Biomedical subjects
Publications and source records attributed to A Frances.
This study compares day hospitalization with traditional outpatient treatment effecting rehospitalization, symptomatology, mood, community, and vocational adjustment for 30 recently discharged schizophrenic patients. Results indicate day hospital patients were significantly more involved in work and training activities, but had no significant difference in the other areas of measurement.
The authors describe their adaptation of focal therapy to the day hospital setting. Its goal is circumscribed characterological change through the interpretive uncovering of only one area of conflict. It has previously been used mainly with patients seen in individual outpatient treatment who are more likely to meet the regorous selection criteria; however, the day hospital's more intense setting permits it to be used with patients who would be disqualified in outpatient treatment. The authors present a case report of a severely disturbed woman who benefited significantly from the treatment technique.
This paper discusses the types of function a day hospital may serve and the choice between generalization and specialization in the creation of day-hospital structures. We suggest that a day hospital may serve as (1) an alternative to hospitalization or to shorten hospital stay; (2) as a long-term resocialization experience; and (3) as an intense brief therapy environment. The patient selection, goals, location, and staffing patterns most appropriate to each of these functions are discussed.
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