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Mental health outcomes before psychotropic medications: a retrospective case series of one state hospital records from 1945 to 1954
BACKGROUND: Current outcomes for mental illness are widely regarded as poor. Since the introduction of psychotropic medications in the mid 1950’s, previous psychosocial practices were minimized in favor of medication focused treatment. The majority of large U.S. state hospitals have closed with reco...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10018898/ https://www.ncbi.nlm.nih.gov/pubmed/36922840 http://dx.doi.org/10.1186/s12913-023-09235-8 |
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author | Chapleau, Ann Harrison, Jennifer Love, Stephen Sherman, David |
author_facet | Chapleau, Ann Harrison, Jennifer Love, Stephen Sherman, David |
author_sort | Chapleau, Ann |
collection | PubMed |
description | BACKGROUND: Current outcomes for mental illness are widely regarded as poor. Since the introduction of psychotropic medications in the mid 1950’s, previous psychosocial practices were minimized in favor of medication focused treatment. The majority of large U.S. state hospitals have closed with records destroyed or in storage, inaccessible to researchers. This creates barriers to studying and comparing outcomes before and after this shift in treatment practices. AIMS: The study aim was to examine discharge outcomes in relation to length of stay and diagnosis in one U.S. state hospital. METHODS: This case series study examined 5618 medical records of participants admitted to one state hospital from 1945 to 1954, the decade prior to adoption of psychotropic medications. RESULTS: Of the 3332 individuals who left the facility, over half (59.87%) of first episode hospitalizations were discharged within 1 year, and 16.95% were hospitalized for more than 5 years. 46.17% of all admissions were discharged from hospital with no readmission. The most common diagnoses included schizophrenia, other forms of psychosis, and alcoholism. In the decade before the introduction of psychotropic medications, participants were often admitted for a single episode and returned to their homes within several years. CONCLUSIONS: Although limited to one site, findings suggest that discharge outcomes prior to psychotropic medication as a primary treatment for mental illness may be more positive than previously understood. |
format | Online Article Text |
id | pubmed-10018898 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-100188982023-03-17 Mental health outcomes before psychotropic medications: a retrospective case series of one state hospital records from 1945 to 1954 Chapleau, Ann Harrison, Jennifer Love, Stephen Sherman, David BMC Health Serv Res Research Article BACKGROUND: Current outcomes for mental illness are widely regarded as poor. Since the introduction of psychotropic medications in the mid 1950’s, previous psychosocial practices were minimized in favor of medication focused treatment. The majority of large U.S. state hospitals have closed with records destroyed or in storage, inaccessible to researchers. This creates barriers to studying and comparing outcomes before and after this shift in treatment practices. AIMS: The study aim was to examine discharge outcomes in relation to length of stay and diagnosis in one U.S. state hospital. METHODS: This case series study examined 5618 medical records of participants admitted to one state hospital from 1945 to 1954, the decade prior to adoption of psychotropic medications. RESULTS: Of the 3332 individuals who left the facility, over half (59.87%) of first episode hospitalizations were discharged within 1 year, and 16.95% were hospitalized for more than 5 years. 46.17% of all admissions were discharged from hospital with no readmission. The most common diagnoses included schizophrenia, other forms of psychosis, and alcoholism. In the decade before the introduction of psychotropic medications, participants were often admitted for a single episode and returned to their homes within several years. CONCLUSIONS: Although limited to one site, findings suggest that discharge outcomes prior to psychotropic medication as a primary treatment for mental illness may be more positive than previously understood. BioMed Central 2023-03-15 /pmc/articles/PMC10018898/ /pubmed/36922840 http://dx.doi.org/10.1186/s12913-023-09235-8 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Chapleau, Ann Harrison, Jennifer Love, Stephen Sherman, David Mental health outcomes before psychotropic medications: a retrospective case series of one state hospital records from 1945 to 1954 |
title | Mental health outcomes before psychotropic medications: a retrospective case series of one state hospital records from 1945 to 1954 |
title_full | Mental health outcomes before psychotropic medications: a retrospective case series of one state hospital records from 1945 to 1954 |
title_fullStr | Mental health outcomes before psychotropic medications: a retrospective case series of one state hospital records from 1945 to 1954 |
title_full_unstemmed | Mental health outcomes before psychotropic medications: a retrospective case series of one state hospital records from 1945 to 1954 |
title_short | Mental health outcomes before psychotropic medications: a retrospective case series of one state hospital records from 1945 to 1954 |
title_sort | mental health outcomes before psychotropic medications: a retrospective case series of one state hospital records from 1945 to 1954 |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10018898/ https://www.ncbi.nlm.nih.gov/pubmed/36922840 http://dx.doi.org/10.1186/s12913-023-09235-8 |
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