title: Individual and community: normative conflicts in the development of a new therapeutic community for older persons.
abstract: This paper examines the role of ideology in the establishment of a new therapeutic community for geriatric patients in a state mental hospital. Contradictory role expectations, reflected both in staff-staff and in staff-patient relationship, interfered with the program's achieving its stated goals. In order to apply a humanistic approach to programs for elderly patients, realistic goals-encompassing the range of patient competence-must be set within a reasonable time framework, and the program must provide for an appropriate range of structure.
mesh_terms: D000368:Aged; D001291:Attitude of Health Personnel; D005852:Geriatric Psychiatry; D006040:Goals; D006778:Hospitals, Psychiatric / Q000458:organization & administration*; D006779:Hospitals, Public / Q000458:organization & administration*; D006783:Hospitals, State / Q000458:organization & administration*; D006801:Humans; D007400:Interprofessional Relations; D008875:Middle Aged; D009739:Nursing Services; D010043:Outcome and Process Assessment, Health Care; D011369:Professional-Patient Relations; D013808:Therapeutic Community