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A patient-staff survey, focusing on the efficacy of treatment and aftercare, showed inconsistencies in the way staff perceived treatment given patients at a large municipal acute care hospital. Primary therapists, psychiatrists, and psychologists saw treatment in a routine, standardized fashion, whereas nurses, social workers, activity therapists, and others viewed treatment in more elaborate, individualized terms. The survey also showed disparities between what staff intended to do and what patients perceived was happening to them. Implications of these findings and recommendations for coordinating staff efforts and clarifying patient understanding of treatment are presented.