title: Prospects for change in public mental institutions.
abstract: Because of the incompatibility of variables (viz. actors, milieu concept, institution, society) with each other as well as the potential areas of strain contained within each variable, it is improbable that state mental institutions can adapt a patient-centered (therapeutic) milieu. Evidence is presented in order to substantiate this hypothesis.
mesh_terms: D001291:Attitude of Health Personnel; D003142:Communication; D003220:Conflict, Psychological; D006778:Hospitals, Psychiatric / Q000458:organization & administration; D006779:Hospitals, Public / Q000458:organization & administration; D006783:Hospitals, State / Q000458:organization & administration; D006801:Humans; D001523:Mental Disorders / Q000628:therapy*; D008884:Milieu Therapy; D010043:Outcome and Process Assessment, Health Care; D010817:Physician-Patient Relations; D013808:Therapeutic Community