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Factors associated with unplanned discharge from psychiatric day treatment programs

Factors associated with unplanned discharge from psychiatric day treatment programs,10.1016/S0163-8343(97)00052-2,General Hospital Psychiatry,K. Gilli

Factors associated with unplanned discharge from psychiatric day treatment programs   (Citations: 2)
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This study describes and evaluates the adequacy of sociodemographic and clinical descriptors as potential predictors of unplanned discharge from and completion of psychiatric day treatment programs. A 2-year retrospective chart review was completed on all patients (N = 327) attending three university-affiliated day treatment programs. Statistical comparisons were made between those patients who completed and those who had unplanned discharge. Logistic regression was used to generate a predictive model of unplanned discharge using identified variables. The rate of unplanned discharge was 54%. Factors associated with program completion were diagnoses of major depression or posttraumatic stress disorder, a history of completing a prior day treatment program, and higher education levels. Active substance abuse and a history of three or more inpatient admissions were associated with unplanned discharge. The predictive model was able to correctly classify 71% of patients completing day treatment programs and 43% of patients with unplanned discharges. Traditional demographic and clinical variables contribute differentially to program completion/noncompletion. Given the relatively poor predictability of unplanned discharge in this study, patient selection practices based on these factors alone may be some-what limiting. Interactive effects of patient and program characteristics need to be addressed to improve program outcome.
Journal: General Hospital Psychiatry - GEN HOSP PSYCHIAT , vol. 19, no. 5, pp. 355-361, 1997
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