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Organization and interaction in psychiatric day centres

Published online by Cambridge University Press:  09 July 2009

Geoff Shepherd  and
Anne Richardson
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.
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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
Information
Psychological Medicine , Volume 9 , Issue 3 , August 1979 , pp. 573 - 579
Copyright
Copyright © Cambridge University Press 1979

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