title: Four-year assessment of a day hospital-inn program as an alternative to inpatient hospitalization.
abstract: The authors report on a new system of care in which all patients who require psychiatric hospitalization are admitted to a day hospital with an inn and an intensive care unit. Data on use of services, length of stay, recidivism, security, medical emergencies, staff accidents, and seclusion and restraint over a 4-year period suggest that the new delivery system provides care which is at least as effective as the previous system of care. Evidence is presented that the new system offers certain advantages, including less seclusion and restraint, fewer episodes of escape, and substantial cost savings.
mesh_terms: D003155:Community Mental Health Centers / Q000191:economics / Q000458:organization & administration* / Q000706:statistics & numerical data; D003365:Costs and Cost Analysis; D003631:Day Care, Medical / Q000191:economics / Q000458:organization & administration / Q000706:statistics & numerical data*; D005069:Evaluation Studies as Topic; D006754:Hospital Restructuring; D006760:Hospitalization / Q000191:economics / Q000458:organization & administration; D006801:Humans; D007362:Intensive Care Units / Q000706:statistics & numerical data; D007902:Length of Stay; D008404:Massachusetts; D001523:Mental Disorders / Q000628:therapy*; D010043:Outcome and Process Assessment, Health Care; D010359:Patient Readmission; D012112:Residential Facilities / Q000191:economics / Q000706:statistics & numerical data; D012149:Restraint, Physical; D012934:Social Isolation