• Factors related to the decision to hospitalize applicants for psychiatric treatment at a Veterans Administration hospital were explored. For a three-week period, decision makers completed questionnaires following interviews with applicants. It was found that 79% of the applicants were "revolving door" patients. These patients were much less likely to be married, and more likely to be homeless and diagnosed as schizophrenic, than patients without previous hospitalizations. A small number of patients were admitted because of characteristics of their illness regardless of their social situations. Patients were not hospitalized on the basis of social or nonpsychiatric criteria alone. A large number were admitted because of a combination of factors, some social in nature and others related to their psychopathology. A social process taking place in the screening interview appeared to have some influence in the decision to admit.
Sonya Orleans Rose, James Hawkins. Decision to AdmitCriteria for Admission and Readmission to a Veterans Administration Hospital. Arch Gen Psychiatry. 1977;34(4):418–421. doi:10.1001/archpsyc.1977.01770160052003