Ward Polity and Therapeutic Outcome: II. Ratings of Patient Behavior
Abstract
In a study to determine the therapeutic value of ward policies of restriction and coercion, as in a step system of privileges, investigators compared the adjustments of patients in three ward settings: one with a formal step system, one in which the formal system had been abolished but a significant degree of restriction-coercion maintained, and one in which almost all activities and medications were optional. Patients' behaviors in seven areas were rated at admission, at discharge, and at one and six months after discharge. The patients on the ward with the formal step system showed better adjustment on 23 out of 35 ratings, although only one of the ratings was statistically significant. The slight therapeutic value of restriction-coercion suggested by these data contrasts with the results of an earlier, retrospective study. Cost-benefits involving economic, political, and therapeutic issues are raised.
Access content
To read the fulltext, please use one of the options below to sign in or purchase access.- Personal login
- Institutional Login
- Sign in via OpenAthens
- Register for access
-
Please login/register if you wish to pair your device and check access availability.
Not a subscriber?
PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.
Need more help? PsychiatryOnline Customer Service may be reached by emailing [email protected] or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).