Beschreibung:

VIII; 528 S., graph. Darst. Originalleinen mit Schutzumschlag.

Bemerkung:

Umschl. berieben. - PART : BACKGROUND AND OVERVIEW - The Chronically Institutionalized Mental Patient Historical and Current Status - An Interactional Frame of Reference Summary - Milieu and Social-Learning Approaches to Treatment The Milieu Approach - The Social-Learning Approach "Bridging the Gap" Summary - Design and Overview of the Comparative Project The Rationale for Design and Treatment The Overall Design - A Guide to the Remainder of the Book - PART : PROGRAMS, POPULATIONS, AND PROCEDURES - The Treatment Setting, Organization, and Staffing The Geographical Zone - The Regional State Hospital The Regional Mental Health Center The Psychosocial Units Summary - The Treatment Programs and Their Assessment General Content - Differential Nature of Interactions Among - Programs - Methods of Assessing Program Operation Actual Differences in Staff Performance Among - Programs Summary - The Orientation and Common Procedures Manual Common Assumptions of Psychosocial - Treatment Programs - Common Objectives and Areas of Focus Common Operational Procedures and - Attitudes Appendix - The Milieu Therapy Manual Basic Principles and Concepts - The Therapeutic Community Procedural Rules for Staff Program Content Appendix - The Social-Learning Program Manual Basic Principles and Concepts - The Token Economy Procedural Rules for Staff Program Content Appendix - The Clinical Staff and Their Assessment Methods of Assessing Characteristics, Attitudes, - and Orientations of Clinical Staff Selection Procedures, Clinical Staff Characteristics, and Turnover Opinions About Mental Patients Preferences on the Nature of Treatment and - Technique Utilization Summary - Nonprofessional Clinical Staff Training Two Approaches to Training Psychosocial - Staff Differential Outcomes Associated With the - Two Training Approaches Summary - Methods of Assessing Patient Behavior Relatively Stable Personal-Social - Characteristics - Level of Functioning Over Institutions Continuous Objective Assessment Within - Psychosocial Programs Release and Community Stay - The Chronically Institutionalized Population Selection of Patients and Group Equation Summary PART : THE FIRST SIX MONTHS ON THE PSYCHOSOCIAL UNITS: PROGRAM INTRODUCTION AND RAPID RESPONSE - Notable Events and Overview of the First Six Months - Differential Effectiveness of Milieu and Social-Learning Programs After Program Introduction Changes in Global Functioning Changes in Maladaptive Behavior Changes in Adaptive Behavior Summary and Individual Improvement - Rates - Other Ongoing Resident Activity After Program Introduction Comparative Characteristics of Large - Community Meetings Differential Utilization of Resources Time Spent In Programs and With Other - People - Variability of Resident Activity Summary - Staff Attitudes and Performance Before and After Program Introduction Opinions About Mental Patients Attitudes Toward and Interpretations of - Treatment Programs Performance in Psychosocial Programs Summary - Summary of Findings for the First Six Months - - PART : THE NEXT TWO YEARS ON THE PSYCHOSOCIAL UNITS: VARIABILITY AND PEAK RESPONSE - Notable Events and Overview of the Next Two Years - Differential Effectiveness of the Milieu and Social-Learning Programs During the Next Two Years Changes in Global Functioning - Changes in Maladaptive Behavior Changes in Adaptive Behavior Summary and Individual Improvement Rates - Other Ongoing Resident Activity - During the Next Two Years - Comparative Characteristics of Large - Community Meetings Differential Utilization of Resources Time Spent In Programs and With Other - People - Variability of Resident Activity Summary - Staff Attitudes and Performance During the Next Two Years - Opinions About Mental Patients Attitudes Toward and Interpretations of - Treatment Programs Performance in Psychosocial Programs Summary - Summary of Findings for the Next Two Years - - PART : THE NEXT YEAR AND A HALF ON