Moving beyond ward based treatment: A public mental health hospital's transition to a treatment mall.

Abstract

Saint Elizabeths Hospital in Washington D.C. implemented a treatment mall in 2002. The authors place the mall's development within the context of the Hospital's problems associated with ward-based treatment. They describe objectives in developing the mall, steps taken to prepare staff and hospitalized persons, and the mall's structure and programs. Providing treatment in a mall setting increased active treatment, expanded opportunities for trainees and staff, and improved monitoring of treatment activities.

Psychosocial rehabilitation and chronic mental illness: international trends and South African issues

“…The PSR treatment mall or centralised PSR programming has become increasingly popular in rendering rehabilitation services to persons with CMI in psychiatric inpatient settings (Holland et al, 2005;McLoughlin et al, 2010). Rehabilitation services are provided by the MDT in centralised areas.…”

“…This approach is premised on the idea that human resources can be more effectively utilised in this way, and that individualised treatment interventions can be facilitated, since patients can choose among the daily scheduled activities in order to maximise personal treatment goals, rather than among scheduled ward activities. Furthermore, treatment malls allow persons with CMI to socialise with other groups of people, providing rehabilitation services in a more 'normalised' context (Holland et al, 2005;McLoughlin et al, 2010). The rationale for treatment malls arises from the fact that people do not live, learn, and work with the same group of people on a daily basis.…”