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A developmental treatment program for the chronic patient.

Abstract

The need exists for a prescriptive treatment program for chronic mental patients within the state hospital. The community mental health center has not met the needs of the chronic patient, and the state hospital has developed neither the diagnostic nor treatment system to qualify as a viable aspect of the overall mental health delivery system. This article presents a diagnostic system based upon developmental stages which considers the whole person and allows prescriptive treatment for the chronic patient. The description of this treatment system within a state hospital suggests the role of the large institution in the total mental health delivery system.

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BibTeXRIS

P A Magaro, M DeSisto. 1981. A developmental treatment program for the chronic patient.. https://doi.org/10.1176/appi.psychotherapy.1981.35.1.47

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The long-term effect of multidisciplinary back training: a systematic review.

STUDY DESIGN: Systematic review of randomized controlled trials. OBJECTIVES: To determine the long-term effect of multidisciplinary back training on the work participation of patients with nonspecific chronic low back pain. SUMMARY OF BACKGROUND DATA: Chronic low back pain is influenced by multiple factors. Multidisciplinary back training represents one of the options to take this multiplicity into account. So far, only evidence of the short-term effectiveness of this approach in terms of work participation is available. METHODS: Electronic databases were searched and the references of various articles were screened for relevant publications. Ten studies met the inclusion criteria. All included studies were evaluated for their methodologic quality. RESULTS: Five of the studies had a low methodologic quality. All high-quality studies found a positive effect on at least one of the 4 outcome measures used. Based on our criteria, effectiveness was found for the outcome measures of work participation and quality of life. No effectiveness was found for experienced pain and functional status. The intensity of the intervention seems to have no substantial influence on the effectiveness of the intervention. CONCLUSION: In the long-term, multidisciplinary back training has a positive effect on work participation in patients with nonspecific chronic low back pain.

Chronic Disease↗