Citation

Yu-Chin R, Arcuni OJ. Gen. Hosp. Psychiatry 1990; 12(3): 153-158.

Affiliation

Department of Psychiatry, New York Medical College.

Erratum On

Gen Hosp Psychiatry 1990 Nov;12(6):412

Copyright

(Copyright © 1990, Elsevier Publishing)

DOI

unavailable

PMID

2256973

Abstract

This article describes management of two cases in a short-term medical/surgical setting developed by a crisis intervention service in a general community hospital. These patients have common links of suicidal threats, ambivalence about psychiatric hospitalization, and noncompliant character structures that lead to a manipulation of the mental health system. Cases selected are representative of a subset of patients who historically don't do well on a regular inpatient unit. We will examine the clinical change during short-term hospitalization, explore psychodynamic issues, and describe the integration within the overall mission of an acute care general hospital. The cost-saving implication for brief hospitalization in a medical/surgical setting for maintaining chronic mental patients in the community is also discussed.

Language: en