International journal of partial hospitalization最新文献

Over the last 30 years, with the implementation of a catchment-area policy in France, a number of day hospitals have been created to replace full-time hospitalization or other residential programs as a treatment modality for child psychotics. Considered as one treatment possibility among others available in any given geographic area, day hospitals differ tremendously in how they are organized, but the approach to treatment has been, so far, inspired largely by psychoanalysis. Recently, parents favoring cognitive or behavioral techniques have begun to challenge that position. This paper contains an overview of the general situation in France and presents in greater detail methods used at the day hospital of the Rothschild Foundation, located in Paris' 13th district. Longitudinal studies going back to 1973 point to a need for extreme caution in establishing prognoses, as progress can occur when least expected. The authors favor a strategy of ongoing support for parents and children, devised on a case-by-case basis, rather than preestablished treatment plans applied according to symptoms.

This history of day hospitals and centers for children and adolescents in Great Britain is reviewed following the inception of the first day hospital in 1961. Since then different types of day units have developed, influenced by the setting, age of child, and diagnosis. A range of therapeutic approaches has been used. While the practice of day treatment in either a day hospital or a center for infants, children, and/or adolescents had taken firm root in Great Britain, very few studies have been carried out to evaluate the effectiveness of this treatment approach. Those studies which have been done demonstrate the complex nature of the research and the difficulty in fully understanding the data it produces.

The only day hospital for children and adolescents in the German-speaking part of Switzerland is located in Zurich. It has been operating since 1975 within the philosophical principles of dialogics. In this paper the author describes in detail the concept of dialogics as it relates to the beliefs and practices in carrying out an integrated therapeutic environment for children and their parents.

The information presented in this paper was the outgrowth of a symposium held in Dusseldorf, West Germany, in 1985. This gathering of professionals involved in day psychiatric treatment of children and adolescents from German-speaking areas represented a first step in a "getting-to-know-you" process. The data collated from the meetings are presented briefly in both tabular and narrative form and include a description of the history and current status of day-hospital treatment as a therapeutic modality in West Berlin, Dortmund, Dusseldorf, Kassel, Cologne, Mannheim, Marburg, Munich, and Zurich.

This article reports on a study which reviewed the utilization of six adult psychiatric day hospitals in a Canadian urban region. Part II of the study looks at the utilization patterns of these services through the examination of patients' demographics and clinical characteristics. The application of the study results to the planning of psychiatric services in the region is discussed.

The Partial Hospitalization Program at the Homewood Hospital Center, Johns Hopkins Health System, incorporated patient education groups as part of its regularly scheduled activities within an acute 30-day program. Patients often do not recognize their symptoms, know how to prevent relapse, or understand their illness. An organized approach to teaching patients concerning these three areas will be explored. The written teaching handouts which are given to patients are discussed.

In this keynote address, Dr. Zimet presents an overview of the status of child partial hospitalization in the United States and in the six western European countries she visited: England, France, Norway, Sweden, Switzerland, and The Netherlands. Based on this overview, she discusses her six wishes for the future of day treatment in the United States and invites the members of AAPH to join her in helping to make them come true.