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Improving the Quality of Care on Psychiatric Hospital Rehabilitation Wards: a Controlled Evaluation

Published online by Cambridge University Press:  02 January 2018

A. Lavender
A. Lavender*
Affiliation:
Department of Psychology, Maidstone Hospital (Psychiatric Wing), Red House, Oakapple Lane, Maidstone, Kent
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Abstract

This study attempted to use feedback from the Model Standards Questionnaires (a series designed to measure the quality of care) to improve care on a psychiatric hospital's rehabilitation wards. Both a controlled and quasi-experimental design were used. The controlled design provided evidence that feedback from the Questionnaire concerned with the Individual Programmes of Treatment and Care led to improvements in these practices but not for the remaining three questionnaires. The quasi-experimental design indicated that the significant generalised improvement in care, over all questionnaires, was most likely due to the feedback.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 150 , Issue 4 , April 1987 , pp. 476 - 481
Copyright
Copyright © 1987 The Royal College of Psychiatrists 

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References

Andrask, F., Heimberg, J. S. & McNamara, J. R. (1981) Behaviour modification of work and work related problems. In Progress in Behaviour Modification (Vol. 2) (ed. M. Hersen & P. M. Miller) New York: Academic Press.Google Scholar
Broome, A. K. (1979) Setting targets for institutional care. Paper given at 1979 Annual Conference of the British Psychological Society, Nottingham University.Google Scholar
Burg, M. M. & Reid, D. H. & Lattimore, J. (1979) Use of self recording and supervision programme to change institutional staff behaviour. Journal of Applied Behavioural Analysis, 12, 363–375.Google Scholar
Cook, T. D. & Campbell, D. T. (1979) Quasi Experimentation Design and Analysis Issues for Field Settings. Boston: Houghton-Mifflen.Google Scholar
Cope, D. & Cox, S. (1980) Organisational development in a psychiatric hospital, creating desirable changes. Journal of Advanced Nursing, 5, 371–380.CrossRefGoogle Scholar
Department of Health & Social Security (1979) Organisation and Management Problems of Mental Illness Hospitals: Report of a Working Group. London: DHSS.Google Scholar
Fairweather, G. W., Sanders, D. H. & Tornatsky, L. G. (1974) Creating Change in Mental Health Organisations. New York: Pergammon Press.Google Scholar
Garety, P. A. & Morris, I. (1984) A new unit for long stay psychiatric patients: organisation attitudes and quality of care. Psychological Medicine, 14, 183–192.CrossRefGoogle ScholarPubMed
Georgiades, N. J. & Phillimore, L. (1975) The myth of the hero innovator and alternative strategies for organisational change. In Behaviour Modification with the Severely Retarded (eds C. C. Keirnan & F. D. Woodford). Amsterdam: Associated Scientific Publishers.Google Scholar
Hall, J. N., Baker, R. D. & Hutchinson, K. (1977) A controlled evaluation of token economy procedures with chronic schizophrenic patients. Behaviour Research and Therapy, 15, 261–283.CrossRefGoogle ScholarPubMed
Herold, D. M. & Greller, M. (1977) Feedback: definition of a construct. Academy of Management Journal, 20, 147–157.Google Scholar
Iwata, B. A., Bailey, J. S., Brown, K. M., Foshee, T. J. & Alpern, M. A. (1977) A performance based lottery to improve residential care and training by institutional staff. Journal of Applied Behaviour Analysis, 9, 417–431.Google Scholar
Jones, M. (1952) Social Psychiatry: A Study of Therapeutic Communities. London: Tavistock.Google Scholar
King, R. D., Raynes, N. V. & Tizard, J. (1972) Patterns of Residential Care. London: Routledge & Kegan Paul.Google Scholar
Lavender, A. (1985) Evaluation and Change in Settings for the Long Term Psychologically Handicapped. Ph.D Thesis, University of London, Kings College Hospital Medical School.Google Scholar
Mealia, L. N. (1978). Learned Behaviour: the key to understanding and preventing employee resistance to change. Group and Organisational Studies. 3, 211–223.Google Scholar
Montegar, C. A., Reid, D. H., Madsen, C. H. Jr. & Ewell, M. D. (1977). Increasing institutional staff to resident interactions through inservice training and supervisor approval. Behaviour Therapy, 8, 533–540.Google Scholar
Morris, P. (1969) Put Away: Sociological Study of Institutions for the Mentally Retarded. London: Routledge & Kegan Paul.Google Scholar
Paul, G. L. & Lentz, R. (1977) Psychosocial Treatment of Chronic Mental Patients. Cambridge, Mass: Harvard University Press.Google Scholar
Prue, D. M., Krapfl, J. E., Noah, J. C., Canon, S. & Maley, R. F. (1980) Managing the treatment activities of state mental hospital staff. Journal of Organisational Behavioural Management, 2, 165–181.Google Scholar
Richardson, A. (1977) Organisation and Interaction in Psychiatric Day Centres. MPhil. Thesis, University of London.Google Scholar
Shepherd, G. W. (1984) Institutional Care and Rehabilitation. London: Longman.Google Scholar
Towell, D. & Dartington, T. (1976). Encouraging innovations in hospital care. Journal of Advanced Nursing, 1, 391–398.Google Scholar
Watts, F. N. & Bennett, D. H. (1983). Introduction: the concept of rehabilitation. In Watts, F. N. & Bennett, D. H., Handbook of Psychiatric Rehabilitation Practice. Chichester: Wiley.Google Scholar
Wing, J. K. & Brown, G. W. (1970) Institutionalism and Schizophrenia. London: Cambridge University Press.Google Scholar
Wykes, T., Sturt, E. & Creer, C. (1982) Practices of day and residential units in relation to the social behaviour of residents. In Long Term Community Care Experience in a London Borough (ed J. K. Wing) Psychological Medicine, Monograph Supplement 2, London: Cambridge University Press.Google Scholar
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