Evidence map›Paper›PMID 36860395›Full record

ArticleFrontiers in public health2023

Treatment with Soteria-elements in acute psychiatry-Effectiveness for acutely ill and voluntarily treated patients.

Philine Fabel, Theresa Wolf, Helena Zyber, Julian Rubel, Maria C Jockers-Scherübl

Open access · goldAbstract read
In one paragraph

Article in Frontiers in public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
1.1field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Philine FabelDepartment of Psychiatry and Psychotherapy, Academic Teaching Hospital of the Charité Berlin, Oberhavel Kliniken GmbH, Hennigsdorf, Germany.
Theresa WolfDepartment of Psychiatry and Psychotherapy, Academic Teaching Hospital of the Charité Berlin, Oberhavel Kliniken GmbH, Hennigsdorf, Germany.
Helena ZyberDepartment of Psychiatry and Psychotherapy, Academic Teaching Hospital of the Charité Berlin, Oberhavel Kliniken GmbH, Hennigsdorf, Germany.
Julian RubelDepartment of Psychology and Sports Sciences, Justus-Liebig-University Giessen, Giessen, Germany.
Maria C Jockers-ScherüblDepartment of Psychiatry and Psychotherapy, Academic Teaching Hospital of the Charité Berlin, Oberhavel Kliniken GmbH, Hennigsdorf, Germany.
Charité - Universitätsmedizin Berlin · DEJustus-Liebig-Universität Gießen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This article aims at evaluating the treatment outcomes of acute psychiatric patients before and after the implementation of Soteria-elements in an acute psychiatric ward. The implementation process resulted in an interconnected small locked and much larger open area, enabling continuous milieu therapeutic treatment by the same staff in both areas. This approach enabled the comparison of structural and conceptual reconstruction regarding treatment outcomes of all voluntarily treated acutely ill patients before (2016) and after (2019). A subgroup analysis focused on patients suffering from schizophrenia. Methods: Using a pre-post design, the following parameters were examined: total treatment time, time in locked ward, time in open ward, antipsychotic discharge medication, re-admissions, discharge circumstances, and treatment continuation in day care clinic. Results: Compared to 2016, there was no significant difference in the total time of stay in the hospital. However, data show a significant decrease of days spent in locked ward, a significant increase of days in open ward, a significant increase of treatment discontinuation but without an increase of re-admissions, and a significant interaction of diagnosis and year regarding the medication dosage, resulting altogether in a reduction of antipsychotic medication for patients suffering from schizophrenia spectrum disorder. Conclusion: The implementation of Soteria-elements in an acute ward facilitates less potentially harmful treatments of psychotic patients, likewise enabling lower dosages of medication.

Indexed as

Mental DisordersPsychiatryAmbulatory Care FacilitiesHospitalsHumansPatient Dischargeacute psychiatryinpatient treatmentmedication dosageschizophreniaSoteria

Identifiers

PMID36860395
PMCPMC9970092
OpenAlexW4320494464

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.