Partial Hospitalization: A Current Perspective - Brossura

Luber, Raymond F. F.

Brossura

ISBN 10: 1461329663 ISBN 13: 9781461329664

Casa editrice: Springer, 2011

Riassunto

There was a time, not long ago, when the only treatment options considered to be worthwhile for patients requiring psychiatric care were the 50-minute hour on the one hand, or full-time hospitalization on the other. Most of us were convinced in those days that treatment could, and indeed should, take place with a minimum of involvement by the patient's family. Nor did we really consider that the community in which a patient lived was a significant contributor to either his illness or its cure. These naive assumptions were strongly challenged, of course, be­ ginning with the questions of social psychiatrists in the 50s and con­ tinuing with the quiet growth of the patients' rights movement. Thus it is no mere coincidence that when the community psychiatry movement emerged in the mid-60s as a powerful force for profound change in our traditional practice, the concept of partial hospitalization, which can be traced back at least 30 years, became a symbol of the new social psychiatry. Partial hospitalization had singular advantages well attuned to the times: it did not force a separation between the patient and his family; it cost far less to deliver than inpatient care; and it avoided the stigma of institutionalization while still providing far more care than the traditional psychotherapeutic hour. In a few years' time, several well­ controlled studies documented that virtually all patients who were cus­ tomarily treated on an inpatient basis could be effectively managed and treated in a day hospital.

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Contenuti

Foreword.- I: Treatment Approaches to Partial Hospitalization Introduction.- 1 The Scope and Growth of Partial Hospitalization.- Historical Development.- Patterns of Expansion and Growth.- Settings of Partial Hospitalization Programs and Diagnostic Categories Treated.- Reasons for Growth.- Problems of Partial Hospitalization.- Summary.- References.- 2 Behavioral Approaches to Partial Hospitalization.- Behaviorally Oriented Treatment.- Training Social and Daily Living Skills.- Summary.- References.- 3 Organization of the Therapeutic Milieu in the Partial Hospital.- Types of Milieu Organization.- Therapeutic Societies.- Social-Psychodynamic Organizations.- Staff Precursors of a Modern Milieu.- Developing an Open System.- Delivery of Therapeutic Functions to Patients.- Major Modalities That Make Up the Track System.- The Central Role of Negotiation in the Partial Hospital Milieu.- References.- II: Special Populations Introduction.- 4 Partial Hospitalization Programs for Children and Adolescents.- Types of Programs.- Proposed Advantages of Part-Time Institutional Care.- Education in Part-Time Treatment.- Appropriate Clients for Part-Time Treatment.- Empirical Basis for Part-Time Treatment.- Other Alternatives to Full-Time Residential Treatment.- Summary.- References.- 5 Partial Hospitalization for Mentally Retarded Citizens.- Background Considerations in Hospital Programming for Retarded Citizens.- Health versus Intellectual Status.- Health Related to Intellectual Status.- Biology versus Behavior.- Influence of Contemporary Social Philosophy.- Normalization.- Mainstreaming.- Interactional View.- Conventional and Emerging Hospitalization Options.- Full-Time Care: Hospitalization.- Residential.- Nonresidential.- Half-Time Care: Partial Hospitalization.- Intermittent.- Concurrent.- Part-Time Care: Direct Services.- Guidelines for Hospitalization of Retarded Persons.- References.- III: Research in Partial Hospitalization Introduction.- 6 Research Considerations.- Patterns of Utilization.- Program Evaluation.- Comparison of Partial Hospitalization with Inpatient Hospitalization.- Behavioral and Eclectic Procedures Contrasted.- Single-Case Research Approach.- Future Directions.- Summary.- References.- IV: Problems and Future Directions Introduction.- 7 Treatment Orientation and Program Implications.- Patient Populations.- Day Treatment versus Day Care.- Organizational Structure and Treatment Orientation.- Day Hospital for Acutely Disturbed Patients.- Day Hospital for the Chronic Patient.- Other Day Hospital Programs.- Cost of Treatment.- Summary.- References.- 8 Patient Population and Treatment Programming.- Homogeneous and Heterogeneous Patient Populations.- The Homogeneous Population.- The Heterogeneous Population.- Stratified Programming.- Homogeneous versus Heterogeneous Populations: An Overview.- Specialized Treatment Populations.- Programming for Specialized Psychiatric Populations.- Programming for Nonpsychiatric Populations.- The Extended Patient Population: The Family.- Summary.- References.- 9 Funding Partial Hospitalization Programs.- Financing Medical Care in the United States.- Financing Partial Hospitalization Programs.- Barriers to Financing Partial Hospitalization.- Summary.- References.- 10 Future Directions of Partial Hospitalization.- Research.- Program Function.- Patient Population.- Underutilization.- Conclusions.- References.- Author Index.

Dettagli dell'edizione

• Editore: Springer
• Data di pubblicazione: 2011
• Lingua: Inglese
• ISBN 10: 1461329663
• ISBN 13: 9781461329664
• Rilegatura: Copertina flessibile
• Numero di pagine: 224
• Contatto del produttore: ProductSafety@springernature.com; ProductSafety@springernature.com; ; Tiergartenstr. 17; Heidelberg; 69121; Germania