Advertisement

Community Mental Health Journal

, Volume 26, Issue 3, pp 237–244 | Cite as

The seriously mentally ill: Another perspective on treatment resistance

  • Jose M. Santiago
  • Michael R. Berren
  • Allan Beigel
  • Stephen M. Goldfinger
  • Mo Therese Hannah
Articles

Abstract

There is a subpopulation of the seriously mentally ill who remain acute care recidivists, rarely becoming engaged in follow-up treatment. It has been argued that these individuals are system, rather than treatment resisters. The perceptions they have of their problems are often in conflict with staff evaluations, or with what the system has to offer. In the present study, patients who dropped out of residential care against staff's advice were compared to patients who remained in treatment. The results suggest that the greater the difference between the perceptions a patient and therapist have concerning the patient's problem, the greater the likelihood of the patient dropping out of treatment.

Keywords

Public Health Health Psychology Acute Care Residential Care Treatment Resistance 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Arizona Department of Health Services. (1983). The Checklist for Chronic Mental Illness.Google Scholar
  2. Armstrong, M.L., Bakke, J.L. & Dodge, H. (1962) Double blind control study of hypertensive agents.Archives of Internal Medicine, 110, 222–239.Google Scholar
  3. Bachrach, L.L. (1984). The concept of young adult chronic psychiatric patients: questions from a research perspective.Hospital and Community Psychiatry 35, 573–580.Google Scholar
  4. Baekeland, F. & Lundwall, L. (1975). Dropping out of treatment: a critical review.Psychological Bulletin, 82, 738–783.Google Scholar
  5. Beck, N.C., Shekim, W., & Gilbert, F. (1983). A cross-validation of factors predictive of AMA discharge.Hospital and Community Psychiatry, 34, 69–71.Google Scholar
  6. Caldwell, J.R., Cobb, S., & Dowling, M.D. (1970). The dropout problem in antihypertension treatment.Journal of Chronic Disease, 122, 579–592.Google Scholar
  7. Derogatis, L.R. (1983). SCL-90R:Administration, Scoring & Procedures Manual-II. Clinical Psychometric Research. Towson, MD.Google Scholar
  8. Goldfinger, S.M., Hopkin, J.T., & Surber, R.W. (1984). Treatment resisters or system resisters?: toward a better service system for acute care recidivists.New Directions for Mental Health Services, 21, 17–27.Google Scholar
  9. Pepper, B., Ryglewicz, H., & Kirschner, M.C. (1982) The uninstitutionalized generation: a new breed of psychiatric patient.New Directions for Mental Health Services, 14, 3–14.Google Scholar
  10. Santiago, J.M. (1987). Reforming a system of care: the Arizona experiment.Hospital and Community Psychiatry, 38, 270–273.Google Scholar
  11. Segal, S.P. & Baumohl, J. (1980). Engaging the disengaged: proposals on madness and vagrancy.Social Work, 25, 365–368.Google Scholar

Copyright information

© Human Sciences Press 1990

Authors and Affiliations

  • Jose M. Santiago
    • 1
    • 2
  • Michael R. Berren
    • 3
  • Allan Beigel
    • 4
  • Stephen M. Goldfinger
  • Mo Therese Hannah
    • 5
    • 6
  1. 1.College of MedicineUniversity of ArizonaUSA
  2. 2.University of ArizonaUSA
  3. 3.Department of PsychiatryUniversity of Arizona, College of MedicineUSA
  4. 4.University of ArizonaUSA
  5. 5.Department of PsychologyUniversity of ArizonaUSA
  6. 6.Department of PsychiatryKino Community HospitalTucson

Personalised recommendations