A naturalistic study of outcomes in a general psychiatry day hospital
Bibliographic record
Abstract
Psychiatric day hospitals have potential advantages compared with inpatient and/or outpatient treatment, but results are inconsistent and thus their use is controversial. Moreover, few data are available on the factors influencing the treatment success; this is particularly the case regarding Swiss day hospitals. This paper has three goals; first, to give an insight into the population attending a new general day hospital in Canton Fribourg; second, to assess different treatment outcome indicators, and third, to assess treatment improvement predictors. Results, relying on therapist-assessed data from all day hospital stays gathered over more than 3 years, show that, within a wide diversity, overall patients had a significant improvement in their functioning level during the stay. Moreover, our results indicated that patients with a substance-related disorder benefited less from the treatment, whereas patients with an affective disorder benefited more. Additionally, patients starting with a lower functioning level improved more, whereas patients with a longer disorder history improved less. Suicidality and self-harming behaviour did not affect the outcome. Most importantly for clinical implications, longer treatment and more frequent attendance at the day hospital predicted a better outcome. Results are discussed in the context of the existing literature and their potential utility for further treatment and research.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.000 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one teacher head, not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".