Journal of Psychosocial Nursing and Mental Health Services
Vol. 47 No. 2 February 2009
Moving Psychiatric Patients to a New Hospital
Michael J. Sclafani, RN, MS, MEd; Maryellen Phillips, MS, MBA, RN, BC, CNA, BC; and Barbara Caldwell, PhD, APRN-BC
ABSTRACT
The focus of this article is on the process used to inform, prepare, and actually move (without incident) 129 psychiatric patients to a new hospital. Various strategies to prepare patients for and engage them in the move are detailed, including discussions with patients about various aspects of the move during daily morning life management meetings, surveys, tours of and luncheons at the new hospital, use of information packets with photographs of and captions describing the new hospital units, elicitation of input from and education of family members to provide support for the move, as well as individualized counseling and support of patients by staff.
AUTHORS
Mr. Sclafani is Assistant Professor/Nurse Clinician, and Dr. Caldwell is Associate Professor, University of Medicine and Dentistry of New Jersey, School of Nursing, Newark; Mr. Sclafani is also Nurse Consultant, and Ms. Phillips is Director of Patient Care Services, Essex County Hospital Center, Cedar Grove, New Jersey.
The authors disclose that they have no significant financial interests in any product or class of products discussed directly or indirectly in this activity, including research support.
Address correspondence to Michael J. Sclafani, RN, MS, MEd, Nurse Consultant, Essex County Hospital Center, 204 Grove Avenue, Cedar Grove, NJ 07099; e-mail: msclafani@health.essexcountynj.org.
Using Exercise to Treat Patients with Severe Mental Illness: How and Why?
Trine Tetlie, BA; Maria Charlotte Heimsnes, Cand. Polit.; and Roger Almvik, DPhil
ABSTRACT
In this study, one focus group and five individual semi-structured interviews were conducted to investigate nursing staff’s ways of using exercise as part of the routine treatment for patients with severe mental illness (SMI). The study also explored the patients’ experiences and views of the exercise program given in this secure hospital. The organization and delivery of the exercise program are also discussed. The findings indicate that successful outcomes and adherence to exercise programs for patients with SMI in a secure setting rely on therapeutic relationships, having exercise as a mandatory part of the treatment, positive reinforcement, and experienced instructors. More research is needed to identify effective exercise interventions and feasible delivery models for individuals with SMI in secure settings.
AUTHORS
Mrs. Tetlie is Occupational Therapist, and Dr. Almvik is Research Director, St. Olavs University Hospital, Department Brøset, Center for Research and Education in Forensic Psychiatry, Trondheim, Norway. At the time this study was conducted, Mrs. Heimsnes was supervisor at St. Olavs University Hospital.
The authors disclose that they have no significant financial interests in any product or class of products discussed directly or indirectly in this activity, including research support.
Address correspondence to Trine Tetlie, BA, Occupational Therapist, St. Olavs University Hospital, Forensic Department, PO Box 1803 Lade, N-7440 Trondheim, Norway; e-mail: trine.tetlie@gmail.com.
Partial Hospitalization: Compatible with Evidence-Based and Recovery-Oriented Treatment?
Philip T. Yanos, PhD; Betty Vreeland, MSN, APRN, NP-C, BC; Shula Minsky, EdD; Rice B. Fuller, PhD; and David Roe, PhD
ABSTRACT
Partial hospitalization is a service modality that some have suggested is incompatible with both evidence-based and recovery-oriented treatment. The purpose of this study was to examine the accuracy of this assumption. Toward this end, a specific partial hospitalization program was examined using administrative data, self-reports regarding recovery orientation, and fidelity ratings from independent assessors. Findings support that the partial hospitalization program studied has reasonable lengths of stay, provides recovery-oriented services, and has implemented evidence-based practices. We conclude that partial hospitalization programs have the potential to become part of an evidence-based and recovery-oriented system.
AUTHORS
Dr. Yanos is Associate Professor, Department of Psychology, John Jay College of Criminal Justice, City University of New York, New York, New York; Ms. Vreeland is Program Coordinator, University of Medicine and Dentistry of New Jersey-University Behavioral HealthCare (UMDNJ-UBHC), Center for Excellence in Psychiatry, Clinical Assistant Professor of Nursing, UMDNJ School of Nursing, and Clinical Assistant Professor of Psychiatry & Family Medicine, UMDNJ-Robert Wood Johnson Medical School, Piscataway, New Jersey; Dr. Minsky is Director of Quality Improvement, UMDNJ-UBHC, and Associate Professor, Department of Psychiatry, UMDNJ-Robert Wood Johnson Medical School, Piscataway, New Jersey; Dr. Fuller is Director, Counselling Services, University of New Brunswick, Fredericton, New Brunswick, Canada; and Dr. Roe is Chair, Department of Community Mental Health, Faculty of Social Welfare and Health Studies, University of Haifa, Mount Carmel, Haifa, Israel.
The authors disclose that they have no significant financial interests in any product or class of products discussed directly or indirectly in this activity, including research support.
The authors thank the staff and clients of the University of Medicine and Dentistry of New Jersey-University Behavioral HealthCare Newark Adult Partial Hospital Program for their time and support during this study.
Address correspondence to Philip T. Yanos, PhD, Associate Professor, Department of Psychology, John Jay College of Criminal Justice, City University of New York, 445 W. 59th Street, New York, NY 10019; e-mail: pyanos@jjay.cuny.edu.
