Apuntes sobre efectividad y eficiencia de los programas de los hospitales de día de salud mental para niños y adolescentes

  1. Federico Cardelle-Pérez
  2. María Dolores Domínguez-Santos
Revista:
Revista de la Asociación Española de Neuropsiquiatría

ISSN: 0211-5735

Ano de publicación: 2024

Volume: 44

Número: 145

Páxinas: 213-228

Tipo: Artigo

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Outras publicacións en: Revista de la Asociación Española de Neuropsiquiatría

Resumo

Day hospitals are intermediate intensive treatment programs with a multidisci-plinary approach and focused on the community. Favorable cost-effectiveness would be a fundamental reason for health authorities to continue their implementation. Method:We have carried out an integrative review of day hospital programs for children and ado-lescents, focusing on their effectiveness and efficiency and considering the diagnoses of the patients attended. Results. Some findings in the literature are favorable in terms of effectiveness and efficiency for a group of disorders, although they suffer from limita-tions. Discussion. Its heterogeneous nature poses difficulties for clinical research. There are several methodological difficulties for the generalization of results. Conclusions. We must insist on the importance of designing new studies to evaluate the effectiveness and efficiency of day care programs for children and adolescents. A coordinated effort is needed to evaluate current models of care in a standardized way, as well as to conduct specific clinical guidelines for this population

