IN THE recent history of American psychiatry, the use of the hospital as a therapeutic intervention in the treatment of mental illness has been seriously questioned. Studies by Lafave,1 Mendel,2 and Pasamanick3 have shown that patients who are treated without the use of the hospital in the management of their acute and chronic illness tend to display less morbidity and make more satisfactory extramural adjustment than those who have been hospitalized. As a result of these studies and the general recognition of the antitherapeutic effects of prolonged and inappropriate hospitalization, much emphasis has been placed on the clarification of the indications for hospitalization. It is generally agreed, even by the most conservative thinkers in psychiatry, that the patient should not be hospitalized simply because he is mentally ill or because the decision maker does not know what else to
Mendel WM, Rapport S. Determinants of the Decision for Psychiatric Hospitalization. Arch Gen Psychiatry. 1969;20(3):321–328. doi:10.1001/archpsyc.1969.01740150065010
* * SCHEDULED MAINTENANCE * *
The JAMA Network Sites will be conducting routine maintenance from 10/20/2017 through 10/21/2017. During this window access to content and authentication may be intermittently available. The JAMA Store will be completely unavailable during the maintenance window.