Ward Treatment Milieu and Posthospital Functioning

Klass, David

doi:10.1001/archpsyc.1977.01770210061005

Cited by 44 publications

(18 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This result has been demonstrated in other studies as well (2,6,14). That patients perceived a higher level of Staff control can perhaps depend on that patients experience staff interventions differently when they function in a psychotic way.…”

Section: Discussionsupporting

confidence: 88%

Stability of perceived ward atmosphere over time, diagnosis and gender for patients with psychosis

Jansson

Eklund

2002

Nordic Journal of Psychiatry

View full text Add to dashboard Cite

In this study the focus was on patients with psychosis treated in a psychiatric rehabilitation unit in southern Sweden. The study described the stability of the ward atmosphere over 2 years, as well as differences between subgroups of patients regarding gender and diagnosis. Furthermore, the perceived ward atmosphere was compared with what has been recommended in the literature. The ward atmosphere was measured by The Community-Oriented Programs Environment Scale (COPES) five times during a 2-year period. The ward atmosphere was fairly stable over time, and in several respects it met the recommendations suggested for psychotic patients. There were few differences between schizophrenia patients and patients with other psychoses. No difference was found in perceived ward atmosphere with respect to gender. The study showed that the investigated unit, admitting almost only patients with psychosis, could provide a ward atmosphere accordance with the recommendations, probably due to a carefully planned program with a psychodynamically oriented supportive treatment milieu.

show abstract

Section: Discussionsupporting

confidence: 88%

Stability of perceived ward atmosphere over time, diagnosis and gender for patients with psychosis

Jansson

Eklund

2002

Nordic Journal of Psychiatry

View full text Add to dashboard Cite

show abstract

“…As in the comparisons with Friis' recommendations, the scores for Practical Orientation differed here, and the item content might also contribute to this difference as Werbart's pro les are based on milieu therapy settings, in which the treatment perspective is oriented towards post-hospital functioning. The results in this study indicate that the optimal explorative pro le could not be found here, as neither the residents' nor the staff's perceptions were congruent with the pro le outlined by Werbart. A common nding in the research on ward atmosphere in hospital-based settings (26,29,31,32) and social environment in community-base d settings (17) has been the difference between the perceptions of staff and patients or residents. Staff perceptions are generally higher than those for patients or residents on all subscales except Staff Control, where staff rates lower levels.…”

Section: Discussionmentioning

confidence: 99%

“…Comparisons of the perceptions of patients and staff about the ward atmosphere in hospital-based settings showing differences between the two groups have been reported in several studies (17,26,29,31,32). Patients' perceptions tend to be less extreme than those of staff for most of the subscales (33).…”

mentioning

confidence: 93%

“…Less anxiety, passivity, and psychological distance from others was noted in small residences in comparison with large residences (25) Studies have also shown that optimal characteristics of a social environment in a psychiatric setting should vary depending on the diagnostic group. There is irrefutable evidence that psychotic patients are better suited to a milieu with a high level of Order and Organisation and a low level of Anger and Aggression (21,26,27). This is corroborated by research into emotional expression, for which studies have shown that a low level of the expression of anger, enmity, and critical comments is positive for schizophrenic patients (28).…”

mentioning

confidence: 99%

See 1 more Smart Citation

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

Brunt

Hansson

2002

Nordic Journal of Psychiatry

View full text Add to dashboard Cite

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.

show abstract

“…Dabei ist es wichtig, sich bewußt zu sein, daß psychiatri- Klass et al (1977) konnten belegen, daßim Rahmen einer Psychopharmakastudie -ungünstige Milieufaktoren mit einem ungünstigen Therapieresultat verknüpft waren.…”

Section: Zwischen Förderung Und Hospitalismusunclassified

Milieutherapie

Deister¹

Psychiatrie Und Psychotherapie

View full text Add to dashboard Cite

Z ur Milieutherapie zählen die Gestaltung von Umweltfaktoren (z. B. bauliche Gegebenheiten und Organisationsstrukturen) und von zwischenmenschlichen Umgangsformen. Die Milieutherapie stellt damit den geeigneten Rahmen für andere Therapieformen bereit und zielt außerdem auf den Erhalt bzw. die Wiedererlangung von Selbständigkeit und Kompetenzen. Dabei versucht sie, den Bedürfnissen des einzelnen Patienten, die sich je nach Erkrankung oder auch Krankheitsstadium unterscheiden können, gerecht zu werden. Beispielsweise soll einerseits Anregung gegeben werden, andererseits muß aber, v. a. bei akut psychotischen Patienten, eine Reizüberflutung vermieden werden.

show abstract

Ward Treatment Milieu and Posthospital Functioning

Cited by 44 publications

References 23 publications

Stability of perceived ward atmosphere over time, diagnosis and gender for patients with psychosis

Stability of perceived ward atmosphere over time, diagnosis and gender for patients with psychosis

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

Milieutherapie

Contact Info

Product

Resources

About