Normalizing acute care: a day hospital/crisis residence alternative to inpatient hospitalization.
Normalization is the use of culturally valued means to enable people with disabilities to live culturally valued lives. In this article, the authors describe an effort to bring normalization practices to acute psychiatric care. They describe a day hospital/crisis respite diversion program that serves as an alternative to acute inpatient hospitalization and sketch the research project that fostered it. The authors argue that a day hospital/ crisis respite provides effective clinical care comparable to inpatient hospitalization but achieves greater potential for recovery through a normalizing philosophy and practice. An implication of this finding is that such programs based on the principle of normalization may be both cost effective as well as more empowering for patients.
Rakfeldt
J
J
Social Work Department, Southern Connecticnt State University, Ave, New Haven 06515-1355, USA.
Tebes
J K
JK
Steiner
J
J
Walker
P L
PL
Davidson
L
L
Sledge
W H
WH
D000208:Acute Disease; D000328:Adult; D001714:Bipolar Disorder / Q000188:drug therapy; D003155:Community Mental Health Centers / Q000458:organization & administration; D003362:Cost-Benefit Analysis; D003419:Crisis Intervention / Q000191:economics; D003631:Day Care, Medical / Q000191:economics; D005260:Female; D016352:Group Homes / Q000458:organization & administration; D017048:Health Care Costs; D006302:Health Services Research; D006760:Hospitalization / Q000191:economics; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D011618:Psychotic Disorders / Q000188:drug therapy