Objective: To compare the ward atmosphere, safety, therapeutic hold, and patients' coherence on recently opened (1 year), opened (4 years) and open (> 20 years) psychiatric wards in a longitudinal naturalistic study design. The question was if a patient shift from formerly locked to open wards might deteriorate the ward atmosphere on the open and opened wards.
Methods: Ward atmosphere on two recently opened (n = 2), opened (n = 2) and open (n = 2) wards was examined using the Essen Climate Evaluation Schema (EssenCES) in a follow-up study after 4 years. Structural as well as clinical data were extracted.
Results: Global ward atmosphere, safety, and patients' coherence on the recently opened wards was significantly increased; on always opened wards and long-term opened wards it remained unchanged. Coercive measures and discharges against medical advice decreased during the open door process.
Conclusion: Opening locked psychiatric wards can help to establish a positive therapeutic atmosphere without changing the therapeutic climate on the other already open wards. A better ward atmosphere might be connected with a better therapeutic quality.
ZIEL DER STUDIE: war es, die Veränderung des Stationsklimas während eines Türöffnungsprozesses zu untersuchen.
Methodik: Die Essen Climate Evaluation Schema (EssenCES) wurde auf neu geöffneten (n = 2, 1 Jahr), geöffneten (n = 2, 4 Jahre) und langjährig offenen (n = 2, > 20 Jahre) Stationen untersucht.
Ergebnisse: Die Stationsatmosphäre auf den neu geöffneten Stationen verbesserte sich signifikant. Zwangsmaßnahmen und Entlassungen gegen ärztlichen Rat wurden reduziert.
Schlussfolgerung: Die Öffnung von Akutstationen kann zu einem günstigeren Stationsklima führen.
© Georg Thieme Verlag KG Stuttgart · New York.