Functioning at the clinical-research interface: the clinical-research meeting.
The authors describe their experience in carrying out clinical and psychobiological research in a therapeutic milieu setting. The clinical-research meeting, composed of clinical-care staff with secondary research responsibilities, researchers, and acutely psychotic patients, proved to be a useful mechanism for identifying and resolving inevitable problems at the clinical-research interface and enhanced the effectiveness of research implementation and patient care. The authors discuss three specific areas where covert issues threatened to undermine the work of the unit-the abrogation of research responsibility, the abrogation of clinical responsibility, and intergroup competition and envy.
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D001291:Attitude of Health Personnel; D003163:Competitive Behavior; D003299:Cooperative Behavior; D005639:Frustration; D006126:Group Processes; D006801:Humans; D007400:Interprofessional Relations; D008505:Medical Staff, Hospital; D008875:Middle Aged; D008884:Milieu Therapy; D009316:National Institutes of Health (U.S.); D011340:Problem Solving; D011369:Professional-Patient Relations; D011567:Psychiatric Department, Hospital; D012108:Research Personnel; D012559:Schizophrenia / Q000628:therapy*; D013808:Therapeutic Community; D014481:United States