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Erschienen in: Community Mental Health Journal 3/2006

01.06.2006

The Environment and Staff of Residential Facilities: Findings from the Italian ‘Progres’ National Survey

verfasst von: Angelo Picardi, M.D., Giovanni de Girolamo, M.D., Giovanni Santone, M.D., Ian Falloon, M.D., Angelo Fioritti, M.D., Rocco Micciolo, M.D., Pierluigi Morosini, M.D., Enrico Zanalda, M.D.

Erschienen in: Community Mental Health Journal | Ausgabe 3/2006

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Abstract

We administered structured interviews to managers and staff of a random sample of 265 Italian psychiatric Residential Facilities (RFs). Most are independent buildings, located in urban and suburban areas. The median number of residents is 10. The few RFs (5.7%) with more than 20 beds have a higher rate of drop-outs and escapes. The average indoor space per resident is 36 square meters, there is often a garden, and residents generally live in two-bed rooms. Most facilities are located within walking distance of shopping centers or recreational facilities. Three-quarters have 24-hour staff coverage. On average, each facility has about 10 full-time equivalent workers, with a staff:resident ratio of 0.92. Most of the professional input is provided by nurses and auxiliary staff. Critical issues to be considered in planning facilities include the physical environment, the size, and the staffing patterns.
Literatur
Zurück zum Zitat Allen H., Baigent B., Kent A., Bolton J. (1993). Rehabilitation and staffing levels in a new look hospital-hostel. Psychological Medicine, 23:203–211PubMedCrossRef Allen H., Baigent B., Kent A., Bolton J. (1993). Rehabilitation and staffing levels in a new look hospital-hostel. Psychological Medicine, 23:203–211PubMedCrossRef
Zurück zum Zitat Anderson R. L., Lyons J. S. (2001). Needs-based planning for persons with serious mental illness residing in intermediate care facilities. Journal of Behavioral Health Services and Research 28:104–110CrossRefPubMed Anderson R. L., Lyons J. S. (2001). Needs-based planning for persons with serious mental illness residing in intermediate care facilities. Journal of Behavioral Health Services and Research 28:104–110CrossRefPubMed
Zurück zum Zitat Baker F., Douglas C. (1990). Housing environments and community adjustment of severely mentally ill persons. Community Mental Health Journal 26:497–505CrossRefPubMed Baker F., Douglas C. (1990). Housing environments and community adjustment of severely mentally ill persons. Community Mental Health Journal 26:497–505CrossRefPubMed
Zurück zum Zitat Baker F., Intagliata J. (1982). Quality of life in the evaluation of community support systems. Evaluation and Program Planning 5:69–79CrossRefPubMed Baker F., Intagliata J. (1982). Quality of life in the evaluation of community support systems. Evaluation and Program Planning 5:69–79CrossRefPubMed
Zurück zum Zitat Ball R. A., Moore E., Kuiper L. (1992). Expressed emotion in community care staff. A comparison of patient outcomes in a nine month follow-up of two hostels. Social Psychiatry and Psychiatric Epidemiology 27:35–39CrossRefPubMed Ball R. A., Moore E., Kuiper L. (1992). Expressed emotion in community care staff. A comparison of patient outcomes in a nine month follow-up of two hostels. Social Psychiatry and Psychiatric Epidemiology 27:35–39CrossRefPubMed
Zurück zum Zitat Brennan P. L., Moos R. H. (1990). Physical design, social climate, and staff turnover in skilled nursing facilities. Journal of Long Term Care Administration 18:22–27PubMed Brennan P. L., Moos R. H. (1990). Physical design, social climate, and staff turnover in skilled nursing facilities. Journal of Long Term Care Administration 18:22–27PubMed
Zurück zum Zitat Cullen D., Carson J., Holloway F., Towey A., Jumbo A., Smellie N., Glynn T. (1997). Community and hospital residential care: A comparative evaluation. Irish Journal of Psychological Medicine 14:92–98 Cullen D., Carson J., Holloway F., Towey A., Jumbo A., Smellie N., Glynn T. (1997). Community and hospital residential care: A comparative evaluation. Irish Journal of Psychological Medicine 14:92–98
Zurück zum Zitat de Girolamo G., Cozza M. (2000). The Italian psychiatric reform: A 20-year perspective. International Journal of Law and Psychiatry 23:197–214CrossRefPubMed de Girolamo G., Cozza M. (2000). The Italian psychiatric reform: A 20-year perspective. International Journal of Law and Psychiatry 23:197–214CrossRefPubMed
