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dc.contributor.authorP. Segal, Steven
dc.contributor.authorPreston, Neil
dc.contributor.authorKisely, Steve
dc.contributor.authorXiao, Jianguo
dc.date.accessioned2017-05-03T14:18:27Z
dc.date.available2017-05-03T14:18:27Z
dc.date.issued2009
dc.date.modified2010-08-16T06:48:55Z
dc.identifier.issn10752730
dc.identifier.doi10.1176/appi.ps.60.1.94
dc.identifier.urihttp://hdl.handle.net/10072/28523
dc.description.abstractOBJECTIVE: 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.peerreviewedYes
dc.description.publicationstatusYes
dc.languageEnglish
dc.language.isoeng
dc.publisherAmerican Psychiatric Publishing, Inc.
dc.publisher.placeUnited States of America
dc.relation.ispartofstudentpublicationN
dc.relation.ispartofpagefrom94
dc.relation.ispartofpageto99
dc.relation.ispartofissue1
dc.relation.ispartofjournalPsychiatric Services
dc.relation.ispartofvolume60
dc.rights.retentionY
dc.subject.fieldofresearchMedical and Health Sciences not elsewhere classified
dc.subject.fieldofresearchPublic Health and Health Services
dc.subject.fieldofresearchcode119999
dc.subject.fieldofresearchcode1117
dc.titleConditional Release in Western Australia: Effect on Hospital Length of Stay
dc.typeJournal article
dc.type.descriptionC1 - Articles
dc.type.codeC - Journal Articles
gro.date.issued2009
gro.hasfulltextNo Full Text
gro.griffith.authorKisely, Steve R.


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