The use of publicly‐posted performance feedback in an inpatient psychiatric treatment setting

Abstract

This study examined the effects of publicly-posted performance feedback on the in-hospital behavior of patients residing on a self-management unit at a large, state operated, psychiatric treatment facility. When contrasted to a baseline phase in which staff received weekly information regarding patients' performance, scores in six of the eight assessment areas improved when this information was provided directly to patients. The authors' conclude that performance feedback may be a useful adjunct to inpatient treatment programs because it clarifies programmatic expectations, helps focus attention on developing strategies or interventions to meet those expectations, and encourages active treatment participation from patients and staff.

Feedback for improving staff training and performance in behavioral treatment programs

“…Social validity measures may indicate concerns not readily evident in behavioral observations. For example, in a psychiatric unit, McMorrow et al (1991) increased various client behaviors including personal care, program attendance and completion for a period of more than 12 months. Feedback was generated via direct care staff and clients.…”

Client as colleague: Therapeutic contracting with the seriously mentally ill.

“…Client satisfaction is also high, with 87% of program participants rating themselves as improved or very improved following treatment. McMorrow et al (1991) reported similar results for a therapeutic contracting program developed for chronic, re-hospitalized state hospital patients. Program evaluation data collected over a 22-month period at the Choate Mental Health and Developmental Center (Anna, IL) indicated a high level of client involvement in the contracting process.…”

Therapeutic Contracting: An Effective Strategy for Competency-Based Treatment

“…Evaluation data for therapeutic contracting programs suggest that Adam's outcome is not unique (Berglas & Levendusky, 1985;Levendusky et al, 1983;Levendusky et al, 1994, Licht & Hooley, 1992McMorrow et al, 1991). Overall, these data suggest that contracting programs offer an effective method for (a) securing clients' involvement in treatment, (b) achieving positive therapeutic outcomes with seriously impaired persons, and (c) providing long-term, multimodal treatment on a cost effective basis.…”

“…Previous articles have described the cognitive-behavioral roots of the therapeutic contracting model (Levendusky, Berglas, Dooley, & Landau, 1983), the organization of contracting programs in inpatient and partial hospital settings (Levendusky, Willis, & Ghinassi, 1994;McMorrow et al, 1991), and the mutual responsibilities of clients and clinicians across the four stages of the contracting process . Here we present contracting principles and procedures in a case study format.…”