Zurück zum Zitat de Girolamo, G., Picardi, A., Micciolo, R., Falloon, I., Fioritti, A., Morosini, P. for the Italian PROGRES study group (2002). Residential care in Italy: A national survey of non-hospital facilities. British Journal of Psychiatry, 181, 220–225 de Girolamo, G., Picardi, A., Micciolo, R., Falloon, I., Fioritti, A., Morosini, P. for the Italian PROGRES study group (2002). Residential care in Italy: A national survey of non-hospital facilities. British Journal of Psychiatry, 181, 220–225
Zurück zum Zitat Earls M., Nelson G. (1988). The relationship between long-term psychiatric clients’ psychological well-being and their perceptions of housing and social support. American Journal of Community Psychology 16:279–293CrossRefPubMed Earls M., Nelson G. (1988). The relationship between long-term psychiatric clients’ psychological well-being and their perceptions of housing and social support. American Journal of Community Psychology 16:279–293CrossRefPubMed
Zurück zum Zitat Gutkowski S., Ginath Y., Guttmann F. (1992). Improving psychiatric environments through minimal architectural change. Hospital and Community Psychiatry 43:920–923PubMed Gutkowski S., Ginath Y., Guttmann F. (1992). Improving psychiatric environments through minimal architectural change. Hospital and Community Psychiatry 43:920–923PubMed
Zurück zum Zitat Hall J. N. (1990). Towards a psychology of caring. British Journal of Clinical Psychology 29:129–144PubMed Hall J. N. (1990). Towards a psychology of caring. British Journal of Clinical Psychology 29:129–144PubMed
Zurück zum Zitat Hellman I. D., Greene L. R., Morrison T. L., Abramowitz S. I. (1985). Organizational size and perceptions in a residential treatment program. American Journal of Community Psychology 13:99–109CrossRefPubMed Hellman I. D., Greene L. R., Morrison T. L., Abramowitz S. I. (1985). Organizational size and perceptions in a residential treatment program. American Journal of Community Psychology 13:99–109CrossRefPubMed
Zurück zum Zitat Holmqvist R. (2000). Associations between staff feelings toward patients and treatment outcome at psychiatric treatment homes. Journal of Nervous and Mental Disease 188:366–371CrossRefPubMed Holmqvist R. (2000). Associations between staff feelings toward patients and treatment outcome at psychiatric treatment homes. Journal of Nervous and Mental Disease 188:366–371CrossRefPubMed
Zurück zum Zitat Hull J. T., Thompson J. C. (1981). Factors which contribute to normalization in residential facilities for the mentally ill. Community Mental Health Journal 17:107–113CrossRefPubMed Hull J. T., Thompson J. C. (1981). Factors which contribute to normalization in residential facilities for the mentally ill. Community Mental Health Journal 17:107–113CrossRefPubMed
Zurück zum Zitat Ittelson W.H., Proshansky H.M., Rivlin L.G. (1970). A study of bedroom use of two psychiatric wards. Hospital and Community Psychiatry 21:177–181PubMed Ittelson W.H., Proshansky H.M., Rivlin L.G. (1970). A study of bedroom use of two psychiatric wards. Hospital and Community Psychiatry 21:177–181PubMed
Zurück zum Zitat Kent A., Fiander M., Burns T. (2003). Does extra staff change clinical practice? A prospective study of the impact of extra resources in mental health teams. Acta Psychiatrica Scandinavica 107:50–53CrossRefPubMed Kent A., Fiander M., Burns T. (2003). Does extra staff change clinical practice? A prospective study of the impact of extra resources in mental health teams. Acta Psychiatrica Scandinavica 107:50–53CrossRefPubMed
Zurück zum Zitat Kruzich J.M. (1985). Community integration of the mentally ill in residential facilities. American Journal of Community Psychology 13:553–564CrossRefPubMed Kruzich J.M. (1985). Community integration of the mentally ill in residential facilities. American Journal of Community Psychology 13:553–564CrossRefPubMed
Zurück zum Zitat Lehman A.F. (1983). The well-being of chronic mental patients. Archives of General Psychiatry 40:369–373PubMed Lehman A.F. (1983). The well-being of chronic mental patients. Archives of General Psychiatry 40:369–373PubMed
Zurück zum Zitat Lelliott P., Audini B., Knapp M., Chisholm D. (1996). The mental health residential care study: Classification of facilities and description of residents. British Journal of Psychiatry 169:139–147PubMed Lelliott P., Audini B., Knapp M., Chisholm D. (1996). The mental health residential care study: Classification of facilities and description of residents. British Journal of Psychiatry 169:139–147PubMed
