DESIGNING AND IMPLEMENTING A GROUP TREATMENT MODEL TARGETED TO CHRONIC PSYCHIATRIC PATIENTS AND ADAPTABLE TO AN INPATIENT ACUTE-CARE HOSPITAL WARD.
Item
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Title
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DESIGNING AND IMPLEMENTING A GROUP TREATMENT MODEL TARGETED TO CHRONIC PSYCHIATRIC PATIENTS AND ADAPTABLE TO AN INPATIENT ACUTE-CARE HOSPITAL WARD.
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Identifier
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AAI8423103
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identifier
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8423103
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Creator
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SHOCHAT, WILMA.
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Contributor
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Harold Lewis
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Date
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1984
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Language
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English
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Publisher
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City University of New York.
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Subject
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Social Work
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Abstract
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This project was an exploratory attempt to develop a treatment model within an acute-care hospital targeted to chronic psychiatric patients. Both target population and setting were appropriate for clinical investigation: (1) hospitalized chronic schizophrenics have severe resistance to treatment and a high rehospitalization rate, and (2) the acute-care setting provided no special treatment programs for this segment of their population.;Since the acute-care ward was designed as a transitional setting between inpatient care and the community, the program was conceptualized as a series of discharge planning groups, with a behavioral conditioning treatment base. It was theorized that the experience of involvement in such activities as social skills training and field trips would engage patients in a treatment process which could continue into the community setting. The project questioned whether this form of treatment could be implemented within the constraints of the acute-care setting and of the treatment-resistant population.;If implemented, this inpatient program could provide one part of an ongoing, comprehensive treatment frame for this population. If patients are more involved in treatment, it was theorized, they would be more able to remain in the community, and thus, effectuate "deinstitutionalization" goals.;The first group series, in which the behavioral approach focused on teaching social skills, produced little response from patients who were too regressed to involve in the activities. A second series, building on data from the first series, targeted treatment goals and techniques more accurately to the patients' regressed level, and focused on helping patients break their isolation through the development of a special form of patient-therapist relationship. Patients responded to this relationship-oriented approach with less retreat from reality and more interest than to the first series.;This project produced information on how to best treat acute-care chronic patients, focusing on such variables as the most appropriate form of therapeutic stance and special treatment techniques best suited to this population in this setting. The subtleties of implementing such techniques were clarified and expanded during the implementation. . . . (Author's abstract exceeds stipulated maximum length. Discontinued here with permission of author.) UMI.
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Type
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dissertation
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Source
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PQT Legacy CUNY.xlsx
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degree
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D.S.W.
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Program
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Social Work
