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• W96238875 abstract "Background:Literature indicates widespread dissatisfaction with UK acute psychiatric wards.Patients report boredom and insufficient time with staff. Residential alternatives toacute wards have been developed.Aims:1) To review literature for the effectiveness and acceptability of alternatives2) To identify or develop measures of content of care for acute inpatient andresidential crisis services3) To compare the content of care at alternatives and standard services andunderstand its relationship to patient satisfaction. Hypotheses tested were thatalternatives provide greater total care, more social and psychologicalinterventions but fewer physical and pharmacological interventions than standardwards.Method:A systematic review of studies evaluating alternatives was conducted. Measuresof content of care were reviewed. New measures were developed (CaSPAR,CaRICE and CCCQ-P) and their psychometrics explored.Data were collected from 4 alternatives and 4 standard services using CaSPAR(n=224), CaRICE (1 recording week per service), CCCQ-P and CSQ (n=314).The relationship of service type, patient characteristics and CCCQ-P scores topatient satisfaction was explored.Results:The limited current evidence does not contra-indicate alternatives and suggestspatient satisfaction may be greater at community alternatives than standardwards.No study hypotheses were corroborated. Sub-group analysis indicatedcommunity alternatives provided more psychological and less physical andpharmacological care than standard wards. All CCCQ-P variables were significantly associated with patient satisfaction. Patient satisfaction was greatestat community alternatives. It remained significantly greater at alternatives thanstandard wards after adjusting for CCCQ-P variables.Discussion:Community alternatives are a promising service model. Their greateracceptability than standard wards was not explained by measured differences incare. Intensity of care may influence patient satisfaction more than the types ofintervention provided. Increasing staff-patient contact should be an aim foralternative and standard services. There may be differing, valid perspectivesabout what constitutes care: multi-methods assessment is required." @default.
• W96238875 created "2016-06-24" @default.
• W96238875 creator A5029233265 @default.
• W96238875 date "2010-01-01" @default.
• W96238875 modified "2023-09-25" @default.
• W96238875 title "Acute inpatient mental health wards and inpatient alternatives : a quantitative comparison of the care provided" @default.
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