Psychiatric hospitals.

Menditto, Anthony A.; Spaulding, William D.; Hunter, Richard H.

doi:10.1037/14772-020

APA Handbook of Clinical Psychology: Roots and Branches (Vol. 1).

DOI: 10.1037/14772-020

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Psychiatric hospitals.

Anthony A. Menditto¹,

William D. Spaulding²,

Richard H. Hunter³

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“…While the past 50 years have seen a dramatic reduction in the number of state hospital beds in the U.S., a concomitant shift has occurred toward the increased provision of forensic mental health services within the remaining capacity of such facilities (Menditto et al, 2016; Wik et al, 2017). Most states operate maximum- or high-security facilities for evaluation and treatment of individuals who have committed violent offenses or who have been admitted due to violent acts committed at other less restrictive settings.…”

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Examination of a social-learning program implemented in a maximum-security state hospital setting.

Menditto¹,

Pardee²,

Peterson³

2022

Psychological Services

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The present study examines the extent to which clients with serious mental illnesses (SMI) enrolled in a social-learning program (SLP) within a maximum-security state hospital were able to achieve discharge to less restrictive settings without requiring a return to maximum security. Retrospective analyses were undertaken to examine several time periods of the SLP's operation within maximum security. From 1988 to 2019, 248 clients were discharged from the SLP. Only 20 were readmitted to maximum security, primarily for violence in less restrictive facilities. The proportion of clients who were discharged from one 19-bed ward offering the SLP differed significantly from the proportion of clients who were discharged from an identical 19-bed ward offering treatment as usual within maximum security from 1988 to 1995. The rate of readmission to maximum security was also significantly lower for clients treated on the SLP than for clients treated on other long-term treatment programs within maximum security from 2010 to 2019. Violence in a less restrictive facility was the most common reason for readmission, which typically occurred more than 1 year after discharge. The results of the present study demonstrate the SLP's success in discharging clients with SMI from a maximum-security state hospital. Impact StatementIn a maximum-security state hospital, clients with serious mental illnesses were more likely to be discharged from and less likely to be readmitted to a social-learning program when compared to treatment as usual and other forms of treatment.

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confidence: 99%

Examination of a social-learning program implemented in a maximum-security state hospital setting.

Menditto¹,

Pardee²,

Peterson³

2022

Psychological Services

Self Cite

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Psychiatric hospitals.

Cited by 1 publication

References 31 publications

Examination of a social-learning program implemented in a maximum-security state hospital setting.

Examination of a social-learning program implemented in a maximum-security state hospital setting.

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