Abstract
This study used a benchmarking and goal attainment approach to identify the extent to which two state hospital-based programs were doing what they were intended to do. The 1989 version of the Moos Ward Atmosphere Scale (WAS) was used to collect information from staff and patients in resocialization and admissions programs. Analysis of variance revealed differences between and within programs, and t tests revealed differences between the study sample and the WAS norms. Program descriptions, information from the literature, and features of the measurement scale were used to interpret the finding and develop recommendations for improvements.
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Heidbreder JE: Looking for the light-not the heat.Healthcare Forum Journal 1993; 1:25–27, 29.
Fitzpatrick M, Huczynski A: Applying the “benchmarking” approach to absence control.Leadership and Organization Development Journal 1990; 11:22–26.
Pace LA: Creative management through employee involvement in strategic planning.Journal of Creative Behavior 1987; 21:129–135.
Moos R: Assessing the program environment: Implications for program evaluations and design. In: Conrad KJ, Roberts-Gray C (Eds.):Evaluating Program Designs. San Francisco, CA: Jossey-Bass, 1988, pp. 7–23.
Okin RL: The future role of state hospitals: Should there be one?American Journal of Psychiatry 1983; 140:577–581.
Ozarin L: Taking issue: State hospitals as acute care facilities.Hospital and Community Psychiatry 1989; 40:5.
Geller JL: “Anyplace but the state hospital:” Examining assumptions about the benefits of diversion.Hospital and Community Psychiatry 1991; 42:145–151.
Bettenhausen KL: Five years of groups research: What have we learned and what needs to be addressed.Journal of Management 1991; 17:345–381.
Moos R:Ward Atmosphere Scale Manual, Second ed., andWard Atmosphere Scale, Second ed. Palo Alto, CA: Consulting Psychologists Press, 1989.
Diamond MA: Organization identity as psychoanalytic exploration of organizational meaning.Administration & Society 1988; 20:166–190.
Kahn ME, Sturke TI, Schaeffer J: Inpatient group processes parallel unit dynamics.International Journal of Group Psychotherapy 1993; 42:407–418.
Caplan C: Nursing staff and patient perceptions of the ward atmosphere in a maximum security forensic hospital.Archives of Psychiatric Nursing 1993; 7:23–29.
Gist ME, Locle EA, Taylor MS: Organizational behavior: Group structure, process, and effectiveness.Journal of Management 1987; 13:237–257.
Shaw RB: Mental health treatment teams. In: Hackman JR (Ed.):Groups That Work and Those That Don’t. San Francisco, CA: Jossey-Bass, 1990, pp. 330–348.
O’Driscoll MP, Evans R: Organizational factors and perceptions of climate in three psychiatric units.Human Relations 1988; 41:371–389.
Trauer T, Bouras N, Watson JP: The assessment of ward atmosphere in a psychiatric unit.International Journal of Therapeutic Communities 1987; 8:199–205.
Finney J, Moos R: Environmental assessment and evaluation research: Examples from mental health and substance abuse programs.Evaluation and Program Planning, 1984; 7:151–167.
Archer RP, Amuso KF: Comparison of staff’s and patients’ perceptions of ward atmosphere.Psychological Reports 1980; 46:959–965.
Verinis JS, Flaherty JA: Using the ward atmosphere scale to help change the treatment environment.Hospital and Community Psychiatry 1978; 29:238–240.
Marcos LR: Dysfunctions in public psychiatric bureaucracies.American Journal of Psychiatry 1988; 145:331–334.
Obholzer A: Institutional dynamics and resistance to change.Psychoanalytic Psychotherapy 1987; 2:201–206.
Carlyn M, Stoffelmayr B: Diversity of goals in a state psychiatric hospital.Administration in Mental Health 1981; 9:57–66.
Porter LW, Steers RM, Mowday RT, et al.: Organizational commitment, job satisfaction, and turnover among psychiatric technicians.Journal of Applied Psychology 1974; 59:603–609.
Salisbury RF:Structures of custodial care: An anthropological study of a state mental hospital. Berkeley: University of California Press, 1962.
Main S, McBride AB, Austin JK: Patient and staff perceptions of a psychiatric “ward environment”.Issues in Mental Health Nursing 1991; 12:149–157.
Herrera JM, Lawson WB: Effects of consultation on the ward atmosphere in a state psychiatric hospital.Psychological Reports 1987; 60:423–428.
Moos R:The Social Climate Scales: An Overview. Palo Alto, CA: Consulting Psychologists Press, 1974.
Price HR, Moos RH: Toward a taxonomy of inmatient treatment environments.Journal of Applied Psychology 1975; 84:181–188.
Friis S: Characteristics of a good ward atmosphere.Acta Psychiatrica Scandinavica 1986; 74:469–473.
Collins JF, Ellsworth RB, Casey NA, et al.: Treatment characteristics of effective psychiatric programs.Hospital and Community Psychiatry 1984; 35:601–605.
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des Cruser, A. Evaluating program design in the state hospital setting. The Journal of Mental Health Administration 22, 49–57 (1995). https://doi.org/10.1007/BF02519197
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DOI: https://doi.org/10.1007/BF02519197