Changing a culture: a brief program analysis of a social learning program on a maximum-security forensic unit.

This report presents outcome data collected for a three-year period from a maximum-security forensic psychiatric program. Admission and discharge variables, restraint/seclusion, and client abuse/neglect data are presented from a one-year period that preceded the advent of the Behavior Management Treatment Program's (BMTP's) Social Learning Diagnostic Program to two years after implementing the Social Learning Diagnostic Program. Significant overall progress and improvement was observed in all variables analyzed after instituting a social learning program paradigm. This report provides a brief summary of the BMTP's Social Learning Diagnostic Program along with a discussion of the role played by Dangerousness Management Plans in the treatment of patients within the social learning milieu. Additionally the patient population served, and the rationale for implementation of a program based in social learning theory, are discussed. Copyright 2002 John Wiley & Sons, Ltd.