dc.contributor.author | P. Segal, Steven | |
dc.contributor.author | Preston, Neil | |
dc.contributor.author | Kisely, Steve | |
dc.contributor.author | Xiao, Jianguo | |
dc.date.accessioned | 2017-05-03T14:18:27Z | |
dc.date.available | 2017-05-03T14:18:27Z | |
dc.date.issued | 2009 | |
dc.date.modified | 2010-08-16T06:48:55Z | |
dc.identifier.issn | 10752730 | |
dc.identifier.doi | 10.1176/appi.ps.60.1.94 | |
dc.identifier.uri | http://hdl.handle.net/10072/28523 | |
dc.description.abstract | OBJECTIVE: The goal of this study was to determine whether the introduction of community treatment orders, which allow for conditional release from a psychiatric hospital, reduced inpatient episode durations in Western Australia by providing an alternative to extended inpatient stays. METHODS: The design compared 129 persons given community treatment orders and 117 matched control patients without such orders-all of whom were hospitalized during the same period both before and after the introduction of the community treatment order law that allows for conditional release. A multivariate analysis of covariance was used to evaluate the impact of community treatment orders on change in inpatient episode duration. RESULTS: The model showed a significant effect on inpatient episode duration (R2=.23, adjusted R2=.17, N=243, F=3.99, df=17 and 226, p<.001), indicating that community treatment orders (after taking all control factors into account) enabled a 19.16-day reduction per episode of inpatient care (t=2.13, df=1, p=.034) for persons given conditional release. Community-initiated treatment orders intended to prevent hospitalization, yet failing to do so, were associated with increased duration of subsequent hospitalizations (35.18 days; t=-3.36, df=1, p<.001). CONCLUSIONS: Community treatment orders can be a useful tool for some but not necessarily all objectives. In the form of conditional release, orders reduce the likelihood of extended hospital stays. As a means to prevent hospitalization, the utility of community treatment orders is more complex, being dependent on services provided and on the judicious selection of persons for these orders. | |
dc.description.peerreviewed | Yes | |
dc.description.publicationstatus | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | American Psychiatric Publishing, Inc. | |
dc.publisher.place | United States of America | |
dc.relation.ispartofstudentpublication | N | |
dc.relation.ispartofpagefrom | 94 | |
dc.relation.ispartofpageto | 99 | |
dc.relation.ispartofissue | 1 | |
dc.relation.ispartofjournal | Psychiatric Services | |
dc.relation.ispartofvolume | 60 | |
dc.rights.retention | Y | |
dc.subject.fieldofresearch | Medical and Health Sciences not elsewhere classified | |
dc.subject.fieldofresearch | Public Health and Health Services | |
dc.subject.fieldofresearchcode | 119999 | |
dc.subject.fieldofresearchcode | 1117 | |
dc.title | Conditional Release in Western Australia: Effect on Hospital Length of Stay | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.date.issued | 2009 | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Kisely, Steve R. | |