[On the efficacy of acute psychiatric day-care treatment in a one-year-follow-up. A comparison to inpatient treatment within a randomised controlled trial].
OBJECTIVE
To compare the effectiveness of acute psychiatric day-hospital treatment and inpatient treatment with respect to a one-year follow-up.


METHODS
Within a randomised controlled trial, patients and relatives were assessed at different levels of outcome three months and 12 months after patients' discharge using the Brief Psychiatric Rating Scale (24-Item-Version), the Manchester Assessment of Quality of Life (MANSA), the Groningen Social Disabilities Schedule (GSDS), the Berlin Inventory for the Assessment of Needs (BeBI), and the Involvement Evaluation Questionnaire (IEQ). Using estimation and test of contrasts in linear models of analysis of variance with structured covariance matrix, analyses conducted included data of all n = 191 patients having been included into the German centre of the study.


RESULTS
With respect to all measures, day-hospital treatment proved to be at least as effective as inpatient care.


CONCLUSIONS
The study supports earlier findings that showed no differences in long-term effectiveness of acute psychiatric day-hospital treatment as compared to inpatient treatment.
Schützwohl
Matthias
M
TU Dresden, Universitätsklinikum Carl Gustav Carus, Klinik und Poliklinik für Psychiatrie und Psychotherapie, Dresden, Germany. matthias.schuetzwohl@mailbox.tu-dresden.de
Koch
Rainer
R
Kallert
Thomas W
TW
D000208:Acute Disease; D010054:Brief Psychiatric Rating Scale; D017028:Caregivers / Q000523:psychology; D015331:Cohort Studies; D017281:Cost of Illness; D003419:Crisis Intervention; D003631:Day Care, Medical; D005500:Follow-Up Studies; D005858:Germany; D006760:Hospitalization; D006801:Humans; D010351:Patient Discharge; D011618:Psychotic Disorders / Q000523:psychology / Q000628:therapy*; D016896:Treatment Outcome