Yael Delayahu1, Yael Nehama2, Adi Sagi3, Yehuda Baruch1, David M Blass4. 1. Abarbanel Mental Health Center, Bat Yam, Israel Tel Aviv University, Sackler School of Medicine, Tel Aviv, Israel. 2. Tel Aviv University, Sackler School of Medicine, Tel Aviv, Israel Petach Tikva Community Mental Health Center, Petach Tikva, Israel. 3. Abarbanel Mental Health Center, Bat Yam, Israel Department of Behavioral Sciences, The Academic College of Tel Aviv- Yaffo, Tel Aviv, Israel. 4. Abarbanel Mental Health Center, Bat Yam, Israel Johns Hopkins University School of Medicine, Department of Psychiatry and Behavioral Sciences, Baltimore, Maryland, U.S.A. Phoebe Berman Bioethics Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, U.S.A.
Abstract
BACKGROUND: We aimed to identify characteristics and outcomes of involuntary and voluntary admissions of dual-diagnosis patients in a single, large mental health center in Israel. METHODS: Using a retrospective chart review methodology, 24 patient records were reviewed spanning a period of five years; clinical and demographic variables of voluntary and involuntary admissions were compared. RESULTS: No significant differences were found in sociodemographic characteristics, admission diagnosis and length of hospitalization between the two types of admission. A smaller proportion of patients discharged from involuntary admissions were in remission compared to those discharged from voluntary admission. Nevertheless, involuntary admissions were associated with longer time to next hospitalization. LIMITATIONS: The data were based on a small number of patients in a single ward, thus the generalizability of the results is uncertain. CONCLUSIONS: The finding of the current study that involuntary admission leads to longer tenure in the community suggests that there may be clinical advantages to involuntary admissions for certain dual diagnosis patients.
BACKGROUND: We aimed to identify characteristics and outcomes of involuntary and voluntary admissions of dual-diagnosis patients in a single, large mental health center in Israel. METHODS: Using a retrospective chart review methodology, 24 patient records were reviewed spanning a period of five years; clinical and demographic variables of voluntary and involuntary admissions were compared. RESULTS: No significant differences were found in sociodemographic characteristics, admission diagnosis and length of hospitalization between the two types of admission. A smaller proportion of patients discharged from involuntary admissions were in remission compared to those discharged from voluntary admission. Nevertheless, involuntary admissions were associated with longer time to next hospitalization. LIMITATIONS: The data were based on a small number of patients in a single ward, thus the generalizability of the results is uncertain. CONCLUSIONS: The finding of the current study that involuntary admission leads to longer tenure in the community suggests that there may be clinical advantages to involuntary admissions for certain dual diagnosis patients.
Authors: Sönke Johann Peters; Mario Schmitz-Buhl; Olaf Karasch; Jürgen Zielasek; Euphrosyne Gouzoulis-Mayfrank Journal: BMC Psychiatry Date: 2022-07-14 Impact factor: 4.144