Einfluss einer-Offenen-Tür-Politik auf die Stationsatmosphäre: Auswirkungen auf die Behandlungsqualität

Translated title of the contribution: Influence of an Open Door Policy on Ward Climate: Impact on Treatment Quality

Sou Bouy Lo, Rainer Gaupp, Christian Huber, Andres Schneeberger, Gabrijela Garic, Alexander Voulgaris, Marc Walter, Stefan Borgwardt, Undine E. Lang*

*Corresponding author for this work
15 Citations (Scopus)


Objective To compare the ward atmosphere, safety, therapeutic hold, and patients' coherence on recently opened (1 year), opened (4 years) and open (>?20 years) psychiatric wards in a longitudinal naturalistic study design. The question was if a patient shift from formerly locked to open wards might deteriorate the ward atmosphere on the open and opened wards. Methods Ward atmosphere on two recently opened (n?=?2), opened (n?=?2) and open (n?=?2) wards was examined using the Essen Climate Evaluation Schema (EssenCES) in a follow-up study after 4 years. Structural as well as clinical data were extracted. Results Global ward atmosphere, safety, and patients' coherence on the recently opened wards was significantly increased; on always opened wards and long-term opened wards it remained unchanged. Coercive measures and discharges against medical advice decreased during the open door process. Conclusion Opening locked psychiatric wards can help to establish a positive therapeutic atmosphere without changing the therapeutic climate on the other already open wards. A better ward atmosphere might be connected with a better therapeutic quality.

Translated title of the contributionInfluence of an Open Door Policy on Ward Climate: Impact on Treatment Quality
Original languageGerman
JournalPsychiatrische Praxis
Issue number3
Pages (from-to)133-139
Number of pages7
Publication statusPublished - 01.04.2018


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