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Evaluation of Different Forms of Community Meeting in a Psychiatric Unit in Hong Kong

Published online by Cambridge University Press:  29 January 2018

M. L. Ng ,
Y. K. Tam  and
S. L. Luk
S. L. Luk
Affiliation:
Department of Psychiatry, University of Hong Kong, Queen Mary Hospital, Hong Kong
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Summary

In an in-patient psychiatric unit attached to a teaching general hospital in Hong Kong, community meetings went through doctor-directed and nurse-directed forms to develop into a non-directive one. The therapeutic value of these different forms was tested by retrospective and prospective studies. In the retrospective study the rates of ward incidents and discharge rates of inpatients before and during the three stages were compared. In the prospective study an ABA design was used with ten-week blocks of regular non-directive meetings, cessation of meetings and then resumption; ward incidents, discharge rates and ward atmosphere during these blocks were compared. Both the non-directive and nurse-directed forms were equally associated with a reduction in ward incidents, aggressive incidents showing the greatest tendency to change; ward atmosphere and patient discharge rates did not change with community meetings.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 140 , Issue 5 , May 1982 , pp. 491 - 497
Copyright
Copyright © Royal College of Psychiatrists, 1982 

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References

Abramczuk, J. (1966) Reports from Poland: An experiment in the development of a therapeutic community in a psychiatric unit. International Journal of Social Psychiatry, 12, 309–14.CrossRefGoogle Scholar
Amark, C. (1973) The clinical use of psychotherapeutic methods. Acta Psychiatrica Scandinavica, 49, 369–75.CrossRefGoogle ScholarPubMed
Astrachan, B. M., Harrow, M., Becker, R. E., Schwartz, A. H. & Miller, J. C. (1967a) The unled patient group as a therapeutic tool. International Journal of Group Psychotherapy, 17, 178–91.CrossRefGoogle Scholar
Astrachan, B. M., Schwartz, A. H., Becker, R. E. & Harrow, M. B. (1967b) The psychiatrist's effect on the behaviour and interaction of therapy groups. American Journal of Psychiatry, 12, 1379–87.Google Scholar
Becker, R. E., Harrow, M., Astrachan, B. M., Detre, T. & Miller, J. C. (1968) Influence of the leader on the activity level of therapy groups. Journal of Social Psychology, 74, 39—51.CrossRefGoogle ScholarPubMed
Berne, E. (1968) Staff-patient staff conferences. American Journal of Psychiatry, 125, 286–93.CrossRefGoogle ScholarPubMed
Caine, T. M. & Smail, D. J. (1969) The Treatment of Mental Illness. University of London Press.Google Scholar
Clark, A. W. & Yeomans, N. T. (1969) Fraser House: Theory Practice and Evaluation of a Therapeutic Community. New York: Springer.Google Scholar
Cooper, L. (1971) Systematic use of groups in an acute psychiatric unit. Group Analysis, 4, 152–6.Google Scholar
Cooper, L. (1974) Application group: broadening the patient experience in a psychiatric organization. British Journal of Psychiatry, 124, 247–51.CrossRefGoogle Scholar
Harrow, M. E., Astrachan, B. M., Becker, R. E., Miller, J. C. & Schwartz, A. H. (1967) Influence of the psychotherapist on the emotional climate in group therapy. Human Relations, 20, 49—64.CrossRefGoogle Scholar
Jones, M. et al (1952) Social Psychiatry: A Study of Therapeutic Communities. London: Tavistock.Google Scholar
Letemendia, F. J., Harris, A. D. & Willems, P. J. (1967) The clinical effects on a population of chronic schizophrenic patients of administrative changes in a hospital. British Journal of Psychiatry, 113, 959–71.CrossRefGoogle Scholar
Madew, L., Singer, G. & Macindoe, I. (1966) Treatment and rehabilitation in the therapeutic community: a progress report. The Medical Journal of Australia, 1, 1112–14.CrossRefGoogle ScholarPubMed
Maratos, J. & Kennedy, M. J. (1974) Evaluation of ward group meetings in a psychiatric unit of a general hospital. British Journal of Psychiatry, 125, 479–82.CrossRefGoogle Scholar
Moos, K. H. (1974) Evaluation of Treatment Environments. New York: Wiley.Google Scholar
Myers, K. & Clark, D. H. (1972) Results in a therapeutic community. British Journal of Psychiatry, 120, 51—58.CrossRefGoogle Scholar
Ng, M. L. (1978) A Trial of Non-Directive Psychotherapeutic Techniques in a Westernized Chinese Subculture in Hong Kong. Paper presented at the 15th Annual Congress of the Royal Australian and New Zealand College of Psychiatrists.Google Scholar
Rapoport, R. (1960) Community as Doctor: New Perspectives on a Therapeutic Community. London: Tavistock.Google Scholar
Schiff, S. & Glassman, S. (1969) Large and small group therapy in a state mental hospital. International Journal of Group Psychotherapy, 19, 150–7.CrossRefGoogle Scholar
Woods, L. W. (1970) Group psychotherapy in a general hospital. Canadian Psychiatric Association Journal, 15, 357–9.CrossRefGoogle ScholarPubMed
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