Reality orientation therapy--a controlled trial

Sixty long-stay patients who were demented or withdrawn or both were randomly allocated to reality orientation or diversional occupational therapy and were assessed blind on two scales. Owing to a high drop-out rate only 19 organic and 19 functional patients satisfied reasonable criteria for inclusion in the analyses. Those treated by reality orientation therapy fared better than the controls but not significantly so. Initial test scores were no guide to outcome. The results suggested that both organic and functional patients benefited cognitively, but hardly at all behaviourally, from both types of treatment.