This study compared the outcomes and costs of three models of Department of Veterans Affairs (VA) inpatient treatment for posttraumatic stress disorder (PTSD) : 1) long-stay specialized inpatient PTSD units, 2) short-stay specialized evaluation and brief-treatment PTSD units, and 3) nonspecialized general psychiatric units.
Data were drawn from 785 Vietnam veterans undergoing treatment at 10 programs across the country.
The veterans were followed up at 4-month intervals for 1 year after discharge.
Successful data collection averaged 66.1% across the three follow-up intervals.
All models demonstrated improvement at the time of discharge, but during follow-up symptoms and social functioning rebounded toward admission levels, especially among participants who had been treated in long-stay PTSD units.
Veterans in the short-stay PTSD units and in the general psychiatric units showed significantly more improvement during follow-up than veterans in the long-stay PTSD units.
Greatest satisfaction with their programs was reported by veterans in the short-stay PTSD units.
Finally, the long-stay PTSD units proved to be 82.4% and 53.5% more expensive over 1 year than the short-stay PTSD units and general psychiatric units, respectively. (...)
Mots-clés Pascal : Posttraumatisme syndrome, Stress, Trouble anxieux, Etude comparative, Traitement, Hospitalisation, Long terme, Court terme, Efficacité traitement, Analyse coût, Economie santé, Ancien combattant, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Posttraumatic syndrome, Stress, Anxiety disorder, Comparative study, Treatment, Hospitalization, Long term, Short term, Treatment efficiency, Cost analysis, Health economy, Veteran, United States, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0385823
Code Inist : 002B18I09. Création : 12/09/1997.