Abstract
The day hospital has been utilized as a means both to maintain and improve remission status of previously hospitalized patients and, more recently, as an alternative to inpatient treatment. Although uniformly encouraging, the reports of treatment success are ambiguous and complicated by the recency and diversity of the programs. Proposals to reduce confusion in the areas of identification of population, definition of treatment, treatment effects, and assessment procedures are discussed. The concept of therapeutic community with its emphasis on socialization processes makes symptom reduction alone an insufficient criterion of treatment success. More comprehensive measures of the permanency of remission and quality of social adjustment are advocated.
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References
Aron, K. W., &Smith, S. The Bristol psychiatric day hospital.J. ment. Sci., 1953,99, 564–571.
Auld, F., Jr., &Murray, E. J. Content-analysis studies of psychotherapy.Psychol. Bull., 1955,52, 377–395.
Axel, M. Treatment of schizophrenia in a day hospital.Int. J. soc. Psychiat., 1959,5, 174–181.
Barnard, R. I. Achieving optimum use of the day hospital.Ment. Hosp., 1961,12 (May), 18–19.
Beecher, H. K. Measurement of subjective response. New York: Oxford Univ. Press, 1959.
Bellak, L. (Ed.).Handbook of community psychiatry and community mental health. New York: Grune & Stratton, 1964.
Bierer, J. Day hospitals: further developments.Int. J. soc. Psychiat, 1961,7, 148–151.
Bierer, J. The day hospital: therapy in a guided democracy.Ment. Hosp., 1962,13, 246–252.
Boag, T. J. The day hospital as a therapeutic community. In H. C. B. Denber (Ed.),Research conference on therapeutic community. Springfield, Ill.: Charles C Thomas, 1959. Pp. 165–176.
Campbell, D. T. Factors relevant to the validity of experiments in social settings.Psychol. Bull., 1957,54, 297–312.
Carse, J., Panton, N. E., &Watt, A. A. A district mental health service: the Worthing experiment.Lancet, 1958,1, 39–41.
Craft, M. An evaluation of treatment of depressive illness in a day hospital.Lancet, 1958,2, 149–151.
Cumming, J., &Cumming, Elaine.Ego & milieu. New York: Atherton Press, 1962.
Epps, R. L., &Hanes, Lee D. Day care of psychiatric patients. Springfield, Ill.: Charles C Thomas, 1964.
Fox, R., Rutter, M., &Smith, E. B. O. Psychiatric day hospitals.Lancet, 1960,1, 824–825.
Fulkerson, S. C., &Barry, J. R. Methodology and research on the prognostic use of psychological tests.Psychol. Bull., 1961,58, 177–204.
Goldstein, A. P. Therapist-patient expectancies in psychotherapy. New York: Pergamon Press, 1962.
Guy, W.,Gross, M., &Dennis, H. An alternative to the double blind procedure. Paper presented at the annual meeting of the American Psychiatric Association, Atlantic City, N.J., 1966.
Harrington, J. A., &Mayer-Gross, W. A day hospital for neurotics in an industrial community.J. ment. Sci., 1959,105, 224–234.
Herzog, E. Some guide lines for evaluative research. Wash., D.C.: U.S. Dept. of Health, Education, and Welfare, 1959.
Hogarty, G. E. A survey of normative adjustment in a rural community. Research Department, Springfield State Hospital, Sykesville, Md., 1964. (mimeo)
Hyde, R. W. Butler Health Center: first full year of operation.R.I. med. J., 1959,42, 515–519, 534–538.
Jones, Maxwell.Social psychiatry. Springfield, Ill.: Charles C Thomas, 1962.
Katz, M. M. Problems in evaluation of effectiveness of transitional facilities. In Milton Greenblatt, et al.,Mental patients in transition. Springfield, Ill.: Charles C Thomas, 1961. Pp. 118–126.
Klerman, G. L. Historical baselines for the evaluation of maintenance drug therapy of discharged psychiatric patients. In Milton Greenblatt, et al.,Mental patients in transition. Springfield, Ill.: Charles C Thomas, 1961. Pp. 287–301.
Klerman, G. L. Assessing the influence of the hospital milieu upon the effectiveness of psychiatric drug therapy: problems of conceptualization and of research methodology.J. nerv. ment. Dis., 1963,137, 143–154.
Kramer, B. M. Day hospital: a study on partial hospitalization in psychiatry. New York: Grune & Stratton, 1962.
Kris, Else B. Intensive short term therapy in a day care facility for control of recurrent psychotic symptoms.Amer. J. Psychiat., 1959,115, 1027–1028.
Kris, Else B.Drug therapy in a day care facility for relapse control, 1963. (mimeo)
McQuitty, L. L. Theories & methods in some objective assessments of psychological well-being.Psychol. Monogr., 1954,68, 1–18.
Rosenthal, R. On the social psychology of the psychological experiment.Amer. Sci., 1963,51, 268–283.
Scott, W. A. Research definitions of mental health and mental illness.Psychol. Bull., 1958,55, 29–45.
Smith, S., &Gross, E. G. W. Review of 1000 patients treated at a psychiatric day hospital.Int. J. soc. Psychiat., 1957,2, 292–298.
Stanton, A. H., &Schwartz, M. S. The mental hospital. New York: Basic Books, 1954.
Taft, R. Multiple methods of personality assessment.Psychol. Bull., 1959,56, 333–352.
Uhr, L., &Miller, J. (Eds.).Drugs and behavior. New York: John Wiley & Sons, 1960.
Wiener, D. N. Problems and directions for the day treatment center.Ment. Hyg., 1963,47, 411–417.
Zubin, J. Role of prognostic indicators in the evaluation of therapy. In J. O. Cole & R. W. Gerard (Eds.),Psychopharmacology: problems and evaluation. Washington, D.C.: National Academy of Science, 1959.
Zwerling, I., &Wilder, J. F. Day hospital treatment of psychotic patients.Curr. psychiat. Ther., 1962,2, 200–210.
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This study was supported in part by NIMH-PSC Grant MH-03672 and from Con tract PH-43-64-1140 with Biometrics Branch.
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Guy, W., Gross, G.M. Problems in the evaluation of day hospitals. Community Ment Health J 3, 111–118 (1967). https://doi.org/10.1007/BF01436055
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DOI: https://doi.org/10.1007/BF01436055