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Relationships between characteristics of the ward atmosphere and treatment outcome in a psychiatric day-care unit based on occupational therapy

Eklund, Mona LU and Hansson, L (1997) In Acta Psychiatrica Scandinavica 95(4). p.329-335
Abstract
The relationships between characteristics of the ward atmosphere and treatment outcome in a psychiatric day-care unit were investigated. The treatment programme was based on occupational group therapy and included long-term mentally ill patients, equally distributed with regard to psychosis and non-psychosis diagnoses. The ward atmosphere was rated on the Community-Oriented Programs Environment Scale (COPES), and outcome variables concerned symptoms, global mental health, quality of life, and functioning in daily life. The COPES ratings were re-coded in order to control for the fact that different levels of ward atmosphere factors are recommended for psychotic and non-psychotic patients. The results revealed that an optimal initial level... (More)
The relationships between characteristics of the ward atmosphere and treatment outcome in a psychiatric day-care unit were investigated. The treatment programme was based on occupational group therapy and included long-term mentally ill patients, equally distributed with regard to psychosis and non-psychosis diagnoses. The ward atmosphere was rated on the Community-Oriented Programs Environment Scale (COPES), and outcome variables concerned symptoms, global mental health, quality of life, and functioning in daily life. The COPES ratings were re-coded in order to control for the fact that different levels of ward atmosphere factors are recommended for psychotic and non-psychotic patients. The results revealed that an optimal initial level of anger and aggression in treatment was significantly associated with improvement in global mental health and functioning in everyday life. Initial optimal levels of staff control and practical orientation were significantly associated with improvement in psychiatric symptoms. The characteristics of the ward atmosphere at the end of the treatment period were significantly correlated with various aspects of functioning in daily life. The study demonstrated associations with outcome variables not previously linked with ward atmosphere characteristics, e.g. functioning in daily life and quality of life. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
treatment outcome, ward atmosphere, occupational therapy, rehabilitation
in
Acta Psychiatrica Scandinavica
volume
95
issue
4
pages
329 - 335
publisher
Wiley-Blackwell
external identifiers
  • pmid:9150828
  • scopus:0030977185
ISSN
1600-0447
DOI
10.1111/j.1600-0447.1997.tb09640.x
language
English
LU publication?
yes
id
2ad68a3b-19e8-4932-a11d-5bb3f5da94b0 (old id 1111458)
date added to LUP
2008-07-17 13:46:30
date last changed
2017-01-01 07:01:56
@article{2ad68a3b-19e8-4932-a11d-5bb3f5da94b0,
  abstract     = {The relationships between characteristics of the ward atmosphere and treatment outcome in a psychiatric day-care unit were investigated. The treatment programme was based on occupational group therapy and included long-term mentally ill patients, equally distributed with regard to psychosis and non-psychosis diagnoses. The ward atmosphere was rated on the Community-Oriented Programs Environment Scale (COPES), and outcome variables concerned symptoms, global mental health, quality of life, and functioning in daily life. The COPES ratings were re-coded in order to control for the fact that different levels of ward atmosphere factors are recommended for psychotic and non-psychotic patients. The results revealed that an optimal initial level of anger and aggression in treatment was significantly associated with improvement in global mental health and functioning in everyday life. Initial optimal levels of staff control and practical orientation were significantly associated with improvement in psychiatric symptoms. The characteristics of the ward atmosphere at the end of the treatment period were significantly correlated with various aspects of functioning in daily life. The study demonstrated associations with outcome variables not previously linked with ward atmosphere characteristics, e.g. functioning in daily life and quality of life.},
  author       = {Eklund, Mona and Hansson, L},
  issn         = {1600-0447},
  keyword      = {treatment outcome,ward atmosphere,occupational therapy,rehabilitation},
  language     = {eng},
  number       = {4},
  pages        = {329--335},
  publisher    = {Wiley-Blackwell},
  series       = {Acta Psychiatrica Scandinavica},
  title        = {Relationships between characteristics of the ward atmosphere and treatment outcome in a psychiatric day-care unit based on occupational therapy},
  url          = {http://dx.doi.org/10.1111/j.1600-0447.1997.tb09640.x},
  volume       = {95},
  year         = {1997},
}