RESUMO
Previous attempts at program evaluation of partial hospitalization programs have consisted largely of descriptive and anecdotal reports of programs and patient characteristics. There have been no comparative or experimental studies of the effectiveness of differing day treatment programs. In the current study, Goal Attainment Scaling, a goal-oriented program evaluation system, was used with 56 randomly selected partial hospitalization patients who attended two day hospitals: one program was based on behavioral-educational methods, and the other was an eclectic program based on the concepts of a therapeutic community. Patients attending the behavioral-educational program showed greater attainment of their therapeutic goals than did the patients involved in the eclectic program. The greater effectiveness of the behavioral-educational day program increased from the 3-month follow-up to the 2-year follow-up.
Assuntos
Terapia Comportamental/métodos , Hospital Dia/métodos , Transtornos Mentais/terapia , Terapia Ambiental/métodos , Ambulatório Hospitalar , Adolescente , Adulto , Serviços Comunitários de Saúde Mental , Etnicidade , Feminino , Humanos , Masculino , Readmissão do Paciente , Fatores de TempoRESUMO
The present experiment sought to increase the volume of speech in three adult male institutionalized patients. The method consisted of shaping modeled responses. Reinforcement was contingent upon the vocalization surpassing the threshold on an electronic volume indicator, which could be set at various levels of sensitivity. Results indicated that the volume of speech was increased in all three cases, as a function of manipulation of reinforcement contingencies. Follow-up data indicated that the long term maintenance of the acquired behavior was dependent on the ward environment.
