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Biomedical subjects

H Bengelsdorf

Publications and source records attributed to H Bengelsdorf.

7 recordsLinked to original sources
PubMed1993

The cost effectiveness of crisis intervention. Admission diversion savings can offset the high cost of service.

The authors sought to determine whether a mobile crisis intervention service can effect cost savings by diverting patients from hospital admission into community-based treatment. They followed 50 consenting adult psychiatric patients for 6 months from the first day they were seen by the crisis intervention service. At the first visit, the crisis team obtained data to assess each patient's degree of risk for hospitalization. Investigators then kept a day-by-day record of every psychiatric treatment received by each patient, in an effort to determine the cost effectiveness of crisis intervention. The authors present evidence that crisis intervention permits some patients who would otherwise have been hospitalized to remain in the community and that savings thus realized exceed the expense of crisis intervention.

Cluster Analysis↗
PubMed1992

Visual perceptual dysfunction in patients with schizophrenic and affective disorders versus control subjects.

Visual perception was evaluated with standard tests for 26 hospitalized patients with schizophrenia, 23 hospitalized patients with affective disorders, and 60 control subjects. Both patient groups differed significantly from the control group on low amplitude of accommodation, esophoria or exophoria, vergence duction suppression, and convergence and divergence recovery ductions. Only the affective group showed significantly reduced fusion at near distance, and only the schizophrenic group differed significantly from control subjects on disorganized left apex formation. These findings appear to confirm the presence of visual perceptual disorders that can cause disability in psychiatric patients, with important research and rehabilitation implications.

Adolescent↗
PubMed1987

A mobile crisis unit in the psychiatric emergency room.

A mobile psychiatric crisis intervention service based in the emergency room of a county receiving hospital sends teams into the community to screen and treat patients in crisis. The teams have been able to treat 70 percent of the patients seen in the community without hospitalization. Two-thirds of those hospitalized are admitted to nonpublic community hospitals, thus relieving the load on public institutions. To augment their work with patients, the teams employ a multisystems approach to treatment that attempts to identify and resolve problems not only within the patient's family, but also with the referring therapist and agency, and even with the crisis intervention service itself. The service has ensured its survival by paying close attention to the needs of its sponsoring institutions.

Community Mental Health Services↗
PubMed1984

A crisis triage rating scale. Brief dispositional assessment of patients at risk for hospitalization.

The authors have developed a brief rating scale to expedite the rapid screening of emergency psychiatric patients who require hospital admission from those who are suitable for outpatient crisis intervention treatment. The interviewers used this scale to assess and score the patient rapidly on the basis of three factors: dangerousness, support system, and motivation or ability to cooperate. The authors report on and discuss the use of the scale in a preliminary study of 300 cases and in a prospective study of 122 patients who were followed for 6 months after they were evaluated. They found that those who scored below a median point on the scale required hospitalization and those who scored higher were suitable for crisis intervention as outpatients.

Ambulatory Care↗