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Exclusive home treatment and hospital treatment for acute psychiatric disorder: a controlled evaluation

Smyth, Marcellino Gerard (1998)
M.D. thesis, University of Birmingham.

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Abstract

Home Treatment for acute psychiatric illness was compared to conventional hospitalisation in a design which focused on completed episodes of either exclusive alternative. The evaluation was conducted with the West Birmingham Home Treatment Team and All Saints Hospital, Birmingham. Forty cases in each group were examined with closely equivalent sociodemographic features and previous psychiatric history. The length of treatment, clinical outcome, identification and targeting of needs, readmission profile and client satisfaction were compared. The study focused on presentations involving mainly a diagnosis of severe mental illness. Home Treatment was significantly shorter and involved wider targeting of identified needs. There was no significant difference in terms of clinical outcome. Home Treatment and avoidance of admission were preferred by patients. The determinants of satisfaction with acute care in both settings was explored qualitatively. Significant design and sampling problems limit the generalisability of results. The case for and against Home Treatment is examined. The lessons learnt during the course of the study regarding the appropriate focused evaluation of Home Treatment and the place of Home Treatment as a particular model of intensive care are critically discussed.

Type of Work:M.D. thesis.
Supervisor(s):Sashidharan, S. P. S.
School/Faculty:Schools (1998 to 2008) > School of Medicine
Department:Psychiatry
Additional Information:

Appendix 8 is not available in this web version. Page 176, table 20, is missing.

Subjects:R Medicine (General)
Institution:University of Birmingham
Library Catalogue:Check for printed version of this thesis
ID Code:206
This unpublished thesis/dissertation is copyright of the author and/or third parties. The intellectual property rights of the author or third parties in respect of this work are as defined by The Copyright Designs and Patents Act 1988 or as modified by any successor legislation. Any use made of information contained in this thesis/dissertation must be in accordance with that legislation and must be properly acknowledged. Further distribution or reproduction in any format is prohibited without the permission of the copyright holder.
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