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The relationship between patients' educational level and therapeutic process in an acute patient therapeutic community

Published online by Cambridge University Press:  16 April 2020

I Isohanni ,
P Nieminen  and
M Isohanni
I Isohanni
Affiliation:
Polytechnic Institute of Oulu, Finland
P Nieminen
Affiliation:
Medical Faculty, University of Oulu, Finland
M Isohanni*
Affiliation:
Department of Psychiatry, University of Oulu, 90220Oulu, Finland
*
*Correspondence and reprints.
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Summary

Traditional custodial care in mental hospitals has given way to brief hospitalizations and a variety of active inpatient treatment milieus, eg, therapeutic communities. But can only well-educated patients utilize this kind of complex, even demanding form of psychosocial care? A total of 1,538 patients and their first admissions from 1977 to 1993 at a closed therapeutic community ward at the Department of Psychiatry, University of Oulu (Finland) were assessed to analyze the association of the patient's educational level with some treatment and outcome characteristics. Educational levels were non-professional education (46% of all patients), lower professional (39%) and higher professional education (15%). There were no statistically significant differences in the treatment and outcome variables of patients in any educational level. The result indicates the achievement of one treatment goal on the therapeutic community model, ie, patient equality in spite of different educational status. This result may be especially important for less educated persons.

Keywords

patients' educational statuspsychiatrypsychiatric diagnosispsychiatric hospitaltherapeutic community
Type
Original article
Information
European Psychiatry , Volume 12 , Issue 3 , 1997 , pp. 130 - 135
Copyright
Copyright © Elsevier, Paris 1997

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References

Aro, SAro, HSalinto, MKeskimäki, IEducational level and hospital use in mental disorders. A population based study. Acta Psychiatr Scand 1995; 91: 305–312CrossRefGoogle ScholarPubMed
Cernovsky, ZZLandmark, JHelmes, EAre schizophrenic symptoms different in patients with higher education?. Psychol Rep 1994; 5: 1552–1554CrossRefGoogle Scholar
Faris, REDunham, HWMental Disorders in Urban Areas. An Ecological Study of Schizophrenia and Other Psychoses 2nd edn 1960 Oxford: Hafner, 1939Google Scholar
Fienberg, SEThe Analysis of Cross-Classified Categorical Data New York: MIT Press, 1980; 110–116Google Scholar
Hollingshead, ABRedlich, FCSocial Class and Mental Illness. Cambridge: Wiley, 1958CrossRefGoogle Scholar
Isohanni, MThe Psychiatric Ward as a Therapeutic Community Acta Universitatis Ouluensis D 111 New York: University of Oulu, 1983Google Scholar
Isohanni, MNieminen, PPredicting immediate outcome on a closed psychiatric ward functioning as a therapeutic community. Psychiatria Fennica 1989; 20: 13–23Google Scholar
Isohanni, MNieminen, PRelationship between involuntary admission and its influence on the therapeutic process on a closed ward functioning as a therapeutic community. Acta Psychiatr Scand 1990; 81: 240–244CrossRefGoogle Scholar
Isohanni, MNieminen, PThe determinants of participation in individual psychotherapy in an acute patients' therapeutic community. Nordic J Psychiatr 1992; 46: 295–301CrossRefGoogle Scholar
Isohanni, MNieminen, PParticipation in group psychotherapy in a therapeutic community for acute patients. Acta Psychiatr Scand 1992; 86: 495–501CrossRefGoogle Scholar
Isohanni, MMäkikyrö, TMoring, Jet al. A comparison of clinical and research DSM-III-R diagnosis of schizophrenia in a Finnish national birth cohort. Soc Psych Psych Epid (in press).Google Scholar
Kuoppasalmi, KLdnnqvist, JPylkkänen, KHuttunen, MClassification of mental disorders in Finland. A comparison of the Finnish classification of mental disorders in 1987 with DSM-III-R Psychiatria Fennica 20 1989 65–81Google Scholar
Lehtinen, VVeijola, JLindholm, T, et al.Stability and Changes of Mental Health in the Adult Finnish Population 36 Oulu: Publications of the Social Insurance Institution, Finland, 1993; [English summary] 299–313Google Scholar
Margo, GMManring, JMThe current literature on inpatient psychotherapy. Hosp Community Psychiatry 1989; 40: 909–915Google ScholarPubMed
Nieminen, PTherapeutic Community Research and Statistical Data Analysis Acta Universitatis Ouluensis D 360 Turku: University of Oulu, 1996Google Scholar
Nieminen, PIsohanni, MWinblad, ILength of hospitalisation in acute patients' therapeutic community ward. Acta Psychiatr Scand 1994; 90: 466–472CrossRefGoogle ScholarPubMed
Norusis, JESPSS for Windows. Advanced Statistics Release 5.0 Oulu: SPSS Inc, 1992; 259–274Google Scholar
Saarento, OFactors Related to Treated Incidence in Psychiatric Services and Utilization of Psychiatric Inpatient Care. A Nordic Comparative Study on Sectorized Psychiatry Acta Universitatis Ouluensis D 365 Chicago: University of Oulu, 1996Google Scholar
Salokangas, RFirst-contact rate for schizophrenia in community psychiatric care. Consideration of the oestrogen hypothesis. Eur Arch Psychiatr Clin Neurosci 1993; 242: 337–346CrossRefGoogle ScholarPubMed
Tienari, PWynne, LMoring, J, et al.Genetic vulnerability or family environment?. Implications from the Finnish adoptive family study of schizophrenia Psychiatria Fennica 1993; 24: 23–41Google Scholar
Turner, RJMorton, OWagenfeld, MOOccupational mobility and schizophrenia. An assessment of the social causation and social selection hypotheses. Am Psychol Rev 1967; 32: 104–113Google ScholarPubMed
Wiersma, DGiel, RDe Jong, ASlooff, CJSocial class and schizophrenia in a Dutch cohort. Psychol Med 1983; 13: 141–150CrossRefGoogle Scholar
Wieselgren, IMLindstrom, LHA prospective 1–5 year outcome study in first-admitted and readmitted schizophrenic patients; relationship to hereditary, premorbid adjustment, duration of disease and educational level at index admission and neuroleptic treatment. Acta Psychiatr Scand 1996; 93: 9–19CrossRefGoogle Scholar
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