Inpatient treatment

Kahel DI, Petty F A double blind smdy of fluoxetine in severe alcohol dependence adjunctive therapy during and after inpatient treatment. Alcohol Clin Exp Res 20 780-784, 1996... 

There are currently no systematic data to guide a decision on inpatient vs. outpatient treatment. However, the cheap and easy availability of PCP reported by outpatients in their living environments, and the frequent continued use of PCP by outpatients suggest that a brief period of inpatient treatment might be useful in initiating drug abstinence. There is clearly a strong need for research on specific treatment modalities for PCP abuse. 

Bolter, A. Issues for inpatient treatment of chronic PCP abuse. J. 

Inpatient treatment of methicillin-resistant S. aureus can consist of IV vancomycin or oral agents as described above, depending on the severity of infection and concomitant organisms. IV vancomycin may also be converted to oral step-down therapy upon discharge. 

Inpatient treatment For patients with acute DVT with PE or patients with acute DVT without PE (who are not candidates for outpatient treatment), the recommended dose is 1 mg/kg subcutaneously every 12 hours or 1.5 mg/kg subcutaneously once daily (same time each day). 

Outpatient and inpatient treatment Initiate warfarin therapy when appropriate (usually within 72 hours of enoxaparin). Continue enoxaparin for a minimum of 5 days and until a therapeutic anticoagulant effect has... 

Inpatient treatment of acute DVT with or without PE, when administered in conjunction with warfarin 1 mg/kg subcutaneously once daily... 

Lenox RH, Shipley JE, Peyser JM, Williams JM, Weaver LA (1984) Double-blind comparison of alprazolam versus imipramine in the inpatient treatment of major depressive illness. Psychopharmacol Bull 20 79-82... 

Inpatient Treatment Studies of Acute Mania in Patients Age 18 and Under... 

In general, schizophrenic psychoses have to be treated by a multimodal approach including medication, psychotherapeutic interventions, and in chronic cases, rehabilitation. During the acute state of the psychosis, inpatient treatment and antipsychotic medication are required as the most important components. Drug treatment is the most important component during the first inpatient phase. 

Hospitalized treatment is usually 5 to 14 days. The first aim of inpatient treatment for a bulimic patient should be to stop the bingeing and purging behavior. This not only helps to correct electrolyte imbalances and dehydration but is also the first step for reestablishing normal eating behavior. The bulimic patient should receive sufficient calories to maintain weight within a normal range. Access to bathrooms should be restricted and supervised to prevent surreptitious vomiting. 

Partial hospitalization programs for both AN and BN patients, can provide a transition from inpatient treatment for patients with a history of repeated hospitalizations and severe chronic illness or with severe com-orbid personality disorder or substance abuse problems. It is also suitable for patients who have had a recent relapse of weight loss and a return of poor anorectic behavior causing a severe impairment of function. Bulimics who are nonfunctioning from bingeing and purging may require a day program. 

Outpatient treatment for AN should be considered if the patient is in her first episode with no previous treatment and/or relapse after resuming a normal weight. Outpatient treatment can also occur following partial hospitalization or inpatient treatment programs. 

Sernyak MJ, Griffin RA, Johnson RM, et al Neuroleptic exposure following inpatient treatment of acute mania with lithium and neuroleptic. Am J Psychiatry 151 133-135, 1994... 

A methadone detoxification is more often completed if it is done as an inpatient than as an outpatient (Gossop et al. 1986), but many individuals are reluctant to be admitted, and various other limitations of inpatient treatment were indicated in the Introduction. In attempting to provide the most useful combination of treatments in a community setting, we have no problem with offering methadone detoxification as an option, basically in cases where there are not the features favourable for the quicker methods. However, we do not expect it to proceed in a simple manner, and some of the more important practical management considerations are discussed below. 

Covi L, Hess JM, Kreiter NA Haertzen CA (1995). Effects of combined fluoxetine and counselling in the outpatient treatment of cocaine abusers. American Journal of Drug Alcohol Abuse, 21, 327-44 Craig RJ, Olson R Shalton G (1990). Improvement in psychological functioning among drug abusers inpatient treatment compared to outpatient methadone maintenance. Journal of Substance Abuse Treatment, 1, 11-19... 

Bean-Bayog M. Inpatient treatment of the psychiatric patient with alcoholism. Gen Hosp Psychiatry 1987 9 203-209. 

Kofoed L. Outpatient vs. inpatient treatment forthe chronically mentally ill with substance use disorders. J Addict Dis 1993 12 123-137. 

Outpatient programs can be connected to a hospital or a public or private treatment facility. These programs are often short term and require the patient to complete a series of daily or weekly visits for a period of several months. Like inpatient treatment, outpatient programs include individual and/or group therapy, trained substance abuse counselors, education on the disease of alcoholism, and a recommendation to attend a support group. 

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