Beschreibung
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.
Autorenporträt
InhaltsangabeForeword.- 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.
Herstellerkennzeichnung:
Springer Verlag GmbH
Tiergartenstr. 17
69121 Heidelberg
DE
E-Mail: juergen.hartmann@springer.com
