Abstract
There is evidence that home treatment is an effective alternative to hospital admission for patients with acute psychiatric illnesses. This report describes processes necessary to establish and disseminate home treatment programs as well as the impact and comparative cost of a home treatment program developed in Metropolitan Toronto. Organizational analysis revealed a number of essential structures and interactions necessary to facilitate smooth functioning for home treatment programs involving several agencies. Attitudes towards home treatment were positive, symptoms were reduced, family burden decreased, satisfaction was high and home treatment was preferred to hospital admission. Economic data indicate that home treatment is less costly than hospitalization.
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REFERENCES
Bergmark K, Wistedt R: CBS-R: A new scale for burden on relatives of schizophrenic patients and effects of education. Unpublished Report (1989) Karolinska Institute, Dandevyd, Sweden.
Burns T, Beadsmoore A, Bhat AV et al: A controlled trial of home-based acute psychiatric services. I: clinical and social outcome. British Journal of Psychiatry (1993), 163:49-54.
Hoult J: Community treatment of the acutely mentally ill. British Journal of Psychiatry (1986), 149:137-144.
Fenton FR, Tessier L, Struening EL: A comparative trial of home and hospital psychiatric care. Archives of General Psychiatry (1979), 36:1073-1079.
Langsley DG, Kaplan DM. The Treatment of Families in Crisis. New York: Grune and Stratton, 1968.
Larsen DL, Attkisson CL, Hargreaves WA et al: Assessment of client/patient satisfaction: development of a general scale. Evaluation and Program Planning (1979), 2:197-207.
Marks I: Innovations in mental health care delivery. British Journal of Psychiatry (1992), 160:589-597.
Overall JE, Gorham DR: The Brief Psychiatric Rating Scale. Psychological Reports (1962), 10:799-812.
Pasamanick B, Scarpitt F, Dinitz S: Schizophrenics in the Community: An Experimental Study in the Prevention of Hospitalization. New York: Appleton, Century, Crofts, 1967.
Rittenhouse JD. Without Hospitalization: An Experimental Study of Psychiatric Care in the Home. 1970.
Santos AB, Hawkins GD, Julius B et al: A pilot study of assertive community treatment for patients with chronic psychiatric disorders. American Journal of Psychiatry (1993), 150:501-504.
Stein LI, Test MA: Alternative to mental hospital treatment: 1. conceptual model, treatment program and clinical evaluation. Archives of General Psychiatry (1980), 37:392-397.
Weisbrod BA: A guide to benefit-cost analysis, as seen through a controlled experiment in treating the mentally ill. Journal of Health Politics, Policy and Law (1983), 7:808-845.
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Wasylenki, D., Gehrs, M., Goering, P. et al. A Home-Based Program for the Treatment of Acute Psychosis. Community Ment Health J 33, 151–162 (1997). https://doi.org/10.1023/A:1022479502283
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DOI: https://doi.org/10.1023/A:1022479502283