Should severely disturbed psychiatric patients be distributed or concentrated in specialized wards ? An empirical study on the effects of hospital organization on ward atmosphere, aggressive behavior, and sexual molestation.
This study examines whether ward atmosphere, aggressive behavior, and sexual molestation will change after severely disturbed patients have been distributed over several wards determined by their place of residence, instead of concentrating them in locked single-sex wards.
Four wards for predominantly psychotic patients were investigated with the German version of the Ward Atmosphere Scale (WAS), and some further questions about the observation of aggressive behavior and sexual molestation once before and twice after internal sectorisation, partial ward opening, and mixing the sexes were asked.
Questionnaires (345 : 162 staff members, 183 patients) were evaluated.
After the structural changes, a significant improvement of ward atmosphere and a reduction of aggressive behavior was found on average in all wards, whereas the impact on sexual molestation remained unclear.
Internal sectorisation and sex integration policy, resulting in distributing rather than concentrating severely disturbed patients, have beneficial effects on the social climate of acute wards.
Mots-clés Pascal : Organisation hospitalière, Hôpital psychiatrique, Facteur risque, Agressivité, Trouble comportement sexuel, Trouble comportement social, Relation interindividuelle, Interaction sociale, Environnement social, Santé mentale, Allemagne, Europe, Homme
Mots-clés Pascal anglais : Hospital organization, Psychiatric hospital, Risk factor, Aggressiveness, Sexual behavior disorder, Social behavior disorder, Interindividual relation, Social interaction, Social environment, Mental health, Germany, Europe, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0496966
Code Inist : 002B18H05B. Création : 22/03/2000.