High and intensive care in psychiatry: A new model for acute inpatient care

Yolande Voskes*, Anne Laura Van Melle, Guy A.M. Widdershoven, Van Mierlo, Frits J.M. Bovenberg, Cornelis L. Mulder

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

9 Citations (Scopus)


In response to three reforms in Dutch mental health care, an organizational framework, including methods and interventions, was developed as part of a new model for acute inpatient care. Core elements of high and intensive care (HIC) include preventing seclusion by means of a stepped-care principle; a six-step process of admission, treatment, and care; combining medical and recovery approaches; combining professional and experiential knowledge; and providing a healing environment. The HIC model differs from the utilization of psychiatric intensive care units in that it focuses on collaboration with outpatient care; establishing contact between staff, patients, and relatives; and minimizing coercion.

Original languageEnglish
Pages (from-to)475-477
Number of pages3
JournalPsychiatric Services
Issue number4
Early online date12 Jan 2021
Publication statusPublished - Apr 2021

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© 2021 American Psychiatric Association. All rights reserved.


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