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Criteria for Admission and Readmission to a Veterans Administration Hospital

Sonya Orleans Rose, PhD; James Hawkins, PhD

Arch Gen Psychiatry. 1977;34(4):418-421.

Abstract
• Factors related to the decision to hospitalize applicants for psychiatric treatment at a Veterans Administration hospital were explored. For a three-week period, decision makers completed questionnaires following interviews with applicants. It was found that 79% of the applicants were "revolving door" patients. These patients were much less likely to be married, and more likely to be homeless and diagnosed as schizophrenic, than patients without previous hospitalizations. A small number of patients were admitted because of characteristics of their illness regardless of their social situations. Patients were not hospitalized on the basis of social or nonpsychiatric criteria alone. A large number were admitted because of a combination of factors, some social in nature and others related to their psychopathology. A social process taking place in the screening interview appeared to have some influence in the decision to admit.

Author Affiliations
Lawrence Apodaca

From the Department of Psychiatry, Veterans Administration Hospital, Sepulveda, Calif, and the University of California at Los Angeles.

Footnotes
Accepted for publication July 7, 1976.

Reprint requests to Department of Psychiatry, Veterans Administration Hospital, Sepulveda, CA 91343 (Dr Hawkins).

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