PMID- 8712185
OWN - NLM
STAT- MEDLINE
DCOM- 19960906
LR  - 20191210
IS  - 0091-0562 (Print)
IS  - 0091-0562 (Linking)
VI  - 24
IP  - 1
DP  - 1996 Feb
TI  - Physical characteristics of residential psychiatric and substance abuse programs: 
      organizational determinants and patients outcomes.
PG  - 173-92
AB  - Described the Physical and Architectural Characteristics Inventory (PACI), which 
      assesses the physical characteristics of hospital- and community-based 
      psychiatric and substance abuse residential treatment programs for adults. 
      Developed using data from 94 representative programs, the PACI has 7 dimensions 
      that assess community accessibility, physical features that add convenience, aid 
      recreation, and provide support for patients, and space for patient and staff 
      functions. In comparison to community-based programs (n = 63), hospital programs 
      (n = 31) had more social-recreational and prosthetic aids, safety features, staff 
      facilities, and space. The PACI dimensions were also related to other 
      organizational features, such as facility ownership and program size and staffing 
      level. Programs with more physical amenities had patients who were more involved 
      in self-initiated and community activities and were more likely to successfully 
      complete the program and be discharged to independent living situations and paid 
      jobs. Programs with more social-recreational and prosthetic aids, space, and 
      access to community resources also had better patient outcomes. In addition, PACI 
      dimensions were related to observers' ratings of facility attractiveness. 
      Potential applications of the PACI and the full inventory of which it is a part 
      are discussed.
FAU - Timko, C
AU  - Timko C
AD  - Center for Health Care Evaluation, Department of Veterans Affairs Medical Center, 
      Palo Alto, California, USA.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, U.S. Gov't, Non-P.H.S.
PL  - England
TA  - Am J Community Psychol
JT  - American journal of community psychology
JID - 0364535
SB  - IM
MH  - Adult
MH  - Alcoholism/psychology/rehabilitation
MH  - Deinstitutionalization
MH  - *Facility Design and Construction
MH  - Health Services Accessibility
MH  - Humans
MH  - Mental Disorders/psychology/*rehabilitation
MH  - Motivation
MH  - *Outcome and Process Assessment, Health Care
MH  - Patient Care Team
MH  - Personality Inventory
MH  - *Residential Facilities
MH  - San Francisco
MH  - Social Environment
MH  - Substance Abuse Treatment Centers
MH  - Substance-Related Disorders/psychology/*rehabilitation
MH  - Treatment Outcome
EDAT- 1996/02/01 00:00
MHDA- 1996/02/01 00:01
CRDT- 1996/02/01 00:00
PHST- 1996/02/01 00:00 [pubmed]
PHST- 1996/02/01 00:01 [medline]
PHST- 1996/02/01 00:00 [entrez]
AID - 10.1007/BF02511886 [doi]
PST - ppublish
SO  - Am J Community Psychol. 1996 Feb;24(1):173-92. doi: 10.1007/BF02511886.