Characteristics of Productive and Unproductive Unit Systems in VA Psychiatric Hospitals

Ellsworth, Robert B.; Dickman, Harold R.; Maroney, Robert

doi:10.1176/ps.23.9.261

Cited by 7 publications

(9 citation statements)

References 3 publications

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“…However, a finding that treatment programs with higher staff ratios also have higher turnover rates does not necessarily portray a cause-effect relationship. Higher staff ratios and higher turnover have been found to be related to a third variable, namely, earlier success in placing long-stay patients in the community (Ellsworth, Dickman, & Maroney, 1972). When long-stay patients were placed out of the hospital, this both reduced the number of patients (thereby increasing staff/patient ratios) and freed additional beds to receive, treat, and discharge newly admitted patients (thereby increasing turnover).…”

Section: Problems Of Earlier Milieu Studiesmentioning

confidence: 99%

“…It was expected that patients admitted to and treated in an environment with a higher proportion of chronic patients, for example, might have different outcomes from those of patients treated in an environment with a higher percentage of acutes or alcoholics. The movement in the early 1960s toward creating unclassified programs (i.e., those treating a mixture of patient groups) represented a major attempt to improve the treatment effectiveness of psychiatric hospitals by rearranging the suprapersonal characteristics of the treatment environment (Ellsworth et al, 1972).…”

Section: Measures Of Program Characteristicsmentioning

confidence: 99%

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Some characteristics of effective psychiatric treatment programs.

Ellsworth¹,

Collins²,

Casey³

et al. 1979

Journal of Consulting and Clinical Psychology

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Section: Problems Of Earlier Milieu Studiesmentioning

confidence: 99%

Section: Measures Of Program Characteristicsmentioning

confidence: 99%

Some characteristics of effective psychiatric treatment programs.

Ellsworth¹,

Collins²,

Casey³

et al. 1979

Journal of Consulting and Clinical Psychology

Self Cite

View full text Add to dashboard Cite

“…Linn (1970) has also found that high staf#patient interaction within the milieu results in higher release rates. A second major ingredient highlighted by Ellsworth, Dickman, and Maroney (1972) is the degree to which patients and staff are involved in decisions and share responsibilities. Patients discharged from milieus with this characteristic show lower readmissions and increased psychosocial adjustment compared to patients discharged from milieus in which there is a low involvement of patients and staff in decision making and a lack of shared responsibility.…”

Section: What Are the Characteristics Of Therapeutic Milieus?mentioning

confidence: 99%

A Reevaluation of Milieu Therapy for Nonchronic Schizophrenic Patients

Gunderson

1980

Schizophrenia Bulletin

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Until recently almost all the controlled research on milieu therapy for schizophrenic patients involved nonintensive milieus and chronic patients. Under these circumstances the effectiveness of milieus was not evident. Recent studies have suggested that intensive milieus significantly benefit nonchronic patients. These studies have indicated the importance of defining what ingredients can make a milieu therapeutic. The existing research evidence is surveyed, and the nature of what some of these ingredients might be described.

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“…With a larger number of hospitals under a single administrative umbrella, the V.A. system is well suited to research on the organizational correlates of desirables treatment outcomes, and several such studies have been done (e.g., Ellsworth et al, 1972;Ullman and Gurel, 1969) under the auspices of the long-term Veterans Administration Psychiatric Evaluation Project.…”

Section: History Of Evaluation In Mental Healthmentioning

confidence: 99%

The Role of Evaluation in Mental Health

Stevenson

Longabaugh

1980

Eval Rev

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Mental health evaluation is reviewed as a specialized branch of the field program evaluation. Historical influences on the field, current issues and techniques, and unique role requirements for the mental health evaluator are presented in a detailed review of the literature. Role demands and specific evaluation methods are described in relation to several actual and potential evaluator roles, including information monitor, summative judge of program worth, formative collaborator in program development, and change agent. Techniques reviewed include outcome measurement, goal-attainment scaling, costanalytic procedures, epidemiology, ecological approaches, information systems, systems analysis, and peer review. The adoption of metaevaluation procedures to improve the utility of mental health evaluation efforts is advocated. ¡ , n the past two decades, evaluation of social, educational i medical, and mental health programs has been a rapidly ex-';¡ panding, highly valued enterprise. Some professionals in the field have ' tended to view evaluation as a content-free set of methods for judging the worth of a broad variety of programs. Others have evolved more target-specific methodologies in keeping with the specialized objectives and role requirements for evaluations in particular settings. This paper reviews the development of one branch of the evaluation enterprise, that of applications in mental health settings. The guiding thesis of the presentation is that mental health evaluation is, in a number of

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Characteristics of Productive and Unproductive Unit Systems in VA Psychiatric Hospitals

Cited by 7 publications

References 3 publications

Some characteristics of effective psychiatric treatment programs.

Some characteristics of effective psychiatric treatment programs.

A Reevaluation of Milieu Therapy for Nonchronic Schizophrenic Patients

The Role of Evaluation in Mental Health

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