Referencias bibliográficas

  • 32 Álvarez Subiela X, Sabria Ramiro O, Reina Olmo V. Evolución de los pacientes del hospital de día de adolescentes de Vilanova tras cinco y diez años del Alta. Rev Psiquiatr Infanto-Juv. 2017; 34 (2):198.
  • 5 Block BM, Lefkovitz PM. American Association for Partial Hospitalization standards and guidelines for partial hospitalization. Int J Partial Hosp. 1991; 7(1): 3-11.
  • 31 Bradic Z, Kosutic Z, Mitkovic Voncina M, Jahovic S, Todorovic D, Mandic Maravic V, et al. Multicomponent treatment in a day hospital for adolescents: A case of good practice. Psychiatr Serv. 2016; 67(9): 943–5.
  • 22 Briggs K, Choptiany T, Steinberg R. Treating teens: evaluation of a newly developed adolescent day hospital. Canadian Psychiatric Association Bulletin. 1997; 29: 79-81.
  • 36 Cornwall A, Blood L. Inpatient versus day treatment for substance abusing adolescents. J Nerv Ment Dis. 1998; 186: 580-582.
  • 8 Fernández Liria A, Gómez Beneyto M. Informe sobre la salud mental de niños y adolescentes. Cuadernos Técnicos, 14. Madrid: Asociación Española de Neuropsiquiatría, 2009.
  • 11 Ghuman H, Sarles R. Handbook of child and adolescent outpatient, day treatment and community psychiatry. Londres: Taylor & Francis Group, 1998.
  • 28 Gowers SG, Clark A, Roberts C, Griffiths A, Edwards V, Bryan C, et al. Clinical effectiveness of treatments for anorexia nervosa in adolescents: randomised controlled trial. Br J Psychiatry. 2007; 191: 427–35.
  • 10 Granello DH, Granello PF, Lee F. Measuring treatment outcome in a child and adolescent partial hospitalization program. Adm Policy Ment Health. 2000; 27(6): 409–22.
  • 19 Grizenko N, Papineau D, Sayegh L. Effectiveness of a multimodal day treatment program for children with disruptive behavior problems. J Am Acad Child Adolesc Psychiatry. 1993;32(1): 127–34.
  • 20 Grizenko N, Papineau D, Sayegh L. A comparison of day treatment and outpatient treatment for children with disruptive behaviour problems. Can J Psychiatry. 1993; 38(6): 432–5.
  • 18 Grizenko N, Papineau D. A comparison of the cost-effectiveness of day treatment and residential treatment for children with severe behaviour problems. Can J Psychiatry. 1992; 37(6): 393–400.
  • 21 Grizenko N. Outcome of multimodal day treatment for children with severe behavior problems: A five-year follow-up. J Am Acad Child Adolesc Psychiatry. 1997; 36(7): 989–97.
  • 23 Gualtero RD, Gibert M, Cuerva F, Domà M. Seguimiento de pacientes dados de alta de un hospital de día para adolescentes. Estudio descriptivo. Rev Asoc Esp Neuropsiq. 2007; 27(2): 21-9.
  • 25 Herpertz-Dahlmann B, Schwarte R, Krei M, Egberts K, Warnke A, Wewetzer C, et al. Day-patient treatment after short inpatient care versus continued inpatient treatment in adolescents with anorexia nervosa (ANDI): a multicentre, randomised, open-label, non-inferiority trial. Lancet. 2014; 383(9924): 1222–9.
  • 39 INSALUD. Guía de gestión del hospital de día psiquiátrico. Madrid: Instituto Nacional de Gestión Sanitaria (INSALUD), 2000.
  • 7 Jiménez Pascual AM. Hospital de día psiquiátrico para niños y adolescentes. Rev Asoc Esp Neuropsiq. 2001; 21(77): 115-24.
  • 2 Karterud S, Wilberg T, Pedersen G, Friis S, Irion T, Urnes Ø. Quality assurance of psychiatric day hospital treatment. II. Ward level. Nord J Psychiatry. 1998; 52(4): 327–35.
  • 29 Kennair N, Mellor D, Brann P. Evaluating the outcomes of adolescent day programs in an Australian child and adolescent mental health service. Clin Child Psychol Psychiatry. 2011; 16(1): 21–31.
  • 12 Kiser LJ, Ackerman BJ, Pruitt DB. A comparison of intensive psychiatric services for children and adolescents: cost of day treatment versus hospitalization. Int J Partial Hosp. 1987; 4(1): 17–27.
  • 14 Kiser LJ, Culhane DP, Hadley TR. The current practice of child and adolescent partial hospitalization: Results of a national survey. J Am Acad Child Adolesc Psychiatry. 1995; 34(10): 1336–42.
  • 16 Kiser LJ, Heston JD, Paavola M. Day treatment centers/partial hospitalization settings. En: Petti TA, Salguero C (eds.) Child and adolescent psychiatry: A manual of clinical practice and consultation. Arlington, VA: American Psychiatric Publishing, Inc., 2006; pp. 186–203.
  • 15 Kiser LJ, Millsap PA, Hickerson S, Heston JD, Nunn W, Pruitt DB, et al. Results of treatment one year later: child and adolescent partial hospitalization. J Am Acad Child Adolesc Psychiatry. 1996; 35(1): 81–90.
  • 13 Kiser LJ. Treatment-effectiveness research in child and adolescent partial hospitalization. Psychiatr Hosp. 1991; 22(2): 51–8.
  • 35 Lambert MJ, Barley DE. Research summary on the therapeutic relationship and psychotherapy outcome. Psychoterapy. 2001; 38(4): 357–61.
  • 38 Martín Bayón D. Trastornos psiquiátricos graves en la adolescencia (experiencia en hospital de día tipo comunidad terapéutica). Cuadernos de Psiquiatría y Psicoterapia del Niño y del Adolescente. 2009; 47: 151–62.
  • 26 Martínez Cantarero M, Gutiérrez Priego S, Bernaola Serrano E, Bernaola Serrano E, Morandé Lavín G. Comparación de los pacientes adolescentes ingresados en el hospital de día de trastornos de la conducta alimentaria en el último trimestre del año 2011 frente al del año 2012. Rev Psiquiatr Infanto-Juv. 2013; 30(2): 98.
  • 6 Mas Hesse J. Grupo de Trabajo de la Asociación Española de Neuropsiquiatría sobre Hospitales de Día. Cuadernos Técnicos, 12. Madrid: Asociación Española de Neuropsiquiatría, 2009.
  • 37 Matzner FJ, Silvan M, Silva RR, Alpert M. Intensive day program for psychiatrically disturbed truant adolescents. Am J Orthopsychiatry. 1998; 68(1): 135-41.
  • 9 Mollejo Aparicio E (coord.). Los trastornos mentales graves en la infancia y adolescencia. Madrid: Asociación Española de Neuropsiquiatría, 2012.
  • 24 Rodríguez Hernández PJ, Ramos Goñi JM, Lago García BM, Rodríguez Hernández Y. Análisis de costes de la hospitalización de día frente a la continua mediante un modelo markoviano. Rev Psiquiatr Infanto-Juv. 2008;25: 52-52.
  • 40 Rubenson MP, Gurtovenko K, Simmons SW,Thompson AD. Review: Patient outcomes in transdiagnostic adolescent partial hospitalization programs. J Am Acad Child Adolesc Psychiatry. 2023; 63(2): 136-153.
  • 17 Sayegh L, Grizenko N. Studies of the effectiveness of day treatment programs for children. Can J Psychiatry. 1991; 36(4): 246–53.
  • 27 Shepperd S, Doll H, Gowers S, James A, Fazel M, Fitzpatrick R, et al. Alternatives to inpatient mental health care for children and young people. Cochrane Database Syst Rev. 2009;15(2):CD006410.
  • 34 Tasca G, Balfour L, Bissada H, Busby K, Conrad G, Cameron P, et al. Treatment completion and outcome in a partial hospitalization program: Interactions among patient variables. Psychother Res. 1999; 9(2): 232–47.
  • 30 Thatte S, Makinen JA, Nguyen HNT, Hill EM, Flament MF. Partial hospitalization for youth with psychiatric disorders. J Nerv Ment Disease. 2013; 201(5): 429–34.
  • 4 The National Association of Private Psychiatric Hospitals and the American Association for Partial Hospitalization. De finition of partial hospitalization. Psychiatric Hospital. 1990; 21(2): 89-90.
  • 33 Tumuluru R, Sorter MT. Creating a unicorn: Developing a perfect partial hospitalization program. J Am Acad Child Adolesc Psychiatry. 2020; 59(10): Suppl. 26.
  • 1 Tumuluru R. What is a partial hospital program? Results of a national survey. J Am Acad Child Adolesc Psychiatry. 2020; 59(10): Suppl. 27.
  • 3 Weir RP, Bidwell SR. Therapeutic day programs in the treatment of adolescents with mental illness. Aust N Z J Psychiatry. 2000; 34(2): 264–70.
Fonte de datos: Dialnet