Partial Hospitalization

1. Front Matter

   Pages i-xvii

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2. Treatment Approaches to Partial Hospitalization

   1. Front Matter

      Pages 1-1

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   2. The Growth and Scope of Partial Hospitalization

      • Raymond F. Luber

      Pages 3-20

   3. Behavioral Approaches to Partial Hospitalization

      • Thad A. Eckman Jr.

      Pages 21-46

   4. Organization of the Therapeutic Milieu in the Partial Hospital

      • Stephen Washburn, Marguerite Conrad

      Pages 47-70

3. Special Populations

   1. Front Matter

      Pages 71-71

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   2. Partial Hospitalization Programs for Children and Adolescents

      • Benjamin B. Lahey, David L. Kupfer

      Pages 73-90

   3. Partial Hospitalization for Mentally Retarded Citizens

      • John T. Neisworth, V. DeCarolis Feeg

      Pages 91-102

4. Research in Partial Hospitalization

   1. Front Matter

      Pages 103-103

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   2. Research Considerations

      • Michel Hersen

      Pages 105-135

5. Problems and Fututre Directions

   1. Front Matter

      Pages 137-138

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   2. Treatment Orientation and Program Implications

      • Samuel M. Turner

      Pages 139-150

   3. Patient Population and Treatment Programming

      • Paul M. Lefkovitz

      Pages 151-171

   4. Funding Partial Hospitalization Programs

      • F. Dee Goldberg, Joan Perrault

      Pages 173-181

   5. Future Directions of Partial Hospitalization

      • Raymond F. Luber

      Pages 183-197

6. Back Matter

   Pages 199-205

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There was a time, not long ago, when the only treatment options considered to be worthwhile for patients requiring psychiatric care were the 50-minute hour on the one hand, or full-time hospitalization on the other. Most of us were convinced in those days that treatment could, and indeed should, take place with a minimum of involvement by the patient's family. Nor did we really consider that the community in which a patient lived was a significant contributor to either his illness or its cure. These naive assumptions were strongly challenged, of course, be­ ginning with the questions of social psychiatrists in the 50s and con­ tinuing with the quiet growth of the patients' rights movement. Thus it is no mere coincidence that when the community psychiatry movement emerged in the mid-60s as a powerful force for profound change in our traditional practice, the concept of partial hospitalization, which can be traced back at least 30 years, became a symbol of the new social psychiatry. Partial hospitalization had singular advantages well attuned to the times: it did not force a separation between the patient and his family; it cost far less to deliver than inpatient care; and it avoided the stigma of institutionalization while still providing far more care than the traditional psychotherapeutic hour. In a few years' time, several well­ controlled studies documented that virtually all patients who were cus­ tomarily treated on an inpatient basis could be effectively managed and treated in a day hospital.

• minimum
• time
• partial differential equations

• Partial Hospitalization, Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, USA

  Raymond F. Luber

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