THE PSYCHOSOCIAL UNITS: DECLINE OF EFFECTIVENESS AND SEARCH FOR CAUSE - Notable Events and Overview of the Next Year and a Half - Differential Effectiveness of the Milieu and Social-Learning Programs During the Next Year and a Half Changes in Global Functioning Changes in Maladap tive Behavior Changes in Adaptive Behavior Summary and Individual Improvement - Rates - Other Ongoing Resident Activity During the Next Year and a Half Comparative Characteristics of Large - Community Meetings Differential Utilization of Resources Time Spent In Programs and With Other - People - Variability of Resident Activity Summary - Staff Attitudes and Performance During the Next Year and a Half Opinions About Mental Patients Attitudes Toward and Interpretations of - Treatment Programs Performance in Psychosocial Programs Summary - Summary of Findings for the Next Year and a Half - PART : THE LAST SIX MONTHS ON THE PSYCHOSOCIAL UNITS: ATTEMPTS TO REGAIN THE PEAK - Notable Events and Overview of the Last Six Months Differential Effectiveness of the Milieu and Social-Learning Programs During the - Last Six Months - Changes in Global Functioning Changes in Maladaptive Behavior Changes in Adaptive Behavior Summary and Individual Improvement Rates - Other Ongoing Resident Activity During the Last Six Months Comparative Characteristics of Large - Community Meetings Differential Utilization of Resources Time Spent In Programs and With Other - People - Variability of Resident Activity Summary - Staff Attitudes and Performance During the Last Six Months Opinions About Mental Patients Attitudes Toward and Interpretations of - Treatment Programs Performance in Psychosocial Programs Summary - Summary of Findings for the Last Six Months - - PART : PSYCHOSOCIAL VERSUS HOSPITAL GROUPS: INTRAMURAL FUNCTIONING AND COMMUNITY PLACEMENT - An Overview of Hospital Comparisons, Community Placement, and Termination of the Psychosocial Units - - Comparative Intramural Change of the Psychosocial and Hospital Groups The Inpatient Assessment Battery (IAB) Some Minor Paradoxes on the IAB - A Comment on Psychotropic Drugs Summary and Predictability of IAB Improvement - Comparative Release Rates Effectiveness in Achieving Significant - Release Efficiency in Achieving Significant - Release Relationship to Intramural Functioning and - Predictability of Significant Release Summary of Comparative Release - Summary of Findings From Programs and Placement - PART : A YEAR AND A HALF AFTER: COMMUNITY FOLLOW-UP WITH SOCIAL-LEARNING PRINCIPLES - Notable Events and Overview of the Follow-up Period - Follow-up Consultation to Community Facilities and Resulting Programs Nonspecific Characteristics of Psychosocial - Aftercare Consultation Two Modes of Follow-up Actual Staff Performance in Community - Facilities Summary - Postrelease Levels of Functioning in - the Community - Changes in Functioning for Released - Residents Changes in Functioning in Different - Community Facilities Summary - Practical Outcome of the Psychosocial and Hospital Programs With Social-Learning Follow-up Comparative Release Rates With Continuing - Community Stay Comparative Effectiveness and Efficiency - of Achieving Continuing Community - Stay Comparative Cost-Effectiveness of - Programs Summary - Summary of Findings From Community Follow-up - PART : CONCLUSIONS AND RECOMMENDATIONS - Current Status of the Milieu and Social-Learning Approaches Comparative Effectiveness Differential Areas of Success Representativeness of Intramural Programs - and Findings - Factors Related to Release and Community Stay - Concluding Comments on Institutional Research and Treatment Ethical Issues and Legal Trends Related - to the Recommendations Further Considerations for Improving - Institutional Practices Providing the Best Treatment While - Extending Knowledge APPENDIXES - A Instruments for Assessing Staff Attitudes and Orientation - B Revised Fine Costs That Replace "Token Costs" in Chapter - C Examples of Detailed Procedural Memos Recommended. ISBN 0674721128