Aims: To compare the initial attitudes of nurses and other professional groups in a psychiatric hospital towards the legal representation (LR) of involuntary admitted psychiatric patients before District Psychiatric B...Aims: To compare the initial attitudes of nurses and other professional groups in a psychiatric hospital towards the legal representation (LR) of involuntary admitted psychiatric patients before District Psychiatric Boards (DPB), and to assess how these attitudes changed after LR had become an everyday routine practice in the hospital. Background: LR of hospitalized psychiatric patients before DPB has been introduced into mental health system worldwide, including Israel. Attitudes of psychiatric staff towards LR and their changes over time are a very important –though unstudied issue. Methods: Thirty seven psychiatric nurses employed in the Tirat Carmel Mental Health Center, Israel and 30 other mental health professionals (comparison group) completed the Attitudes to Legal Representation Questionnaire before LR has been instituted in the Center (November 1, 2006) and one year later. Baseline differences between the groups were tested using one-way ANOVA, and prepost differences in the attitude scores were tested by paired t-tests. Results: Baseline psychiatric nurses attitudes towards LR were significantly more negative than those of the comparison group [F67,3 = 6.87, p 37 = 2.56, p = 0.015). Conclusion: Yearlong, routine exposure to the LR of involuntarily admitted psychiatric patients may attenuate negative nurse beliefs and attitudes towards LR of such patients at DPB hearings. The more positive attitudes may enhance the nurses’ ability to present information about patients without jeopardizing their human and civil rights, and help patients to attain a greater sense of control over their illness management and satisfaction with the services received.展开更多
Objective: This study presents the psychometric properties of the Charleston Psychiatric Outpatient Satisfaction Scale—Hebrew Version adapted for use in Israel. Methods: Two subversions were constructed: one for adul...Objective: This study presents the psychometric properties of the Charleston Psychiatric Outpatient Satisfaction Scale—Hebrew Version adapted for use in Israel. Methods: Two subversions were constructed: one for adult clients—Mental Health Client Satisfaction Scale—Hebrew (MHCSS-H) and one for parents (or other caregivers) accompanying children with mental health problems—Mental Health Parent Satisfaction Scale—Hebrew (MHPSS-H). The scales were administered to representative samples of 453 adult outpatients with severe mental disorders and 255 parents, respectively. Results: Internal consistency was excellent for both scales (Cronbach’s alpha coefficients 0.94 and 0.88, respectively). For both subvertsions, there were moderate to strong correlations between satisfaction with five service domains (Availability/Accessibility, Quality of care, Explanation/ Participation, Staff’s attitude, and Facilities conditions) and anchor items “Overall quality of the care provided” and “Would you recommend this clinic to a friend or relative should they need treatment?”) scores. Clients with more time in treatment were more satisfied with all the service domains, except for the staff's attitude domain. Conclusions: The results suggest that both Hebrew subversions are appropriate for routine satisfaction surveys in mental health outpatient settings and for research purposes in Israel.展开更多
文摘Aims: To compare the initial attitudes of nurses and other professional groups in a psychiatric hospital towards the legal representation (LR) of involuntary admitted psychiatric patients before District Psychiatric Boards (DPB), and to assess how these attitudes changed after LR had become an everyday routine practice in the hospital. Background: LR of hospitalized psychiatric patients before DPB has been introduced into mental health system worldwide, including Israel. Attitudes of psychiatric staff towards LR and their changes over time are a very important –though unstudied issue. Methods: Thirty seven psychiatric nurses employed in the Tirat Carmel Mental Health Center, Israel and 30 other mental health professionals (comparison group) completed the Attitudes to Legal Representation Questionnaire before LR has been instituted in the Center (November 1, 2006) and one year later. Baseline differences between the groups were tested using one-way ANOVA, and prepost differences in the attitude scores were tested by paired t-tests. Results: Baseline psychiatric nurses attitudes towards LR were significantly more negative than those of the comparison group [F67,3 = 6.87, p 37 = 2.56, p = 0.015). Conclusion: Yearlong, routine exposure to the LR of involuntarily admitted psychiatric patients may attenuate negative nurse beliefs and attitudes towards LR of such patients at DPB hearings. The more positive attitudes may enhance the nurses’ ability to present information about patients without jeopardizing their human and civil rights, and help patients to attain a greater sense of control over their illness management and satisfaction with the services received.
文摘Objective: This study presents the psychometric properties of the Charleston Psychiatric Outpatient Satisfaction Scale—Hebrew Version adapted for use in Israel. Methods: Two subversions were constructed: one for adult clients—Mental Health Client Satisfaction Scale—Hebrew (MHCSS-H) and one for parents (or other caregivers) accompanying children with mental health problems—Mental Health Parent Satisfaction Scale—Hebrew (MHPSS-H). The scales were administered to representative samples of 453 adult outpatients with severe mental disorders and 255 parents, respectively. Results: Internal consistency was excellent for both scales (Cronbach’s alpha coefficients 0.94 and 0.88, respectively). For both subvertsions, there were moderate to strong correlations between satisfaction with five service domains (Availability/Accessibility, Quality of care, Explanation/ Participation, Staff’s attitude, and Facilities conditions) and anchor items “Overall quality of the care provided” and “Would you recommend this clinic to a friend or relative should they need treatment?”) scores. Clients with more time in treatment were more satisfied with all the service domains, except for the staff's attitude domain. Conclusions: The results suggest that both Hebrew subversions are appropriate for routine satisfaction surveys in mental health outpatient settings and for research purposes in Israel.
