Premium
Outcomes of the treatment climate in psychiatric and substance abuse programs
Author(s) -
Timko Christine,
Moos Rudolf H.
Publication year - 1998
Publication title -
journal of clinical psychology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.124
H-Index - 119
eISSN - 1097-4679
pISSN - 0021-9762
DOI - 10.1002/(sici)1097-4679(199812)54:8<1137::aid-jclp12>3.0.co;2-0
Subject(s) - substance abuse , recreation , psychiatry , psychology , substance abuse treatment , milieu therapy , orientation (vector space) , clinical psychology , geometry , mathematics , political science , law
This study examines how key aspects of the treatment climate are related to program differences in the aggregate behaviors of patients residing in 89 psychiatric or substance abuse facilities. More active support, personal expression, and practical orientation were related to better patient functioning, more patient activity in the facility and in the community, and more use by patients of the program's health‐treatment services and social‐recreational activities. These results held for both patients' and staff members' consensual perceptions of the treatment climate. On the whole, these aspects of the treatment milieu were especially beneficial for groups of patients with greater psychiatric impairment. © 1998 John Wiley & Sons, Inc. J Clin Psychol 54: 1137–1150, 1998.