Zurück zum Zitat Lewis A., Trieman N. (1995). The TAPS Project. 29: Residential care provision in North London: A representative sample of ten facilities for mentally ill people. International Journal of Social Psychiatry 41:257–267PubMedCrossRef Lewis A., Trieman N. (1995). The TAPS Project. 29: Residential care provision in North London: A representative sample of ten facilities for mentally ill people. International Journal of Social Psychiatry 41:257–267PubMedCrossRef
Zurück zum Zitat Linn M.W., Klett C.J., Caffey E.M. Jr. (1980). Foster home characteristics and psychiatric patient outcome. The wisdom of Gheel confirmed. Archives of General Psychiatry 37:129–132PubMed Linn M.W., Klett C.J., Caffey E.M. Jr. (1980). Foster home characteristics and psychiatric patient outcome. The wisdom of Gheel confirmed. Archives of General Psychiatry 37:129–132PubMed
Zurück zum Zitat Lucca A.M., Allen G.J. (2001). A statewide assessment of psychosocial rehabilitation programs: General characteristics and services. Psychiatric Rehabilitation Journal 24:205–213PubMed Lucca A.M., Allen G.J. (2001). A statewide assessment of psychosocial rehabilitation programs: General characteristics and services. Psychiatric Rehabilitation Journal 24:205–213PubMed
Zurück zum Zitat Moos R.H. (1996). Understanding environments: The key to improving social processes and program outcomes. American Journal of Community Psychology 24:193–201PubMedCrossRef Moos R.H. (1996). Understanding environments: The key to improving social processes and program outcomes. American Journal of Community Psychology 24:193–201PubMedCrossRef
Zurück zum Zitat Moos R.H. (2002). The mystery of human context and coping: An unraveling of clues. American Journal of Community Psychology 30:67–88CrossRefPubMed Moos R.H. (2002). The mystery of human context and coping: An unraveling of clues. American Journal of Community Psychology 30:67–88CrossRefPubMed
Zurück zum Zitat Moos R.H., Lemke S. (1980). Assessing the physical and architectural features of sheltered care settings. Journal of Gerontology 35:571–583PubMed Moos R.H., Lemke S. (1980). Assessing the physical and architectural features of sheltered care settings. Journal of Gerontology 35:571–583PubMed
Zurück zum Zitat Nagy M.P., Fisher G.A., Tessler R.C. (1988). Effects of facility characteristics on the social adjustment of mentally ill residents of board-and-care homes. Hospital and Community Psychiatry 39:1281–1286PubMed Nagy M.P., Fisher G.A., Tessler R.C. (1988). Effects of facility characteristics on the social adjustment of mentally ill residents of board-and-care homes. Hospital and Community Psychiatry 39:1281–1286PubMed
Zurück zum Zitat Nelson G., Smith-Fowler H. (1987). Housing for the chronically mentally disabled: Part II – Process and outcome. Canadian Journal of Community Mental Health 6:79–91 Nelson G., Smith-Fowler H. (1987). Housing for the chronically mentally disabled: Part II – Process and outcome. Canadian Journal of Community Mental Health 6:79–91
Zurück zum Zitat Nelson G., Hall G.B., Walsh-Bowers R. (1997). A comparative evaluation of supportive apartments, group homes, and board-and-care homes for psychiatric consumer/survivors. Journal of Community Psychology 25:167–188CrossRef Nelson G., Hall G.B., Walsh-Bowers R. (1997). A comparative evaluation of supportive apartments, group homes, and board-and-care homes for psychiatric consumer/survivors. Journal of Community Psychology 25:167–188CrossRef
Zurück zum Zitat Randolph F.L., Ridgway P., Carling P.J. (1991). Residential programs for persons with severe mental illness: A nationwide survey of state-affiliated agencies. Hospital and Community Psychiatry 42:1111–1115PubMed Randolph F.L., Ridgway P., Carling P.J. (1991). Residential programs for persons with severe mental illness: A nationwide survey of state-affiliated agencies. Hospital and Community Psychiatry 42:1111–1115PubMed
Zurück zum Zitat Segal S.P., Hazan A.R., Kotler P.L. (1990). Characteristics of sheltered care facility operators in California in 1973 and 1985. Hospital and Community Psychiatry 41:1245–1248PubMed Segal S.P., Hazan A.R., Kotler P.L. (1990). Characteristics of sheltered care facility operators in California in 1973 and 1985. Hospital and Community Psychiatry 41:1245–1248PubMed
