title: Treatment characteristics of psychiatric programs that correlate with patient community adjustment.
abstract: This large Veterans Administration cooperative study sought to identify the ward milieu characteristics of effective psychiatric programs. It was developed as a multivariable, correlational study that involved systematic observations of program characteristics and outcome effectiveness of wards as they operated in their usual manner. Seventy-nine wards in 18 hospitals provided 11,283 patients eligible for follow-up. Eleven treatment characteristics were found to be correlated to patients' community adjustment 3 months after discharge. These characteristics were classified into five general categories: Patient-staff interaction, patient activities, medication practices, ward physical environment, and nursing staff rotation. The major conclusions are: wards do differ in their effectiveness as measured by ratings of patient posthospital adjustment; and treatment characteristics make a difference in program effectiveness as measured by patients' posthospital adjustment.
authors.forename: J F
authors.initials: JF
authors.lastname: Collins
authors.forename: R B
authors.initials: RB
authors.lastname: Ellsworth
authors.forename: N A
authors.initials: NA
authors.lastname: Casey
authors.forename: L
authors.initials: L
authors.lastname: Hyer
authors.forename: R H
authors.initials: RH
authors.lastname: Hickey
authors.forename: R A
authors.initials: RA
authors.lastname: Schoonover
authors.forename: S W
authors.initials: SW
authors.lastname: Twemlow
authors.forename: J R
authors.initials: JR
authors.lastname: Nesselroade
mesh_terms: D000374:Aggression / Q000187:drug effects; D000786:Anger / Q000187:drug effects; D014151:Anti-Anxiety Agents / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D006787:Hospitals, Veterans; D006801:Humans; D007398:Interpersonal Relations; D008094:Lithium / Q000627:therapeutic use; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D009497:Neurotic Disorders / Q000628:therapy; D011369:Professional-Patient Relations; D011379:Prognosis; D011567:Psychiatric Department, Hospital; D012917:Social Adjustment; D012931:Social Environment
chemical_list: D014151:Anti-Anxiety Agents; D014150:Antipsychotic Agents; D008094:Lithium