The integration of inpatient treatment and transitional day hospital: application of a problem-solving approach.
Because of the trend in inpatient psychiatry toward a marked decrease in length of hospitalization, clinicians must reconceptualize the manner in which psychosocial treatments are organized in the inpatient milieu. Considerable data suggest that problem-solving therapies may be a productive way to integrate the groups and activities in the therapeutic milieu. This paper describes the application of a problem-solving approach to the therapeutic milieu and indicates that the therapeutic gains from this approach may be enhanced by combining inpatient treatment with a transitional day hospital program. We identify the empirical underpinnings of this model and describe how it has been used to treat a schizophrenic patient. We suggest that problem-solving therapies are effective for promoting behavioral change on the general psychiatric inpatient unit.
Tulane University School of Medicine, New Orleans, LA.
F J
FJ
Sautter
C
C
Heaney
R
R
Hill
S V
SV
Edwards
D
D
Winstead
P
P
O'Neill
D000328:Adult; D003266:Continuity of Patient Care / Q000458:organization & administration*; D003631:Day Care, Medical / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008605:Mental Health Services / Q000458:organization & administration*; D008960:Models, Psychological; D011340:Problem Solving; D016730:Program Development; D011567:Psychiatric Department, Hospital / Q000458:organization & administration*; D012559:Schizophrenia / Q000628:therapy; D013808:Therapeutic Community