The literature regarding the decision-making process leading to psychiatric hospitalization in a general hospital is reviewed. On the basis of the limited data available in the literature, a decision-making model is proposed, based on variables relating to the clinician, the patient and the situational context.
References
1.
BaxterS., ChodorkoffB., UnderhillR.: Psychiatric emergencies: dispositional determinants and the validity of the decision to admit.Am. J. Psychiatry, 124: 1542–1548, 1968.
2.
BrothwoodJ.: The work of a psychiatric emergency clinic.Br. J. Psychiatry, 111: 631–634, 1965.
3.
GauronE. F., DickinsonJ. K.: Diagnostic decision making in psychiatry: 1. Information usage.Arch. Gen. Psychiatry, 14: 225–232, 1966.
4.
GoodmanJ. T., StreinerD. L., WoodwardC. A.: Final Report — End Results Analysis of Mental Health Services: The Effects of Psychiatric Hospitalization.Ontario Provincial Research Grant PR-167, 1974.
5.
LazareA.: HIdden conceptual models in clinical psychiatry.N. Enl. J. Med.288: 345–351, 1973.
6.
MendelW. M., RapportS.: Determinants of the decision for psychiatric hospitalization.Arch. Gen. Psychiatry, 20: 321–328, 1969.
7.
MillerW. B.: A psychiatric emergency service and some treatment concepts.Am. J. Psychiatry, 124: 924–933, 1968.
8.
MountneyG. H., FryersT., FreemanH. L.: Psychiatric emergencies in an urban borough.Br. Med. J., 1: 498–500, 1969.
9.
PolakP. R.: The crisis of admission.Soc. Psychiatry, 2: 150–157, 1967.
10.
RestleF.: Psychology of Judgement and Choice: A Theoretical Essay.New York, John Wiley and Sons, Inc., 1961.
11.
SchwartzL., FieldS.: The alcoholic patient in the psychiatric hospital Emergency Room.J. Stud. Alcohol, 30: 104–111, 1969.
12.
StreinerD. L., GoodmanJ. T., WoodwardC. A.: Correlates of the hospitalization decision: A replicative study.Can. J. Pub. Health, 66, 411–415, 1975.
13.
TischlerG. L.: Decision-making process in the Emergency Room.Arch. Gen. Psychiatry, 14: 69–78, 1966.
14.
WoodE. C., RakusinJ. M., MorseE.: Resident psychiatrist in the admitting office: A man in conflict.Arch. Gen. Psychiatry, 13: 54–61, 1965.
