ABSTRACT
Simon Ward is a heavily staffed, twenty-eight-bed, university service, acute treatment unit for women and men. There are between eighteen and twenty-six full-time patients, and between five and fifteen part-time patients. The Ward Atmosphere Scale (WAS) findings are supported by other information about the treatment program. A patient first learns the community's basic expectations, which must be fulfilled if the patient is to earn necessities such as meals and a mattress. Sampson Ward is composed of forty-eight patients and seven full-time day staff members; some evening and night shift staff also completed the WAS. The program has several large, dormitory-type bedrooms and only minimally adequate physical facilities. In individualized programs, case manager’s work with patients to set specific, individualized goals and provide patients with personalized feedback and evaluation as embodied in a goal-oriented record system. B. Wilier evaluated the implementation of such a program in an inpatient unit of a psychiatric hospital.
