Determinants of the treatment climate in psychiatric and substance abuse programs : Implications for improving patient outcomes.
This study examined determinants of the treatment climate in 89 psychiatric and substance abuse programs.
Clearer policies giving patients more control, and more health and treatment services, were related to more supportive, autonomous, expressive, and practically oriented milieus.
In contrast, more policy choice and daily living assistance were associated with less support, personal expression, and practical orientation.
Programs in which staff had more paraprofessionals and better team functioning, and in which patients had more social resources and better mental functioning, tended to be more supportive and to have more emphasis on autonomy, personal expression, and practical orientation.
Based on these results, we suggest some guidelines on how to change the treatment milieu to benefit patients'adjustment.
Mots-clés Pascal : Toxicomanie, Alcoolisme, Sevrage toxique, Programme thérapeutique, Politique sanitaire, Relation thérapeutique, Efficacité traitement, Cadre thérapeutique, Homme
Mots-clés Pascal anglais : Drug addiction, Alcoholism, Poison withdrawal, Therapeutic schedule, Health policy, Therapeutic relation, Treatment efficiency, Therapeutic framework, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0141657
Code Inist : 002B18I15. Création : 21/07/1998.