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A comparison of a milieu-based Behavioural Activation Communication with treatment as usual for acute psychiatric inpatients

Published online by Cambridge University Press:  27 November 2013

Jackie K. Gollan ,
Denada Hoxha ,
Bjorn Hanson ,
Evelyn Perkins ,
Maureen Slade  and
Patricia Roberts
Jackie K. Gollan*
Affiliation:
Department of Psychiatry and Behavioral Sciences, Northwestern University's Feinberg School of Medicine, Chicago, Illinois, USA
Denada Hoxha
Affiliation:
Department of Psychiatry and Behavioral Sciences, Northwestern University's Feinberg School of Medicine, Chicago, Illinois, USA
Bjorn Hanson
Affiliation:
College of Psychology, Illinois Institute of Technology, Chicago, Illinois, USA
Evelyn Perkins
Affiliation:
Northwestern Memorial Hospital, Stone Institute of Psychiatry, Chicago Illinois, USA
Maureen Slade
Affiliation:
Northwestern Memorial Hospital, Stone Institute of Psychiatry, Chicago Illinois, USA
Patricia Roberts
Affiliation:
Northwestern Memorial Hospital, Stone Institute of Psychiatry, Chicago Illinois, USA
*
Correspondence to: Dr Jackie K. Gollan, Asher Center for Study and Treatment of Depressive Disorders, Department of Psychiatry and Behavioral Sciences, Northwestern University's Feinberg School of Medicine, 676 North St Clair Street, Suite 1000, Chicago, IL 60611, USA. E-mail: j-gollan@northwestern.edu
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Abstract

Aim

Patient emotion, behaviour, and symptoms may explain avoidance of the daily programming on an acute psychiatric inpatient treatment milieu. We compared changes of emotion, behaviour, and symptoms among acutely ill psychiatric inpatients assigned to Behavioural Activation Communication (BAC), a newly designed milieu program, and those assigned to a unit representing treatment as usual (TAU).

Method

Participants included 144 adult inpatients treated between January 2011 and July 2011 at two similar psychiatric units at a medical centre. Psychiatric patients were assigned to either the BAC or the TAU unit based bed availability. At admission and discharge, patients completed the Brief Symptom Inventory, Positive Affect and Negative Affect Scale, and the Checklist of Unit Behaviors.

Results

A comparison of BAC and TAU patients showed greater relative change on positive affect and of behavioural activation with the daily programming.

Conclusion

The BAC program is associated with a significant increase of positive emotion and activation of inpatients.

Keywords

Behavioural Activation Communicationinpatient psychiatrytreatment engagement approachpositive affect
Type
Original Research Article
Information
Journal of Psychiatric Intensive Care , Volume 10 , Issue 2 , August 2014 , pp. 100 - 109
Copyright
Copyright © NAPICU 2013 

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