Summary
Two styles of management utilized by operators of California's alternative to the mental hospital — the community-based sheltered-care facility — have been identified. One style of management is characterized by a low-structure, laissez-faire approach that places the responsibility for decision making with the patient. The other style stresses structure and rule following, and leaves decision making to the operators of the facility. The authors examine patterns of client dependency in each type of facility. Residents in the highly structured environments manifest a distinct pattern of dependency while those in the environment emphasizing responsibility for one's own decision making do not.
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References
Bettelheim, B., Sylvester, E.: A therapeutic Mileau. Am. J. Orthopsychiatry18, 191–206 (1948)
Caudill, W.: The psychiatric hospital as a small society. Cambridge, Massachusetts: Harvard University Press 1958
Goffman, E.: Asylums: essays on the social situation of mental patients and other inmates. New York: Doubleday 1961
Gruenberg, E. M.: The social breakdown syndrome — some origins. Am. J. Psychiatry123, 1481–1489 (1967)
Jones, M.: The therapeutic community: a new treatment in psychiatry. New York: Basic Books 1953
King, R. D., Raynes, N. V., Tizard, J.: Patterns of residential care: Sociological studies in institutions for handicapped children. London: Routledge and Kagan 1975
Kish, L.: Survey sampling. New York: John Wiley 1965
Knight, D.: The impact of living unit size in youth training schools. Sacramento, California: California Youth Authority 1971
Langner, E. J., Rodin, J.: The effects of choice and enhanced personal responsibility for the aged: a field experiment in an institutional setting. J. Pers. Soc. Psychol.34, 191–198 (1976)
Linn, L.: State hospital environments and rates of patient discharge. Arch. Gen. Psychiatry23, 345–351 (1970)
Martin, D. V.: Institutionalism. Lancet1955 1188–1190
Moline, R. A.: The therapeutic community and Mileau therapy: a review and current assessment. Community Mental Health Review2, 1–13 (1977)
Moos, R. H.: Community-oriented programs environment manual. Palo Alto, California: Community Psychologists Press 1974a
Moos, R. H.: Evaluating treatment environments: a social ecological approach. New York: Wiley-Interscience 1974b
Overall, J., Gorham, D.: The brief psychiatric rating scale. Psychol. Rep.10, 779–812 (1962)
Phares, E. J., Lamiell, J. T.: Personality. Ann. Rev. Psychol.28, 113–140 (1977)
Pritlove, J. H.: Evaluating a group home: problems and results. Br. J. Soc. Work6, 353–376 (1976)
Schwartz, M.: Social interaction on a disturbed ward of a mental hospital. Unpublished Doctoral Dissertation, University of Chicago (1951)
Segal, S., Aviram, U.: The mentally ill in community-based sheltered care. New York: Wiley-Interscience 1978
Segal, S., Aviram, U.: The mentally ill in community-based sheltered care: a technical supplement on study methodology 1972–1977. Unpublished memo, University of California, Berkeley (1977)
Street, D., Vinter, R., Perrow, C.: Organization for treatment. New York: The Free Press 1966
Ullmann, L.: Institutions and outcome: A comparative study of psychiatric hospitals. Oxford, England: Pergamon Press 1966
Wing, J.: Institutionalism in mental hospitals. Br. J. Soc. Clin. Psychol.1, 38–51 (1962)
Zigler, E., Balla, D. A.: Impact of institutional experience on the behavior and development of retarded persons. Am. J. Ment. Def.82, 1–11 (1977)
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This research is supported by the National Institute of Mental Health, Center for Epidemiologic Studies, Grant #SR01 MH25417-05 ESR
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Segal, S.P., Moyles, E.W. Management style and institutional dependency in sheltered care. Soc Psychiatry 14, 159–165 (1979). https://doi.org/10.1007/BF00577866
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DOI: https://doi.org/10.1007/BF00577866