Psychiatric Quarterly, Vol. 76, No. 2, Summer 2005 (
DIAGNOSIS AND DISPOSITION OF
PATIENTS ADMITTED TO A STATE
Claire Advokat, Ph.D., Nancy Eustis, M.A.,
and John Pickering, Ph.D.
The lifetime outcome for individuals diagnosed with affective disorders is gen-
erally more favorable than for those diagnosed with a schizophrenic disorder.
We determined if a similar differential outcome could be detected among 139
patients hospitalized on the admissions unit of a state psychiatric facility be-
tween 1998 and 2001, and diagnosed with a Schizophrenic, Schizoaffective or
Affective Disorder. The placement of each patient on discharge was categorized
as an outpatient environment, a minimum-security treatment unit, a locked
ward, or a highly secure forensic facility. Patients with an affective disorder
were signiﬁcantly less likely than the other two groups to have a co-occurring
diagnosis of substance abuse, and they performed better on the neuropsycho-
logical assessments. However, the groups did not differ in their discharge place-
ments, or in their length of stay. These ﬁndings suggest that resolution of more
Claire Advokat, Ph.D., is afﬁliated with Department of Psychology, Louisiana State
University, Baton Rouge, LA.
Nancy Eustis, M.A., and John Pickering, Ph.D., are afﬁliated with East Louisiana
Mental Health System, Jackson, LA.
Address correspondence to Claire Advokat, Ph.D., Professor of Psychology, Department
of Psychology, 236 Audubon Hall, Louisiana State University, Baton Rouge, LA 70803;
2005 Springer Science+Business Media, Inc.