Evaluating improvement over the course of adult psychiatric hospitalization

This paper describes an evaluation of the potential efficacy of adult in-patient psychiatric treatment provided at a private general hospital. Using a simple pretest-posttest group design, 78 consecutively admitted patients, and a valid measure of psychiatric symptomatology (Symptom Checklist-90-R), it was found that the diverse group of patients were statistically significantly improved at discharge, relative to their admission status. This study illustrates a practical effort by social workers to integrate simple evaluative efforts into routine clinical services provided by mental health facilities, efforts consistent with managed care, the demands of third-party-payers, and the profession's initiatives in the direction of empirically-based practice.