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Biomedical subjects

R B Ellsworth

Publications and source records attributed to R B Ellsworth.

12 recordsLinked to original sources
PubMed1985

Treatment characteristics of psychiatric programs that correlate with patient community adjustment.

This large Veterans Administration cooperative study sought to identify the ward milieu characteristics of effective psychiatric programs. It was developed as a multivariable, correlational study that involved systematic observations of program characteristics and outcome effectiveness of wards as they operated in their usual manner. Seventy-nine wards in 18 hospitals provided 11,283 patients eligible for follow-up. Eleven treatment characteristics were found to be correlated to patients' community adjustment 3 months after discharge. These characteristics were classified into five general categories: Patient-staff interaction, patient activities, medication practices, ward physical environment, and nursing staff rotation. The major conclusions are: wards do differ in their effectiveness as measured by ratings of patient posthospital adjustment; and treatment characteristics make a difference in program effectiveness as measured by patients' posthospital adjustment.

Aggression↗
PubMed1984

Treatment characteristics of effective psychiatric programs.

As part of a large cooperative study undertaken by the Veterans Administration (VA) to identify the ward characteristics of effective psychiatric programs, 123 treatment characteristics were analyzed using four measures of patient posthospital community adjustment derived from the Veterans Adjustment Scale and the Personal Adjustment and Role Skills Scale. The authors found that wards that performed best on the measures were characterized by staff who perceived less order and organization on the ward, nursing staffs with less shift rotations, a lower percentage of socially passive patients, a higher percentage of patients off the ward, a higher percentage of neurotic patients on no antipsychotic drugs at discharge, and lower dosages of the minor tranquilizers. These six treatment characteristics accounted for 29 percent of the variance in the outcome measures. After discussing the relationship of the findings from this study to the findings from a previous article on the VA study, which analyzed ward setting characteristics and program outcome, the authors conclude that ward programs differ in their effectiveness as measured by ratings of patient post-hospital community adjustment and that both setting and treatment characteristics make a difference in that adjustment.

Hospitals, Veterans↗
PubMed1979

Does follow-up loss reflect poor outcome?

Loss of follow-up information regarding the adjustment of people who have received mental health services has been a troublesome problem when comparing the effectiveness of different treatment programs. The primary concern has been that a low response rate may indicate that patients are adjusting poorly. If this were true, then the treatment effectiveness of programs having low follow-up response rates would be overestimated. The present study compares the follow-up adjustment of patients on whom information was obtained by mail with the adjustment of mail nonresponders who were later interviewed by phone. The findings indicate that the posthospital adjustment of patients was not a significant factor in determining whether or not mailed follow-up questionnaires were returned. Rather, low response rates were primarily a function of data collector style and motivation level of those receiving mailed questionnaires.

Evaluation Studies as Topic↗
PubMed1978

The comparative effectiveness of community clinic and psychiatric hospital treatment.

Explored in this study are the pre- and posttreatment differences in clients going to clinics and patients going to hospitals for treatment. As expected, clients were found to be better adjusted initially than their hospitalized counterparts, and both groups showed more improvement in symptoms than in their instrumental role functioning. Unexpected was the finding that hospitalized patients (especially females) showed more improvement than clinic clients, when the pretreatment adjustment differences between groups were controlled. This study supports a growing body of evidence indicating that hospital-based treatment is not necessarily less effective than treatment in the community.

Adult↗