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June 1979

Brief HospitalizationTwo-Year Follow-up

Author Affiliations

From the Department of Community Services (Dr Herz) and the Evaluation Section, Department of Biometrics Research (Dr Endicott and Ms Gibbon), New York State Psychiatric Institute. Dr Herz is now with the Department of Psychiatry, State University of New York at Buffalo.

Arch Gen Psychiatry. 1979;36(6):701-705. doi:10.1001/archpsyc.1979.01780060091011

• This article presents the long-term follow-up effects of brief vs standard hospitalization on families. One hundred seventyfive newly admitted inpatients who lived with their families were randomly assigned to standard inpatient care, brief hospitalization followed by the availability of transitional day care, and brief hospitalization. All patients were offered follow-up outpatient treatment. Initial length of stay was 11 days for both brief hospitalization groups and 60 days for the standard group. The long-term results generally indicate little differential effect between treatments. When differences occurred, they generally favored the brief groups. For example, at one year the standard group families were judged to have a higher overall level of burden than the brief-day families. The findings suggest that patients are more likely to be rehospitalized because of their psychopathology than because of family burden.