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British Psychiatric Ward Treatment Environments

Published online by Cambridge University Press:  29 January 2018

Rudolph H. Moos
Rudolph H. Moos*
Affiliation:
Stanford University, Department of Psychiatry, Stanford, California, U.S.A., 94305
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Extract

During the past two decades the psychosocial environments of psychiatric wards have become of increasing concern. Different investigators have described the importance of the therapeutic milieu of such wards and have implied that treatment environment strongly influences treatment outcome. At first there were detailed observations and naturalistic descriptions indicating the importance of ward social structure in facilitating or hindering treatment goals (Stanton and Schwartz, 1954; Caudill, 1958). Then came a variety of different types of ward programmes designed to use the ward environment as an important treatment modality (Jones, 1953; Cumming and Cumming, 1962; Fairweather, 1962). These different approaches present quite different specific recommendations about the most effective types of treatment environments; however, they do all agree on one essential point: that the immediate psychosocial environment in which patients function is an important determinant of the outcome of the treatment process.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 120 , Issue 559 , June 1972 , pp. 635 - 643
Copyright
Copyright © Royal College of Psychiatrists, 1972 

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References

Almond, R., Kenniston, K., and Boltax, S. (1968). ‘The value system of a milieu therapy unit.’ Archives of General Psychiatry, 19, 545–61.Google Scholar
Caudill, W. (1958). The Psychiatric Hospital as a Small Society. Cambridge, Massachusetts.Google Scholar
Cumming, J., and Cumming, E. (1962). Ego and Milieu. New York.Google Scholar
Ellsworth, R., Maroney, R., Klett, W., Gordon, H., and Gunn, R. (1969). ‘Milieu characteristics of successful psychiatric treatment programs.’ Paper presented at 14th Annual Veterans Administration Conference on Cooperative Studies in Psychiatry. Houston.Google Scholar
Fairweather, G. W. (1962). Social Psychology in Treatment of Mental Illness. New York.Google Scholar
Jackson, J. (1969). ‘Factors of the treatment environment.’ Archives of General Psychiatry, 21, 39–45.Google Scholar
Jones, M. (1953). The Therapeutic Community: A New Treatment Method in Psychiatry. New York.Google Scholar
Kellam, S., Schmelzer, J., and Berman, A. (1966). ‘Variations in the atmospheres of psychiatric wards.’ Archives of General Psychiatry, 14, 561–70.Google Scholar
Moos, R. (1971a). ‘Size, staffing and psychiatric ward treatment environments.’ Archives of General Psychiatry (in press).Google Scholar
Moos, R. (1971b). Revision of the ward atmosphere scales (WAS): Technical report. Social Ecology Laboratory, Department of Psychiatry, Stanford University.Google Scholar
Moos, R. and Hours, P. (1968). ‘Assessment of the social atmospheres of psychiatric wards.’ Journal of Abnormal Psychology, 73, 595–604.Google Scholar
Moos, R. and Hours, P. (1970). ‘Differential effects of the social atmospheres of psychiatric wards.’ Human Relations, 23, 47–60.CrossRefGoogle Scholar
Moos, Rudolf H. Ph.D., Stanford University, Department of Psychiatry, Stanford, California, U.S.A., 94305 Google Scholar
Moos, R. and Otto, J. (1972). ‘The Community-Oriented Programs Environment Scale: A methodology for the facilitation and evaluation of social change.’ Community Mental Health Journal (in press).Google Scholar
Moos, R. and Schwartz, J. (1972). ‘Treatment environment and treatment outcome.’ Journal of Nervous and Mental Disease (in press).Google Scholar
Pierce, W., Trickett, E., and Moos, R. (1972). ‘Changing ward atmosphere through staff discussion of the perceived ward environment.’ Archives of General Psychiatry, 26, 35–41.CrossRefGoogle ScholarPubMed
Stanton, A., and Schwartz, M. (1954). The Mental Hospital: A Study of Institutional Participation in Psychiatric Illness and Treatment. New York.Google Scholar
Stern, G. (1970). People in Context. New York.Google Scholar
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