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Enhancing Continuity of Care

Residency Training in an Integrated Inpatient–Partial Hospital Program

Dr. Kim and Dr. Efremova are Assistant Professors of Psychiatry at Robert Wood Johnson Medical School; Dr. Kim is Medical Director and Dr. Efremova is an Attending Psychiatrist at the Acute Adult Psychiatric Services, UMDNJ-University Behavioral HealthCare, Piscataway, NJ. Dr. Arora is a Staff Psychiatrist for an adult inpatient unit at Health Resource Center, Jacksonville, FL. Address correspondence to Dr. Kim, Department of Psychiatry, Robert Wood Johnson Medical School, University of Medicine and Dentistry of New Jersey-University Behavioral HealthCare, 671 Hoes Lane, P.0. Box 1392, Piscataway, NJ 08855-1392.

This paper describes a teaching/service model that integrates inpatient, partial hospital, and intensive outpatient treatment. In this model, individual multidisciplinary treatment teams retain responsibility for a patient's care for any or all of three levels of intensity of services accessed during an episode of illness. This teaching/service model allows residents to follow patients for an average of 2.5 weeks across an entire acute episode of care compared with the 7.3 days of the average inpatient stay at the inpatient facility. The opportunity to continue treatment in step-down settings over longer periods of time allows residents and medical students to develop a fuller understanding of their patients. The authors believe that this continuum-care service model more efficiently trains residents in multiple aspects of psychiatric practice and provides patients with better care than the traditional inpatient-care service model.

Key Words: Inpatient Programs • Partial Hospital Programs • Continuity of Care

This article has been cited by other articles:

				R. M. Steinbook Continuity Clinics in Psychiatric Residency Training Acad Psychiatry, February 1, 2007; 31(1): 15 - 18. [Abstract] [Full Text] [PDF]

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