Zurück zum Zitat Senn V., Kendal R., Trieman N., Leff J. (1997). The TAPS project 38: Level of training and its availability to carers within group homes in a London district. Social Psychiatry and Psychiatric Epidemiology 32:317–322CrossRefPubMed Senn V., Kendal R., Trieman N., Leff J. (1997). The TAPS project 38: Level of training and its availability to carers within group homes in a London district. Social Psychiatry and Psychiatric Epidemiology 32:317–322CrossRefPubMed
Zurück zum Zitat Shepherd G., Muijen M., Dean R., Cooney M. (1996). Residential care in hospital and in the community-quality of care and quality of life. British Journal of Psychiatry 168:448–456PubMedCrossRef Shepherd G., Muijen M., Dean R., Cooney M. (1996). Residential care in hospital and in the community-quality of care and quality of life. British Journal of Psychiatry 168:448–456PubMedCrossRef
Zurück zum Zitat Timko C. (1996). Physical characteristics of residential psychiatric and substance abuse programs: Organizational determinants and patients outcomes. American Journal of Community Psychology 24:173–192PubMedCrossRef Timko C. (1996). Physical characteristics of residential psychiatric and substance abuse programs: Organizational determinants and patients outcomes. American Journal of Community Psychology 24:173–192PubMedCrossRef
Zurück zum Zitat Tognoni G., Saraceno B. (1989). Regional analysis of implementation. International Journal of Social Psychiatry 35:38–45PubMedCrossRef Tognoni G., Saraceno B. (1989). Regional analysis of implementation. International Journal of Social Psychiatry 35:38–45PubMedCrossRef
Zurück zum Zitat Trieman N., Smith H.E., Kendal R., Leff J. (1998). The TAPS project 41: Homes for life? Residential stability five years after hospital discharge. Community Mental Health Journal 34:407–417CrossRefPubMed Trieman N., Smith H.E., Kendal R., Leff J. (1998). The TAPS project 41: Homes for life? Residential stability five years after hospital discharge. Community Mental Health Journal 34:407–417CrossRefPubMed
Zurück zum Zitat Wherley M., Bisgaard S. (1987). Beyond model programs: Evaluation of a countywide system of residential treatment programs. Hospital and Community Psychiatry 38:852–857PubMed Wherley M., Bisgaard S. (1987). Beyond model programs: Evaluation of a countywide system of residential treatment programs. Hospital and Community Psychiatry 38:852–857PubMed
Zurück zum Zitat Whitehead C.C., Polsky R.H., Crookshank C., Fik, E. (1984). Objective and subjective evaluation of psychiatric ward redesign. American Journal of Psychiatry 141:639–644PubMed Whitehead C.C., Polsky R.H., Crookshank C., Fik, E. (1984). Objective and subjective evaluation of psychiatric ward redesign. American Journal of Psychiatry 141:639–644PubMed
Zurück zum Zitat World Health Organization (2001a). Atlas: Country profiles on mental health resources 2001 (WHO/NMH/MSD/MDP/01.3). Geneva: WHO. World Health Organization (2001a). Atlas: Country profiles on mental health resources 2001 (WHO/NMH/MSD/MDP/01.3). Geneva: WHO.
Zurück zum Zitat World Health Organization (2001b). Atlas: Mental health resources in the world 2001 (WHO/NMH/MSD/MDP/01.1). Geneva: WHO. World Health Organization (2001b). Atlas: Mental health resources in the world 2001 (WHO/NMH/MSD/MDP/01.1). Geneva: WHO.
Zurück zum Zitat Younge S.L., Oetting E.R., Banning J.H., Younge K.A. (1990–1991). Psychological messages from the physical environment: The drug and alcohol treatment center environment. International Journal of the Addictions 25:905–955 Younge S.L., Oetting E.R., Banning J.H., Younge K.A. (1990–1991). Psychological messages from the physical environment: The drug and alcohol treatment center environment. International Journal of the Addictions 25:905–955
Metadaten
Titel
The Environment and Staff of Residential Facilities: Findings from the Italian ‘Progres’ National Survey
verfasst von
Angelo Picardi, M.D.
Giovanni de Girolamo, M.D.
Giovanni Santone, M.D.
Ian Falloon, M.D.
Angelo Fioritti, M.D.
Rocco Micciolo, M.D.
Pierluigi Morosini, M.D.
Enrico Zanalda, M.D.
Publikationsdatum
01.06.2006
Verlag
Springer US
Erschienen in
Community Mental Health Journal / Ausgabe 3/2006
Print ISSN: 0010-3853
Elektronische ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-005-9031-6

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