Timko C, Moos R H
Veterans Affairs Health Care System, Palo Alto, CA 94304, USA.
J Clin Psychol. 1998 Dec;54(8):1137-50. doi: 10.1002/(sici)1097-4679(199812)54:8<1137::aid-jclp12>3.0.co;2-0.
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.
本研究考察了治疗环境的关键方面如何与居住在89家精神科或药物滥用治疗机构的患者总体行为中的项目差异相关。更积极的支持、个人表达和实际导向与患者更好的功能、在机构和社区中更多的患者活动，以及患者对项目的健康治疗服务和社会娱乐活动的更多使用相关。这些结果在患者和工作人员对治疗环境的一致认知方面均成立。总体而言，治疗环境的这些方面对精神损伤更严重的患者群体尤其有益。
