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A national survey of psychiatric day hospitals

  • Jane Briscoe (a1), Rosemarie McCabe (a1), Stefan Priebe (a1) and Thomas Kallert (a2)
Abstract
Aims and Method

We conducted a postal questionnaire survey of all psychiatric day hospitals in England to identify the range of aims, organisational structure and content of service provision.

Results

Of 102 identified day hospitals, 77% responded to the questionnaire. The findings confirmed that there is great heterogeneity in English day hospital service provision. The function or aim with the highest mean rating was ‘providing an alternative to in-patient care’, with 66% of day hospitals giving this a rating of great or greatest importance. However, the majority of respondents prioritised multiple roles, with many day hospitals aiming to provide acute and chronic care concurrently.

Clinical Implications

The label ‘day hospital’ covers a considerable range of community psychiatric services. The heterogeneity of service provision in existing day hospitals could lead to difficulties in generalising research findings on day hospital efficacy.

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Copyright
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
References
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Creed, F., Black, D., Anthony, P., et al (1990) Randomised controlled trial of day hospital versus inpatient psychiatric treatment. BMJ, 300, 10331037.
Creed, F., Mbaya, P., Lancashire, S., et al (1997) Cost effectiveness of day and in-patient psychiatric treatment. BMJ, 314, 13811385.
Holloway, F. (1991) Day care in an inner city. II: Quality of services. British Journal of Psychiatry, 158, 810816.
Horwitz-Lennon, M., Normand, S. L.T., Gaccione, P., et al (2001) Partial versus full hospitalisation for adults in psychiatric distress: a systematic review of the published literature. American Journal of Psychiatry, 158, 676685.
Marshall, M., Crowther, R., Almaraz-Serrano, A., et al (2001) Systematic reviews of the effectiveness of day care for people with severe mental disorders: (1) Acute day hospital versus admission; (2) Vocational rehabilitation; (3) Day hospital versus outpatient care. Health Technology Assessment, 5, 21.
Mbaya, P., Creed, F. & Tomenson, B. (1998) The different uses of day hospitals. Acta Psychiatrica Scandinavica, 98, 283287.
Pawson, R. & Tilley, N. (1997) Realistic Evaluation. London: Sage Publications Ltd.
Priebe, S. (2002) Making crisis day services happen in practice. Mental Health Times, 1, 1213.
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BJPsych Bulletin
  • ISSN: 0955-6036
  • EISSN: 1472-1473
  • URL: /core/journals/bjpsych-bulletin
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A national survey of psychiatric day hospitals

  • Jane Briscoe (a1), Rosemarie McCabe (a1), Stefan Priebe (a1) and Thomas Kallert (a2)
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