title: Patients' subjective initial response and the outcome of inpatient and day hospital treatment.
abstract: OBJECTIVE
  This study aimed to establish whether psychiatric patients' subjective initial response (SIR) to hospital and day hospital treatment predicts outcomes over a one-year follow-up period.
  
  
  METHODS
  We analysed data from 765 patients who were randomised to acute psychiatric treatment in a hospital or day hospital. SIR was assessed on day 3 after admission. Outcomes were psychiatric symptom levels and social disability at discharge, and at 3 and 12 months after discharge.
  
  
  RESULTS
  After controlling for socio-demographic and clinical characteristics, a more positive SIR was significantly associated with lower symptom levels at discharge and 3 months after discharge and lower social disability at 3 months and 12 months after discharge.
  
  
  CONCLUSIONS
  SIR can predict outcomes of complex interventions over a one-year period. Patients' initial views of acute hospital and day treatment should be elicited and considered as important.
authors.affiliation: Unit for Social and Community Psychiatry, Queen Mary University of London, Academic Unit, Cherry Tree Lane, Glen Road, Plaistow, E13 8SP, UK. s.priebe@qmul.ac.uk
authors.forename: S
authors.initials: S
authors.lastname: Priebe
authors.forename: K
authors.initials: K
authors.lastname: Barnicot
authors.forename: R
authors.initials: R
authors.lastname: McCabe
authors.forename: A
authors.initials: A
authors.lastname: Kiejna
authors.forename: P
authors.initials: P
authors.lastname: Nawka
authors.forename: J
authors.initials: J
authors.lastname: Raboch
authors.forename: M
authors.initials: M
authors.lastname: Schützwohl
authors.forename: T
authors.initials: T
authors.lastname: Kallert
mesh_terms: D000328:Adult; D001526:Behavioral Symptoms / Q000175:diagnosis*; D003631:Day Care, Medical / Q000592:standards; D004185:Disability Evaluation; D004637:Emergency Services, Psychiatric / Q000592:standards; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006778:Hospitals, Psychiatric / Q000592:standards*; D006801:Humans; D007297:Inpatients / Q000523:psychology; D038801:International Classification of Diseases; D008297:Male; D001523:Mental Disorders / Q000175:diagnosis / Q000628:therapy*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000379:methods* / Q000706:statistics & numerical data; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D012917:Social Adjustment