Sou Bouy Lo 1 , Rainer Gaupp 1 , Christian Huber 1 , Andres Schneeberger 1 , Gabrijela Garic 1 , Alexander Voulgaris 1 , Marc Walter 1 , Stefan Borgwardt 1 , Undine E Lang 1 Show Affiliations »
Abstract
OBJECTIVE: To compare the ward atmosphere, safety, therapeutic hold, and patients' coherence on recently opened (1 year), opened (4 years) and open (> 20 years) psychiatric wards in a longitudinal naturalistic study design. The question was if a patient shift from formerly locked to open wards might deteriorate the ward atmosphere on the open and opened wards. METHODS: Ward atmosphere on two recently opened (n = 2), opened (n = 2) and open (n = 2) wards was examined using the Essen Climate Evaluation Schema (EssenCES) in a follow-up study after 4 years. Structural as well as clinical data were extracted. RESULTS: Global ward atmosphere, safety, and patients' coherence on the recently opened wards was significantly increased; on always opened wards and long-term opened wards it remained unchanged. Coercive measures and discharges against medical advice decreased during the open door process. CONCLUSION: Opening locked psychiatric wards can help to establish a positive therapeutic atmosphere without changing the therapeutic climate on the other already open wards. A better ward atmosphere might be connected with a better therapeutic quality. © Georg Thieme Verlag KG Stuttgart · New York.
OBJECTIVE: To compare the ward atmosphere, safety, therapeutic hold, and patients ' coherence on recently opened (1 year), opened (4 years) and open (> 20 years) psychiatric wards in a longitudinal naturalistic study design. The question was if a patient shift from formerly locked to open wards might deteriorate the ward atmosphere on the open and opened wards. METHODS: Ward atmosphere on two recently opened (n = 2), opened (n = 2) and open (n = 2) wards was examined using the Essen Climate Evaluation Schema (EssenCES) in a follow-up study after 4 years. Structural as well as clinical data were extracted. RESULTS: Global ward atmosphere, safety, and patients ' coherence on the recently opened wards was significantly increased; on always opened wards and long-term opened wards it remained unchanged. Coercive measures and discharges against medical advice decreased during the open door process. CONCLUSION: Opening locked psychiatric wards can help to establish a positive therapeutic atmosphere without changing the therapeutic climate on the other already open wards. A better ward atmosphere might be connected with a better therapeutic quality. © Georg Thieme Verlag KG Stuttgart · New York.
Entities: Disease
Species
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Year: 2017
PMID： 28371949 DOI： 10.1055/s-0042-121784
Source DB: PubMed Journal: Psychiatr Prax ISSN： 0303-4259