Geriatric patients who improve in token economy and general milieu treatment programs: A multivariate analysis

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Abstract

Assigned 80 chronic geriatric mental hospital patients, mean age 68.8 yrs, to token economy and general milieu programs. In each program, staff received the same amount of training, and the physical environments were identical. All Ss were rated with the Psychotic Inpatient Profile and the Vigor Intactness Relationship Orientation. Results show significant decreases over 6 mo on both wards in frequency of bizarre and unusual behaviors. Incontinence decreased immediately after transfer to the treatment wards, and there were changes over 6 mo in the amount of staff care given to Ss. Multiple discriminant analyses indicated that in each ward different constellations of pretreatment characteristics discriminated between Ss who improved and those who did not improve in the frequency of bizarre and unusual behaviors. In the token economy, improved Ss were characterized as less “institutionalized,” in better physical condition, and actively exhibiting their troubles. In the general milieu, improved Ss were discriminated by less responsiveness to an interviewer. (20 ref) (PsycINFO Database Record (c) 2006 APA, all rights reserved)

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