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Organization and interaction in psychiatric day centres

Published online by Cambridge University Press:  09 July 2009

Geoff Shepherd*
Affiliation:
Department of Psychology, Institute of Psychiatry, London
Anne Richardson
Affiliation:
Department of Psychology, Institute of Psychiatry, London
*
1Address for correspondence: Mr G. Shepherd, Department of Psychology, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF.

Synopsis

One of the major problems in the care of chronic patients is the design of suitable long-term environments. Following from the work of Tizard and his colleagues, a study is described which investigated the aspects of the organization, management practices and social interactions in 4 local authority day centres for the care of chronic patients in the community. It was found that these centres differed markedly in terms of their organization and management practices and that these differences were correlated with the nature and quality of staff-client (although not staff–staff) interactions. Client-oriented management attitudes were correlated with a more personal approach to clients' problems and a warmer quality of interaction. These differences did not seem attributable to different kinds of clients being involved in each centre. The results are discussed in terms of the possible causal mechanisms involved and their implications for designing systems of long-term care.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1979

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References

Bacharach, L. (1976). Deinstitutionalisation: an Analytical Review of Sociological Perspective. US Department of Health, Education and Welfare Publication No. (ADM)76–351: Washington.Google Scholar
Bennett, D. H. (1977). Day treatment in England. In Proceedings of Adult Psychiatric Day Treatment: a Multi-Disciplinary Forum (ed. Schippits, H. and Kroll, J.), pp. 1231. University of Minnesota Press.Google Scholar
Bennett, D. H. (1978). Community psychiatry. British Journal of Psychiatry 132, 209220.CrossRefGoogle Scholar
Carter, J. & Edwards, C. (1975). National Day Care Study: Pilot Report. National Institute for Social Work: London.Google Scholar
Cummings, J. & Cummings, S. E. (1977). Chronic illness as an interactive process. Unpublished manuscript.Google Scholar
Department of Health and Social Security (1975). Personal Social Services: Local Authority Statistics, Adult Day Centres 1973–1975. Ref. No. A/F75/8. HMSO: London.Google Scholar
Goffman, E. (1961) Asylums: Essays on the Social Situation of Mental Patients and Other Inmates. Anchor Books, Doubleday: New York.Google Scholar
Hawks, D. (1975). Community care: analysis and assumptions. British Journal of Psychiatry 127, 276285.CrossRefGoogle ScholarPubMed
Herz, M. I., Endicott, J. & Spitzer, R. L. (1977). Brief hospitalization: a two-year follow-up. American Journal of Psychiatry 134, 5.Google ScholarPubMed
Hogarty, G. E., Goldberg, S. C., Schooler, N. R. & Ulrich, R. F. (1974). Drug and sociotherapy in the aftercare of schizophrenic patients. II. Two year relapse rates. Archives of General Psychiatry 31, 603608.CrossRefGoogle ScholarPubMed
Jenkins, J., Felce, D., Powell, E. & Lunt, B. (1976). Research in Residential Environments on the Elderly: An Applied Behavioural Approach. Health Care Evaluation Research Team Report 122: Wessex Regional Health Authority.Google Scholar
King, R., Raynes, N. & Tizard, J. (1971) Patterns of Residential Care. Routledge & Kegan Paul: London.Google Scholar
Lipinski, D. & Nelson, R. (1974). Problems in the use of naturalistic observations as a means of behavioural assessment. Behaviour Therapy 5, 341351.CrossRefGoogle Scholar
Michaux, M. H., Chelst, M. R., Foster, S. A., Pruim, R. J. & Dasinger, E. H. (1973). Post-release adjustment of day and full-time psychiatric patients. Archives of General Psychiatry 29, 647651.CrossRefGoogle Scholar
Mischel, W. (1968). Personality and Assessment. Wiley: New York.Google Scholar
Paul, G. (1969). Chronic mental patient: current status – future directions. Psychological Bulletin 71, 8194.CrossRefGoogle ScholarPubMed
Porterfield, J., Blunden, R. & Blewitt, E. (1979). Improving environments for profoundly handicapped adults: establishing staff routines for high client engagement. Journal of Applied Behaviour Analysis (in the press).Google Scholar
Richardson, A. H. (1977). Organization and interaction in psychiatric day centres. M.Phil. Thesis: University of London.Google Scholar
Rollin, H. R. (1977). De-institutionalization and the community: fact and theory. Psychological Medicine 7, 181184.CrossRefGoogle ScholarPubMed
Stein, L. I. & Test, M. A. (1977). Alternatives to Mental Hospital Treatment. Plenum Press: New York.Google Scholar
Tizard, J. (1972). Research into services for the mentally handicapped: science and policy issues. British Journal of Mental Subnormality 18 pp. 677.CrossRefGoogle Scholar
Tizard, J. (1976). Psychology and social policy. Bulletin of the British Psychological Society 29, 225234.Google Scholar
Washburn, S., Vannicell, M., Longabaugh, R. & Scheff, B. J. (1976). A controlled comparison of psychiatric day treatment and inpatient hospitalisation. Journal of Consulting and Clinical Psychology 44, 664675.CrossRefGoogle Scholar
Wing, J. K. (1973). Problems of a developing psychiatric service. In Policy for Action (ed Cawley, R. H. & McLachlan, G.), pp. 4764. Oxford University Press: London.Google Scholar
Wing, J. K. & Brown, G. L. (1970). Institutionalism and Schizophrenia. Cambridge University Press: London.CrossRefGoogle Scholar
Wing, J. K. & Hailey, A. (1972). Evaluating a Community Psychiatric Service: The Camberwell Register 1964–1971. Oxford University Press: London.Google Scholar