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Environmental interventions and therapeutic outcome.

H P Lefley

    Hospital & Community Psychiatry
    |May 1, 1979
    PubMed
    Summary

    Intensive environmental interventions significantly improved patient progress in psychotherapy. Goal attainment in environmental interventions effectively predicted therapeutic outcomes across all success levels.

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    Area of Science:

    • Mental Health Services Research
    • Community Psychology
    • Psychotherapy Evaluation

    Background:

    • Community mental health centers serve diverse urban populations facing significant social stressors.
    • The interplay between environmental factors and psychotherapeutic progress requires further investigation.
    • Assessing therapeutic and environmental goals is crucial for understanding patient outcomes.

    Purpose of the Study:

    • To evaluate the impact of intensive environmental interventions on psychotherapeutic progress.
    • To determine if environmental goal attainment predicts therapeutic outcomes.
    • To examine these effects in a multi-ethnic, inner-city community mental health setting.

    Main Methods:

    • A quasi-experimental study design was employed at a community mental health center.
    • The Kiresuk-Sherman goal attainment scaling method was used to measure therapeutic and environmental goals.
    • A random sample of 150 patients was analyzed, with subgroups receiving psychotherapy, environmental interventions, or both.

    Main Results:

    • Environmental goal attainment was a significant predictor of therapeutic outcome.
    • This predictive relationship held true across high, moderate, and low patient success groups.
    • Patients receiving combined interventions showed varied but influenced outcomes based on environmental goals.

    Conclusions:

    • Intensive environmental interventions are beneficial for enhancing psychotherapeutic progress.
    • Environmental goal attainment serves as a reliable indicator of overall therapeutic success.
    • Integrated care models addressing both psychological and environmental needs are effective in community mental health.

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