to main content
×
Home
    • Aa
    • Aa
  • Get access
    Check if you have access via personal or institutional login
  • Cited by 21
  • Cited by
    This article has been cited by the following publications. This list is generated based on data provided by CrossRef.

    Chung, Woojin Oh, Sun-Min Suh, Tongwoo Lee, Young Moon Oh, Byoung Hoon and Yoon, Chung-Won 2010. Determinants of length of stay for psychiatric inpatients: Analysis of a national database covering the entire Korean elderly population. Health Policy, Vol. 94, Issue. 2, p. 120.


    van der Post, Louk Schoevers, Robert Koppelmans, Vincent Visch, Irene Bernardt, Clemens Mulder, Niels Beekman, Aartjan de Haan, Lieuwe and Dekker, Jack 2008. The Amsterdam Studies of Acute Psychiatry I (ASAP-I); A prospective cohort study of determinants and outcome of coercive versus voluntary treatment interventions in a metropolitan area. BMC Psychiatry, Vol. 8, Issue. 1,


    Fraguas, David García-Solano, Fernando Chapela, Esther Terán, Sara de la Peña, Juan José and Calcedo-Barba, Alfredo 2007. Do psychiatric patients improve their competency to consent to hospitalization after admission? A prospective study in an acute inpatient ward. General Hospital Psychiatry, Vol. 29, Issue. 1, p. 54.


    Blank, Karen Hixon, Laurel Gruman, Cindy Robison, Julie Hickey, Gene and Schwartz, Harold I. 2005. Determinants of Geropsychiatric Inpatient Length of Stay. Psychiatric Quarterly, Vol. 76, Issue. 2, p. 195.


    McFarland, Bentson H. Kovas, Anne E. Haugan, Shelby L. Pollack, David A. and Mahler, Jo M. 2005. Validity and reliability of an inpatient severity of psychiatric illness measure. International Journal of Methods in Psychiatric Research, Vol. 14, Issue. 2, p. 102.


    Soref, Erez and Devries, Helen M. 2005. Evaluation of a Partial Hospitalization Mental Health Program for Older Adults. Clinical Gerontologist, Vol. 28, Issue. 3, p. 27.


    George, Kuruvilla 2003. Abolishing waiting lists in an aged psychiatry service. Australasian Psychiatry, Vol. 11, Issue. 2, p. 185.


    Anderson, Rachel L. and Lyons, John S. 2001. Needs-based planning for persons with serious mental illness residing in intermediate care facilities. The Journal of Behavioral Health Services & Research, Vol. 28, Issue. 1, p. 104.


    Durbin, Janet Cochrane, Jeanette Goering, Paula and Macfarlane, Dianne 2001. Needs-based planning: Evaluation of a level-of-care planning model. The Journal of Behavioral Health Services & Research, Vol. 28, Issue. 1, p. 67.


    Greene, Elaine Cunningham, Conal J. Eustace, Andrew Kidd, Nick Clare, Anthony W. and Lawlor, Brian A. 2001. Recurrent falls are associated with increased length of stay in elderly psychiatric inpatients. International Journal of Geriatric Psychiatry, Vol. 16, Issue. 10, p. 965.


    Huyse, Frits J. Lyons, John S. Stiefel, Fritz Slaets, Joris De Jonge, Peter and Latour, Corine 2001. Operationalizing the Biopsychosocial Model: The INTERMED. Psychosomatics, Vol. 42, Issue. 1, p. 5.


    Draper, Brian 2000. The effectiveness of old age psychiatry services. International Journal of Geriatric Psychiatry, Vol. 15, Issue. 8, p. 687.


    Donenberg, Geri R. Lyons, John S. and Howard, Kenneth I. 1999. Clinical trials versus mental health services research: Contributions and connections. Journal of Clinical Psychology, Vol. 55, Issue. 9, p. 1135.


    Draper, Brian and Luscombe, Georgina 1999. The Effects of Physical Health upon the Outcome of Admission to an Acute Psychogeriatrics Ward. Australasian Journal on Ageing, Vol. 18, Issue. 3, p. 134.


    Durbin, Janet Goering, Paula Pink, George and Murray, Michael 1999. Classifying Psychiatric Inpatients. Medical Care, Vol. 37, Issue. 4, p. 415.


    Huyse, Frits J Lyons, John S Stiefel, Friedrich C Slaets, Joris P.J de Jonge, Peter Fink, Per Gans, Rijk O.B Guex, Patrice Herzog, Thomas Lobo, Antonio C. Smith, Graeme and Strack van Schijndel, Rob 1999. “INTERMED”: a method to assess health service needs. General Hospital Psychiatry, Vol. 21, Issue. 1, p. 39.


    Stiefel, Friedrich C. de Jonge, Peter Huyse, Frits J. Slaets, Joris P. J. Guex, Patrice Lyons, John S. Vannotti, Marco Fritsch, Carlo Moeri, Roland Leyvraz, Pierre F. So, Alexander and Spagnoli, Jacques 1999. INTERMED-An Assessment and Classification System for Case Complexity. Spine, Vol. 24, Issue. 4, p. 378.


    Leon, Scott C. Lyons, John S. Christopher, Nina J. and Miller, Sheldon I. 1998. Psychiatric Hospital Outcomes of Dual Diagnosis Patients Under Managed Care. The American Journal on Addictions, Vol. 7, Issue. 1, p. 81.


    Yohanna, Daniel Christopher, Nina J. Lyons, John S. Miller, Sheldon I. Slomowitz, Marcia and Bultema, Janice K. 1998. Characteristics of short-stay admissions to a psychiatric inpatient service. The Journal of Behavioral Health Services & Research, Vol. 25, Issue. 3, p. 337.


    Lansing, Amy E. Lyons, John S. Martens, Linda C. O'Mahoney, Michael T. Miller, Sheldon I. and Obolsky, Alexander 1997. The treatment of dangerous patients in managed care. General Hospital Psychiatry, Vol. 19, Issue. 2, p. 112.


    ×

Validity of the Severity of Psychiatric Illness Rating Scale in a Sample of Inpatients on a Psychogeriatric Unit

  • John S. Lyons (a1), Joan Colletta (a2), Maria Devens (a3) and Sanford I. Finkel (a1)
  • DOI: http://dx.doi.org/10.1017/S1041610295002158
  • Published online: 01 September 1995
Abstract

Previous efforts to define the case mix of psychiatric inpatients have generally relied on the use of psychiatric diagnosis, and have had little success elucidating the relationship between clinical outcome and resource utilization. The Severity of Psychiatric Illness (SPI) rating scale, a reliable chart-based system using nine clinical rating dimensions, has been developed by one of the authors for use in studying the case mix of psychiatric inpatients. This report is the first describing this scale. For a sample of 244 psychogeriatric patients, all but one of the dimensions were significantly correlated with at least one of the five baseline clinical assessments, and all but one of the SPI items were correlated with outcome assessment. Four dimensions of the SPI were related to clinical outcomes. The SPI also predicted length of stay (predicting 23% of the variance for patients discharged to their homes). This study provides strong evidence for the construct and predictive validity of the SPI among older adult psychiatric inpatients.

Copyright
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

International Psychogeriatrics
  • ISSN: 1041-6102
  • EISSN: 1741-203X
  • URL: /core/journals/international-psychogeriatrics
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×