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Clinical patterns in a behavior modification unit

G Dahl, H Merskey

    Canadian Journal of Psychiatry. Revue Canadienne De Psychiatrie
    |November 1, 1981
    PubMed
    Summary
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    Behavior modification programs in psychiatric hospitals, using rewards and therapy, successfully improved patient outcomes. 75% of patients maintained community living post-discharge, with less prior treatment correlating to better results.

    Area of Science:

    • Psychiatry
    • Behavioral Science
    • Clinical Psychology

    Background:

    • Behavioral modification units (BMUs) are integral to psychiatric care.
    • Patients often present with complex histories including personality and behavioral disorders.
    • Previous psychiatric treatment frequency can influence treatment outcomes.

    Purpose of the Study:

    • To describe the principles and practices of a BMU in a psychiatric hospital.
    • To evaluate the effectiveness of a BMU program.
    • To identify factors associated with successful patient outcomes.

    Main Methods:

    • A BMU program utilizing rewards, privileges, individual counseling, and family therapy was implemented.
    • A consecutive series of 56 psychiatric patients were studied.

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  • Patient improvement was assessed by community living and hospital readmission rates at three months post-discharge.

    • Main Results:

    • 75% (42 out of 56) of patients demonstrated improvement based on the defined criteria.
    • Patients with less extensive past psychiatric treatment showed significantly better outcomes.
    • The program integrated behavioral strategies with therapeutic interventions.

    Conclusions:

    • Behavior modification programs, when combined with counseling and therapy, are effective in psychiatric settings.
    • Reduced history of psychiatric treatment is a significant predictor of successful outcomes.
    • The study supports the justification for such integrated behavioral programs.