Irregular discharges from a dual diagnosis unit

作者: William M. Greenberg , Juan Otero , Linda Villanueva

DOI: 10.3109/00952999409106020

关键词:

摘要: Irregular discharges, previously studied on psychiatric or substance abuse treatment units, are a particular problem for dual diagnosis units. We examined demographic and clinical variables their association with irregular discharge from an acute inpatient unit, retrospectively reviewing 316 consecutive admissions. One hundred nineteen patients (37.7%) were irregularly discharged (61 AMA, 31 administrative, 27 elopements), staying average of 18.8 days compared 51.4 those regularly (p <. 001). Younger age =. 007) antisocial personality disorder 001) associated discharge; the attending psychiatrist was also significant 016). Demographic (sex, ethnicity, marital status, religion, employment, education, living circumstances), Axis I diagnosis, type number substances abused not predictive type. Patients within first week (40% irreg...

参考文章(50)
Axis II comorbidity in substance abusers. American Journal of Psychiatry. ,vol. 148, pp. 118- 120 ,(1991) , 10.1176/AJP.148.1.118
Patients who use drugs during inpatient substance abuse treatment. American Journal of Psychiatry. ,vol. 149, pp. 235- 239 ,(1992) , 10.1176/AJP.149.2.235
M.S. Phillips, H. Ali, Psychiatric patients who discharge themselves against medical advice. The Canadian Journal of Psychiatry. ,vol. 28, pp. 202- 205 ,(1983) , 10.1177/070674378302800310
Gail M. Barton, Nancy Scheer, A comparison of patients discharged against medical advice with a matched control group. American Journal of Psychiatry. ,vol. 131, pp. 1217- ,(2015) , 10.1176/AJP.131.11.1217
Jerry M. Lewis, Discharge Against Medical Advice Psychiatric Services. ,vol. 17, pp. 266- 270 ,(1966) , 10.1176/PS.17.9.266
Kenneth Minkoff, An integrated treatment model for dual diagnosis of psychosis and addiction Psychiatric Services. ,vol. 40, pp. 1031- 1036 ,(1989) , 10.1176/PS.40.10.1031
Alfred B. Lewis, Richard N. Kohl, The risk and prevention of abscondence from an open psychiatric unit Comprehensive Psychiatry. ,vol. 3, pp. 302- 308 ,(1962) , 10.1016/S0010-440X(62)80037-6
R J Davies, M F D'Souza, S P Simmonds, Puffs per aerosol. BMJ. ,vol. 1, pp. 177- 177 ,(1972) , 10.1136/BMJ.1.5793.177
John W. Welte, Gerard Hynes, Lloyd Sokolow, Joseph P. Lyons, Comparison of Clients Completing Inpatient Alcoholism Treatment with Clients Who Left Prematurely Alcoholism: Clinical and Experimental Research. ,vol. 5, pp. 393- 399 ,(1981) , 10.1111/J.1530-0277.1981.TB04922.X
D. J. Muller, The “Missing” Patient BMJ. ,vol. 1, pp. 177- 179 ,(1962) , 10.1136/BMJ.1.5272.177