The ward atmosphere of a psychiatric day care unit on the basis of occupational therapy: Characteristics and development during a 5-year period

Eklund, Mona; Hansson, Lars

doi:10.3109/08039489609081398

Cited by 19 publications

(19 citation statements)

References 20 publications

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“…Still, results on a group level might hide important facts which can be revealed in case reports, including narrative information. In addition, the case studies have added an idiographic feature to the whole study, while the previous reports of this unit (Eklund, 1996a(Eklund, , 1996bEklund & Hansson 1995, 1996, in press), as well as the results from the PCA in this part of the study, were of a more nomothetic nature (Polkinghorne, 1983). The different sources of data in this study provided a triangulation (Patton, 1990), adding significance to the results.…”

Section: Discussionmentioning

confidence: 99%

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Patient experiences and outcome of treatment in psychiatric occupational therapy – three cases

Eklund

1996

Occupation Therapy Intl

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Section: Discussionmentioning

confidence: 99%

“…The ward atmosphere of the unit has been investigated in earlier studies, and it was found to be beneficial for both patients with a psychosis and nonpsychosis (Eklund & Hansson, 1995, 1996.…”

Section: Settingmentioning

confidence: 99%

Patient experiences and outcome of treatment in psychiatric occupational therapy – three cases

Eklund

1996

Occupation Therapy Intl

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“…For the level of optimality of the COPES scores Friis's recommendations (32) were applied in conjunction with Eklund & Hansson's boundaries for each level (36). The ratings in each subscale range from 0 to 10; a low level was indicated by values 5 3.33, an intermediate level by 3.34 -6.66, and a high level by ] 6.67.…”

Section: Data Analysesmentioning

confidence: 99%

Characteristics of the social environment of small group homes for individuals with severe mental illness

Brunt

Hansson

2002

Nordic Journal of Psychiatry

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As part of research into small group homes run by local authorities for those with severe mental illness the characteristics of the social environment was investigated. The ideal and real versions of the Community Oriented Program Environmental Scale (COPES) were administered to residents and staff of small group homes in a county in southern Sweden. Both these groups were also interviewed on their opinions as to the main characteristics that should exist in the social environment in small group homes. High levels of support, order and organization, and program clarity and a low level of anger and aggression distinguished the real social environment according to the residents. Differences between residents' and staff's perceptions were less pronounced than in most other studies, probably owing to a greater level of resident--staff interaction in the home-like milieu. In the interviews both the residents and staff emphasized the importance of social interaction as a major constituent in the social environment of small group homes. The COPES instrument appears to be valid for use in small group homes, although some concern can be raised about two of the subscales, Involvement and Practical Orientation. The social environment, as rated by the residents and staff, was similar to that recommended for psychotic patients and to that proposed as a suitable supportive profile together with low levels of staff control and anger and aggression.

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“…Most of the research on the importance of the alliance has been performed within the area of psychotherapy research, but seems relatively neglected in general psychiatric research (3). However, there are findings from different psychiatric settings, showing that the therapeutic alliance correlates with outcome (4)(5)(6)(7)(8). The therapeutic alliance is also associated with a better outcome in pharmacotherapy (9,10), with adherence to medication and treatment recommendations (11)(12)(13) and with patients' perceptions of quality of life (14).…”

Section: Introductionmentioning

confidence: 99%

Helping alliance and early dropout from psychiatric out-patient care

Johansson

Eklund

2006

Soc Psychiat Epidemiol

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This is an author produced version of a paper published in Social Psychiatry Psychiatric Epidemiology. This paper has been peer-reviewed but does not include the final publisher proof-corrections or journal pagination. Abstract:Background: The study examined client factors of relevance for the establishment of the helping alliance and for dropout in a routine psychiatric setting, admitting a variety of diagnoses and staffed with a multi-professional team. Method: Newly-admitted patients (n= 122) and staff completed questionnaires regarding the helping alliance, and the patients also regarding motivation, symptoms and interpersonal problems. The patients were also diagnosed according to the ICD-10 and followed up concerning early dropout. Results: Several variables correlated with the helping alliance and multivariate analyses showed that the cold/distant factor, motivation and the interpersonal sensitivity factor were the most important factors in establishing the helping alliance. Moreover, it was the alliance as perceived by the patients and not the staff that proved to be the most essential variable. A logistic regression analysis showed that early dropout was predicted by low helping alliance, low age and cold/distant. Conclusion:The most important client factors for establishing the helping alliance and for predicting early dropout seem to be those relevant to interpersonal processes. Further, the therapists'/staff's responsiveness to these client factors seems to be of decisive importance.

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The ward atmosphere of a psychiatric day care unit on the basis of occupational therapy: Characteristics and development during a 5-year period

Cited by 19 publications

References 20 publications

Patient experiences and outcome of treatment in psychiatric occupational therapy – three cases

Patient experiences and outcome of treatment in psychiatric occupational therapy – three cases

Characteristics of the social environment of small group homes for individuals with severe mental illness

Helping alliance and early dropout from psychiatric out-patient care

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